Sometimes periorbital edema has a more serious underlying cause. MNT is the registered trade mark of Healthline Media. Cleveland Clinic is a non-profit academic medical center. The good news about photokeratitis is that it's a temporary condition and your symptoms usually go away within a few hours to a couple days. The muscles around your eyes age too, causing tissues in that area to sag. If significant swelling or pain return, it is likely that the cyst has become infected. It is not in itself serious and is usually temporary. Are you normally allergic to anything? It develops slowly and eventually interferes with your vision. . Most swelling around the eyes goes away within a few days. What is the latest research on the form of cancer Jimmy Carter has? Our website services, content, and products are for informational purposes only. Cleveland Clinic is a non-profit academic medical center. This type of photokeratitis is known as snow blindness. Typically, eye swelling in your upper or lower eyelid is just an uncomfortable annoyance that will go away on its own within a day. Glasses Care Any exposed part of the body including the earlobes, scalp and lips can burn. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Avoid sharing personal items, such as towels, with someone who has a stye. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. Eye cancer, or an eye lymphoma, is also accompanied by blurred vision or loss of vision. The symptoms of photokeratitis can be uncomfortable. When to call the doctor The upper eyelids may droop downward in a condition called ptosis. Impact of Smoking and Alcohol Use on Facial Aging in Women: Results of a Large Multinational, Multiracial, Cross-sectional Survey. Cool compresses: Sunburns are just like heat burns - they cause swelling. Sometimes called periorbital edema or periorbital puffiness, puffy eyes are characterized by swelling under the eye, on the eyelid, or all the way around the orbitthe bony cavity that houses the eye. Makeup and skin care products can cause irritation, swelling, and puffiness in the eyelids for many reasons, for instance, if: Artificial tears can help soothe discomfort, if swelling occurs when using cosmetics. Do your eyes look puffy or swollen? Treatment will depend on the cause but may include diuretics, pills that help the body remove fluid. In addition, you could use the eye drops to get rid of the invisible bacterium in your eyes. While annoying, puffy eyes are generally not life-threatening. The most common culprit is salt, or sodium. Best food forward: Are algae the future of sustainable nutrition? These products work like makeup and will wash off in the shower. See your eye care specialist at least once a year for a complete eye exam. The longer your exposure to UV rays, the more intense your symptoms are likely to be. Verywell Health's content is for informational and educational purposes only. For some people, periorbital edema may come on slowly. Horrendous burnt skin on finger tips after home gel nail. My naturally blonde hair WON'T lift at home OR AT THE SALON. Just closing your eyes is not enough protection from the incredibly strong UV rays in a tanning bed. Our team thoroughly researches and evaluates the recommendations we make on our site. Apply lotion sunscreen carefully and slowly to your face, taking care to avoid your eyes and eyelids. Protect your eyes: everyday steps to sun safety. Any minor swelling should stay localized to the cyst. If the symptoms do not improve in 515 minutes, or they come back, use a second pen if the person has one. Sunglasses or goggles that block or absorb 99% to 100% of UV rays are recommended if you spend time outdoors. taking an omega-3 or flaxseed supplement. Heart failure: Could a low sodium diet sometimes do more harm than good? And due to the fact that the tanning bed popularity lies in the fact that you can tan faster in a tanning bed than in the sun, you are increasing your risk of these health hazards. You can learn more about how we ensure our content is accurate and current by reading our. One study found that the people around you can tell if you're sleep deprived just by looking at your face, specifically at your eyes. Remember, the longer your exposure to UV rays, the more likely you are to experience serious eye conditions over time, such as cataracts, or macular degeneration. Temporary loss of vision. Cardiovascular health: Insomnia linked to greater risk of heart attack. If you buy through links on this page, we may earn a small commission Heres our process. These include: Lifestyle causes of periorbital edema include: If a person thinks they may have periorbital edema, they should speak to a doctor. Other conditions, such as a chalazion, may benefit from a warm compress. For a better experience, please enable JavaScript in your browser before proceeding. Understanding the mechanics of what is actually tanning you, will go a long way to figuring out not only why your eyes are hurting, but to maybe think twice if you should be using a tanning bed at all. The difference between getting a tan outside and a tan in a tanning bed is that although the percentage between UVA and UVB rays are similar, the ultraviolet rays in a tanning bed are much stronger than those from the sun. UVA rays can pass through your eyelids and lead to photokeratitis, a painful eye condition that affects the cornea (clear, protective layer around the eye) and the conjunctiva (cell layer that covers the insides of the eyelids and whites of the eye). Call your doctor if you notice: If you experience symptoms of sunburned eyes for more than a day or two, call your eye doctor. You might experience an allergic reaction immediately or several days after applying the sunscreen. Melanin is your bodys defense against UV rays and reacts by producing a brownish pigment on your skin (a.k.a. Headaches. UV exposure adds up over time. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. If you don't wear the protected goggles when you are tanning, your eyes may easily get red. Common symptoms of optic neuritis include pain with eye movement and temporary vision loss in one eye. The following pictures may help identify some causes of a swollen eyelid. In the last couple of decades, there has been an increased awareness of the health risks of exposure to UV rays, particularly UVB rays, which are the more dangerous and cancer-causing of the two. This is over and above the fact that the thin skin on the eyelids burns easily. Cleveland Clinic 1995-2023. Goggles. It is the fluid buildup that gives the eye orbit a swollen appearance. The most reliable way to remove a cyst is to have your doctor do it. cleansing the eyelids daily with baby shampoo or eyelid cleansing wipes. These foods and drinks inflate the tissue around your eyes because they make your body retain water. They can cause a fluid buildup around the eyes and sinuses. This often causes swelling and discoloration. Can poor sleep impact your weight loss goals? All the Parts of a Shoe: Anatomy of a Shoe, Gritty feeling, like something in your eye, Temporary vision loss or color change (rare). Is the ketogenic diet right for autoimmune conditions? Some patients will wake up with facial swelling, particularly around the eyes for several days following the treat-ment. I have ended up with swollen eye lids on days with lots of spray tans booked in, the pharmist told me to wear goggles but I felt a bit silly looking like biggles i have ended up sticking to cream tans on me and washing my face after each spray tan to stop any reactions when treating clients even changing brands had the same effect. Youre at greater risk of getting photokeratitis if you: Your eyes can be damaged from ultraviolet rays. It happens when an oil gland in the eyelid gets clogged, and oil accumulates behind the blockage. I did nothing but just went for a tan. Essentially bronzers are a topical cosmetic that contains a translucent color that temporarily darkens the surface of your skin, and can be washed off. You can also try a few at-home treatments for symptom relief: Dont make the mistake of thinking that your eyes are protected by blinking, or from not staring directly into the sun. You may also have swelling on your cheeks and jawline. Find out the potential causes, symptoms, treatments, and home remedies. Getting a sunburn on your eyelids is similar to a regular sunburn elsewhere on your body, but there are certain things you should keep in mind to make sure you dont need medical attention. Puffy eyes may also be accompanied by dark circles or bags under the eye and saggy or loose skin. Blocked oil glands cause chalazia. If there are several people in your family with puffy eyes, this could even be a sign of a genetic condition that causes puffy eyes. Can poor sleep impact your weight loss goals? Read our, Medical Conditions Causing Swollen Eyelids. It can occur anywhere on your body. Everything You Need to Know Before You Get a Spray Tan. When youre skiing or enjoying other snow sports, wear sunglasses or goggles that provide this same level of protection. It is essential to seek medical help as soon as symptoms appear. You may experience puffy eyes after a late night, from eating certain foods, or from crying. A specialist, such as an ophthalmologist or optometrist, can prescribe medication, if needed. In adults, it may stem from an infection, tumor, injury, or other cause. This can lead to puffiness. I suggest you to go out in the morning and do not over one hour per time. What is Photokeratitis Including Snow Blindness? avoiding drinking liquids before sleeping, following a varied diet with plenty of fruits and vegetables, seeking medical help if symptoms arise that could indicate a problem, to wash away irritants, for example, dust or onion fumes, in response to emotional triggers, such as joy or sadness, the person does not remove them before sleeping, products are not suitable for use around the eyes, bacteria have developed over time, for example, on mascara, take care to avoid contact between makeup and the eyes, monitor for sensitivity reactions and introduce new products one at a time, choose good quality makeup that is fragrance-free, paralysis of the muscles that control the eye, staying away from other people who have an infection, seeking help as soon as the symptoms of infection appear, such as a fever, eyelid retraction, where it seems that the eyelids are pulled back, focal radiation therapy for the eye socket, receiving highly active antiretroviral therapy, a treatment for some immune conditions, inflammation of the cornea, the outer cover of the eye, eyedrops containing antibiotics, steroids, or both, antiretroviral therapy to prevent recurrences and complications, dandruff-like flakes around their eyelashes. Dont worry there are much safer alternatives! Healthline Media does not provide medical advice, diagnosis, or treatment. Live in higher altitudes (greater exposure to UV rays) or in the sunbelt. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Your eyes are no exception. Learn about the different types, along with the symptoms, causes, treatment, and outlook. Depending on the cause, you may be able to get rid of puffy eyes completely. Swelling. Arc welding equipment, photographic flood lamps. Get useful, helpful and relevant health + wellness information. American Academy of Allergy, Asthma, and Immunology. It is more common near the North and South Poles or in mountainous regions where the air is thinner and provides less protection against UV rays. Stye An infection in an eyelash follicle or tear gland, styes appears as tender, red bumps at the edge of your eyelids. The most common cause is a bacterial infection of the nasal and sinus passages, or rhinosinusitis. If you wear contact lenses and work or play in a sunny environment, ask your eye care specialist about UV absorbing contacts. Either or both sections can become sunburned. Prevent Eye Damage: Protect Yourself from UV Radiation. Your eyes will feel uncomfortable. Treatment for this condition typically centers around reducing symptoms so you can feel more comfortable. But, it can result from surgery, an immune problem, and other causes. If you've been crying, have allergies, or had feasted on salty snacks the night before, the reason for your puffy eyes may be clear-cut. Swollen eyes after LA Fast spray tan morina Dec 4, 2014 Help Support SalonGeek: M morina New Member Joined Nov 23, 2011 Messages 1 Reaction score 0 Location norwich Dec 4, 2014 #1 Please I need your help! This condition is known as photokeratitis. Preventing photokeratitis is easy -- always wear sun glasses or other eye protection that blocks or absorbs UV rays when outside (even on cloudy days) or exposed to certain light sources used at your job. There are several reasons why you might see swelling in your eyes or eyelids. But what causes periorbital edema and how might it be treated? Causes You know getting a tan is good for your health as well as your eyes. It can result from a bacterial or viral infection or exposure to an allergen. Wear a wide-brimmed hat or visor when you go outdoors. If a person is unsure, they should never hesitate to seek medical consultation to protect their health. Kayla is the founder of LuxeLuminous. They can be extremely painful. You know abundant ultraviolet light will burn your skin even induce skin cancer. Read More. Botanic Tree Self Tanner-Organic Sunless Tanner for Natural-Looking Fake Tan-Herbal Self Tanning Lotion for Flawless Bronzer Skin-Instant Face and Body Tanner for Fair and Dark Skin. Here are a few tips to help reduce swelling in the meantime: Call your eye doctor right away if swelling lasts longer than 24 to 48 hours and you notice any of the following: To ensure that your eyes remain healthy, regular eye exams are a good idea whether or not youve experienced swelling in your eyes, Dr. Singh says. Bags Under the Eyes. Sunburn can take several days to fully develop, and then another several days after that to start healing. If you suspect that you. Sobel, R. K., Carter, K. D., & Allen, R. C. (2012, March). Pain relief. watery . A swollen eyelid is often a symptom of another medical condition, including: Allergies Inflamed eyelids ( blepharitis) Pinkeye (conjunctivitis) Shingles A clogged oil gland in your eyelid (. Eye Health 9. Although the sun also emits UV-C radiation, those rays are absorbed by the ozone layer and dont damage your eyes. The skin around your eyelids may loosen naturally as you age, creating the appearance of extra skin around your eyes. Blue and violet shorter-wavelength visible light, emitted from LED lights, computers and smartphones can also be harmful to your retina and be a risk factor for macular degeneration later in life. Sunburn usually starts to appear a few hours after sun exposure, although it can take a day or two for the full impact of the sunburn to appear. It will usually resolve on its own in 12 weeks. If you use tanning beds, it is imperative that you protect your eyes during use. Anyway, try to consult a doctor and do not tan without proper protection. Tearing/watery eyes. All that said, eye damage is also one of the health risks of tanning beds that is not often talked about. This includes places you might forget about, like the tops of your ears or your eyelids. Small, fluid-filled blisters, which may break. Treating the conjunctivitis should make the chemosis go away. Compared to tanning in the sun, exposure to UV rays in tanning beds exponentially increases the risk of all skin cancers, including melanoma, Basal cell carcinoma, Squamous cell carcinoma and Merkel cell cancer, which are also types of skin cancers you are more at risk of, if youre tanning. 8 home remedies to reduce puffy eyes from crying. What are eye allergies? Patients who have cornea disease, such as Fuchs dystrophy, may take longer - up to a month or more - to get rid of the swelling. A doctor can help to diagnose this and recommend appropriate treatment. For a newborn, a doctor may teach a caregiver how to do a special massage to encourage the duct to open. Depending on the suspected cause, the doctor may then carry out a series of tests. If a person suspects swelling around the eyes is caused by an anaphylactic shock, they should seek emergency medical treatment. Gently massage the eyelids, making circular movements with a cotton bud or fingertip, to stimulate the oil glands. They include: Photokeratitis usually resolves on its own within one to two days. Some at-home remedies to help treat sunburned eyelids include: Stay indoors for a few days to ensure that youre out of UV light and to facilitate recovery. Raccoon eyes themselves do not often require treatment. Sunlight can also reflect off of buildings, cars, and concrete streets. 2018). Makeup After Spray Tan: Can You Put Makeup On After a Spray Tan? Treatment options will depend on the cause. Eyes that feel painful or gritty. And How Long Does it Take to Tan in the Sun? Any time youre outside for a prolonged period of time with your skin exposed, youre at risk of sunburn. We avoid using tertiary references. Learn what causes them and how to recognize the signs. Photokeratitis usually resolves on its own within one to two days. Your healthcare provider may: If your healthcare provider believes you have swollen eyelids and not puffy eyes, they may perform additional tests to determine what is causing your symptoms. Blepharoplasty is a procedure that lifts the lower eyelid. Botanic Tree Self Tanner-Organic Sunless Tanner for Natural-Looking Fake Tan-Herbal Self Tanning Lotion for Flawless Bronzer Skin-Instant Face and Body Tanner for Fair and Dark Skin. Conjunctivitis usually resolves in 12 weeks but may take longer. Eyelash extensions can look great but may also have side effects. asking a doctor about topical or oral antibiotics if chalazia occur often. Here are a few things you can do to relieve the pain and discomfort while you give your eyes a chance to heal: Prevention is the best medicine. You are increasing your risk of things like early wrinkles and skin cancer by using a tanning bed that emits harmful rays up to 100 X stronger than the sun. Don't overexfoliate your skin. Its often caused by a virus, bacteria, allergens or other irritants. Should i go to the doctor for a swollen eye ? How can I get rid of the bags under my eyes? Advertising on our site helps support our mission. However, everything has its modest extent, why not wearing sunglasses while sun bath? You are using an out of date browser. 3 . Aside from allergens, you should also be cautious when using certain topical treatments like cosmetics, creams, or chemicals around your eyes. If you do choose to go against the advice of basically every health and medical professional on earth and choose to use a tanning bed, at the very least always wear tanning bed goggles specifically intended for indoor tanning. There are many options, including over-the-counter products, lifestyle changes, and surgical procedures, that can help you lift and firm up the tissue around your eyes. trauma, infections, or; other injuries to the eye area. Stop using Retin-A, Renova, Differin, for one week prior to treatment. But if the swelling lasts longer, its important to treat it because some problems can quickly damage your eyes. The following tips may help prevent puffy eyes after sleeping: Water retention overnight can also affect the eyelids. Progress in Retinal and Eye Research. Snow blindness happens when UV rays are reflected off snow and ice. Talk to your healthcare provider if your puffy eyes are an ongoing problem or if you have any changes to your vision. We include products we think are useful for our readers. Chalazion Similar to a stye, a chalazion is a harmless, small bump that appears on your eyelid. She has worked professionally in the tanning industry for years. It will be recovered soon. Learn why Cleveland Clinic Cole Eye Institute is among the worlds most advanced eye centers. The term refers to inflammation or puffiness around the eyes. The eyelid swelling is usually worse early in the morning and will get better during the day as you sit or walk around. Now, i notice that my eyes are swollen. We do not endorse non-Cleveland Clinic products or services. Avoid rubbing or touching the area. If you experience symptoms, go indoors immediately. When fluid builds up in the thin layers of tissue surrounding your eyes, your eyes and eyelids can swell. Read More Created for people with ongoing healthcare needs but benefits everyone. It relates to a thyroid problem. TO BE AVOIDED FOR 4 WEEKS BEFORE AND AFTER TREATMENTS. Puffy Eyes: What Causes Them and What to Do About It. Periorbital edema: A puzzle no more? To prevent inflammation due to cosmetics, a person should: Orbital cellulitis is a serious infection that occurs in the bony eye socket, known as the orbit. (2018). We do not endorse non-Cleveland Clinic products or services. If a person thinks this may be the case, they should call emergency services without delay. If medical treatment is necessary, your doctor may prescribe eye drops if there is a risk of eye infection. There are lots of different varieties of sunless self tanners on the market, from lotions and mists to foams, mousses, and serums, and most recently tanning water. All rights reserved. They last for about 5-7 days. Hemorrhoid creams: Some people pat over-the-counter creams designed for hemorrhoid treatment under their eyes. J Clin Aesthet Dermatol. Doctors will focus on treating the cause, which should allow the raccoon eyes to go away without any assistance. Take an antihistamine if you have one on hand. Wash the eyelid margins gently with a cotton bud soaked in water with a little baby shampoo. Spend a lot of time outdoors in the sun engaging in activities such as mountain climbing, hiking, skiing, and swimming. Wen X, et al. Bronzers are another way to add color without sun. There are two simple things you can do that will fix your swollen skin problem right away: 1. It can be a sign of many health conditions, such as: Anyone who has concerned about fluid retention in the eyelids or elsewhere should seek medical advice. If you follow these guidelines, your eye doctor can help to An ophthalmologist (doctor who specializes in eye problems) can determine if and how much damage has occurred to your eyes. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Stay with them until the emergency services arrive. Use pain relief medication if necessary, such as. The eye infection known as conjunctivitis - or pinkeye - can lead to conjunctival chemosis. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. If you are experiencing some or all of the symptoms above, the source of your eye pain is most likely photokeratitis. A few of the other eye health problems that can result from tanning beds are cataracts, macular degeneration, dry eye, and blurry vision. If an abscess develops and causes severe symptoms, a person may need surgery. A brown spot on your eye might also be known as an eye freckle. $29.99. Does Your Skin Stop Tanning At A Certain Point? If you use welding equipment or similar types of machinery, wear a welding helmet designed to protect your eyes and face. Periorbital edema is the proper term for puffy eyes. It refers to swelling in the area around the eyes, known as the eye orbit. Seen the words "patch test" lots in this thread so far, apart from tne OP! Can you get sunburned eyes? Other artificial sources of UV light include: arc welding machines and reptile basking bulbs a type of UVB bulb used in pet stores and reptile enclosures. Best food forward: Are algae the future of sustainable nutrition? Learn about the causes of droopy eyelids and some surgical and nonsurgical ways to, Facial puffiness tends to result from fluid retention, and this can have many causes. These can affect the eyelids and other parts of the eye and include: An initial infection often occurs in children under 5 years of age, but the virus remains in the body and symptoms can recur later. According to the American Cancer Society, the vast majority of skin cancer deaths are from melanoma. These are called pingueculae and pterygia. Yes, tanning may cause your swollen eyes. Eye Allergy Overview. Its important to protect your eyes from the sun, and to take special care when youre in high altitudes where air is thin, and UV rays are strong. Many tanning salons now offer UVA-only tanning beds. Great for use on the face and body, alone or under foundation as the ultimate makeup prep; Unit count: 3.38. Choose low-sodium versions of products, like low-sodium soy sauce. A cataract is a dense, cloudy area that forms in the lens of the eye. discover conditions that you might otherwise miss, she says. We avoid using tertiary references. How Long Should I Tan For? Using sunglasses faithfully when outdoors may limit these. KYDA Body Luminizer, Waterproof Moisturizing and Glow For Face & Body, Radiance All In One Makeup, Face Body Glow Illuminator, Body Highlighter 1fl.oz.-103 Glistening Bronze. These include: The symptoms of periorbital edema include: If swelling around the eye is accompanied by other facial swelling or difficulty breathing, this may be anaphylactic shock. Sunlight can also reflect off of ice and snow. It would boost the absorption of calcium to prevent you from rarefaction of bone. Ophthalmology 27 years experience. What are chalazia and styes? How do you get swollen eyelids? If the swelling came from exposure to an allergen or pollutant or from a traumatic injury, a physical exam using standard eye examination tools may be sufficient. The latest in prevention, diagnostics and treatment options for a wide spectrum of eye conditions - from the routine to the complex. Never pop a stye as this can spread the infection and damage the eye. For others, it may come on quickly and it is then referred to as acute. LASIK & Vision surgery People should see a doctor if they have a fever or signs of an infection, if there is pain when shifting eye gaze, if symptoms are severe or worsening, if symptoms persist longer than 48-72 hours, or if their vision has changed. Often, a blocked duct will open without intervention. The herpes simplex virus is very common, and infection is hard to prevent. Self-tanner is basically a suntan in a bottle. When tissues sag and become lax, the fat layers under those tissues may start to bulge and create a puffy appearance. As with skin, eye sunburn can vary in intensity. SOL by Jergens Self Tanner Body Bronzer, For All Unique Skin Tones, Sunless Tanning, Wash-off Luminous Body Bronzer, Natural-Looking Self-bronzer and Tan Intensifier for Instant Bronze, 3.4 Ounce, Vita Liberata Body Blur Instant HD Skin Finish, 3.38 Fl Oz. People can reduce the risk of severe bacterial infections and their complications by: Graves disease is an autoimmune disorder that affects the thyroid gland. If you dont already have a primary care provider, you can browse doctors in your area through the Healthline FindCare tool. In particular, UV-A and UV-B rays from the sun can cause short- and long-term damage to your eyes and affect your vision. Snow blindness is a type of photokeratitis that occurs when UV rays are reflected by snow and ice. Sunburn overview. You might think that tanning beds are safe for your eyes, since they emit UVA instead of UVB rays, but this is not accurate. Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Created for people with ongoing healthcare needs but benefits everyone. Even though your eyes might itch, try not to rub them. Why would you even want to try it again after the initial incident!? A swollen under-eye can occur for a wide variety of reasons. When a tear duct is blocked, the eye cannot fully drain tears. This will start to get better 2 to 3 weeks after your surgery. Periorbital edema is when fluid collects around the eyes. Wear proper eye protection such as sunglasses or snow goggles. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Consult an. The following tips can help you reduce or eliminate bags under your eyes: Use a cool compress. Porter D. (2017). mild to severe inflammation around the eye orbit, double or blurred vision caused by eye puffiness, redness around the eye, alongside swelling, the eyelids being pushed back by inflammation, pain around the eye or pain when moving the eye. Polymorphous light eruption is a rash caused by sun exposure in people who have developed sensitivity to sunlight. And it doesnt matter if its a bright sunny day or a hazy one. Toll Free: 1-855-487-6006 | Email:
[email protected]. Conjunctivitis - Also known as pink eye, this infection is common during cold and flu season. Live in higher altitudes (greater exposure to UV rays) or in the sunbelt. Results can last years, depending on your skin type and sun exposure. Body bronzers come in powder, mist, and lotion forms. choose To relieve your discomfort, place a cold washcloth over the closed eyes, use artificial tears, and/or take an oral over-the-counter nonsteroidal anti-inflammatory drug like ibuprofen (Advil, Motrin).