Lip swelling can appear suddenly or gradually, affecting just one side or both lips. It can range from mild puffiness to significant enlargement, often accompanied by redness, pain, or itching. While it may appear minor, swollen lips indicate an underlying problem requiring attention.
At North Hill Dental in Richmond Hill, Ontario, we regularly see patients concerned about unexpected lip swelling. Numerous possible causes include allergies, infections, and dental conditions. In this blog, we’ll explore seven common reasons for lip swelling and how to identify the root cause.
Common Causes of Lip Swelling
1. Allergic Reactions
Allergies are one of the leading causes of lip swelling. Reactions can happen minutes or hours after exposure.
- Food Allergies: Peanuts, shellfish, eggs, and tree nuts are common triggers. Even trace amounts can cause swelling, especially in those with severe allergies.
- Medication Reactions: Certain antibiotics and NSAIDs (such as ibuprofen) can cause allergic swelling.
- Environmental Allergens: Pollen, dust mites, and pet dander can cause mild to moderate lip swelling in sensitive people.
- Latex or Contact Allergies: Contact with latex gloves, dental products, or other materials may result in a reaction.
- Cosmetic Product Allergies: Lip balms, lipsticks, or glosses with allergens like fragrances or preservatives may cause localized inflammation.
2. Insect Bites or Stings
- Bee or Wasp Stings: These can cause sudden and painful swelling in the lips or mouth.
- Mosquito or Spider Bites: Although less severe, they can still cause discomfort and swelling.
- Inflammatory Response Symptoms: Redness, warmth, and itchiness often accompany insect-related swelling.
3. Injury or Trauma
- Lip Biting or Bumping: Accidental bites while eating or falls can cause temporary swelling.
- Sports Injuries: Contact sports frequently cause swollen or cut lips.
- Dental Procedures: Dental work, such as extractions or injections, can cause temporary swelling.
- Post-Surgical Swelling: Lip swelling can be part of the healing process after oral surgery.
4. Infections
- Cold Sores (Herpes Simplex Virus): Symptoms typically begin with tingling and progress to painful blisters and swelling.
- Cellulitis: A bacterial skin infection that spreads quickly and necessitates medical treatment.
- Fungal Infections (e.g., Candidiasis): This can cause lip and mouth irritation, particularly in immunocompromised individuals.
- Dental Abscess or Gum Disease: Swelling from a tooth infection can radiate to the lips.

5. Medical Conditions
- Angioedema: A deeper swelling beneath the skin, typically caused by allergies or genetic conditions.
- Cheilitis: Inflammation of the lips, often linked to dryness, infection, or irritants.
- Autoimmune Conditions: Disorders like lupus can cause recurring lip and facial swelling.
- Crohn’s Disease: Some individuals experience swelling of the lips and oral tissues as part of gastrointestinal flare-ups.
6. Medication Side Effects
- ACE Inhibitors: Common blood pressure medications that can cause sudden swelling, especially in the lips and face.
- Anti-Seizure Medications: Certain medications can cause rare but severe allergic swelling.
- Chemotherapy Drugs: These can irritate the mucous membranes and cause swelling as a side effect.
7. Lifestyle & Environmental Causes
- Excess Alcohol: It may cause dehydration and fluid retention, leading to lip puffiness.
- Spicy or Hot Foods: They can irritate the lips and trigger temporary swelling.
- Dehydration: Dry, cracked lips may become inflamed and swollen.
- Excessive Sun Exposure or Windburn: UV rays or extreme weather can irritate the lip tissue.
How to Diagnose the Cause
See your doctor or dentist if your lip swelling is persistent, painful, or accompanied by other symptoms. North Hill Dental can assist you in identifying oral-related causes or refer you to a medical professional for further evaluation.
What to Expect from a Healthcare Provider:
- Questions about recent food, medications, or exposure to allergens
- Review of medical and dental history
- Physical examination of the lips, mouth, and surrounding tissues
- Allergy tests, blood work, or imaging, if necessary
A thorough evaluation can help uncover connections between your health history and current symptoms.
FAQs
Can anxiety cause lip swelling?
Yes, stress and anxiety can lead to habits like lip biting or inflammation from tension, potentially causing swelling.
Why is my lip swollen only on one side?
This may result from a localized issue like an insect bite, trauma, or dental infection.
Are swollen lips a sign of infection?
Yes, especially when accompanied by pain, warmth, or pus. Conditions like cold sores or cellulitis are common culprits.
How long does it take for swelling to go down?
Minor swelling usually disappears within 24-72 hours, but more serious cases may take longer or require treatment.
Can dental problems cause lip swelling?
Absolutely. Abscessed teeth, gum disease, or even recent dental work can lead to swelling in and around the lips.
If you have unexplained lip swelling and believe a dental problem causes it, immediately schedule an appointment with North Hill Dental in Richmond Hill. We’re here to help you get to the root of the problem and protect your oral health.