If your cheeks become swollen after exercising, this could be a sign of exercise-induced anaphylaxis, a potentially life-threatening condition. Swelling of the cheeks after exercise can also signify rosacea, which is more of a burden than a cause for alarm. If you suspect exercise-induced anaphylaxis, make an appointment with your doctor as soon as possible.
Identification
Exercise-induced anaphylaxis is a very rare and unpredictable condition. Swelling can be present on your cheeks or anywhere on your body. Depending on the severity of your symptoms, you may also notice hives, wheezing, shortness of breath, trouble swallowing, anxiety, nausea, dizziness or a headache. Exercise-induced anaphylaxis does not occur every time you exercise. The occurrence seems to correlate with patients eating a nonspecific food item within four hours of running. Rosacea can cause swelling of the cheeks and other areas of the face. You may notice redness accompanies the swelling, which resembles a sunburn's appearance and burning sensation. Acne-like bumps may also be present. The swelling is usually worse if you exercise in a hot or sunny environment.
Cause
Exercise-induced anaphylaxis is caused by your immune system overreacting to exercise. Sometimes the mast cells release chemicals into the bloodstream, so you experience the symptoms during and after exercise. However, since the reaction does not always occur, the cause is unknown. Rosacea is caused by swelling of blood vessels under the skin. Since exercise increases your blood flow, blood is rushed to the face and can make the swelling more visible if a person has rosacea. Exercise is one trigger, but so is the sun, overheating, harsh facial products and certain medications. There is a genetic correlation with rosacea.
Treatment
Unlike most allergic reactions, typical allergy medications are less effective against exercise-induced anaphylaxis. Antihistamines and leukotriene agonist do not seem to prevent the reaction. Your doctor may prescribe you an autoinjector of epinephrine. If you notice swelling of the cheeks or any other symptoms during or after exercising, rest for a moment to see if the symptoms disappear. If your cheeks swelling is the only symptoms you're experiencing, consult with your doctor. However, if you're having difficulties breathing, have a drop in blood pressure, or are losing consciousness, the epinephrine will be necessary. Exercise with someone aware of your condition and who knows to administer epinephrine in case of an emergency reaction. There is no cure for rosacea, but the symptoms can be controlled. Topical treatments of metronidazole, benzoyl peroxide or azelaic acid are typically used to treat rosacea. Oral medications are also available.
Prevention
Avoid exercising at least four hours after eating. Consult with your doctor about an exercise program and avoid vigorous-aerobic activities. To prevent swelling from rosacea after exercising, always take your medications as prescribed. Most topical medicals will irritate your skin and make it appear worse than before treatment, but continue with the treatment and you should see results within a few weeks. If it's hot and sunny, avoid exercising outdoors and stay in an air-conditioned environment. Always wear a sunblock with an SPF of at least 30 when exercising outside.
Member Comments