What causes puffy eyes?
 Encyclopedic 
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Pathological edema often indicates kidney excretion issues. A routine urine test at the hospital can determine if it's kidney-related. Girls should especially get checked, as they have a significantly higher risk of kidney disease than boys.
Physiological Edema
Crying, insomnia, sleeping on one's stomach, premenstrual periods, pregnancy, excessive salt intake, or drinking large amounts of water within two hours before bedtime can all cause puffy eyelids upon waking. Eye swelling relates to sleep patterns, fluid intake, and sleeping positions. It is advisable to avoid excessive water consumption before bed.
Massage can stimulate blood circulation around the eyes, effectively reducing puffiness. Soak cotton pads in chilled milk, apply them to the eyes for 5 minutes, then place two slices of pear or pineapple on the eyelids to brighten the eyes.
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