There is a small lump inside the lower eyelid; what's the cause and what should be done?

Generally, a small lump appearing inside the lower eyelid may be caused by improper diet, milia, stye, meibomian gland inflammation, or eye stones. Patients are advised to follow medical instructions for targeted treatments such as general care, medication, or surgical treatment. Detailed explanations are as follows:

1. Improper Diet: Long-term consumption of spicy, stimulating, or high-fat foods may irritate the eyelid, resulting in a small lump on the lower eyelid. It is recommended to reduce intake of spicy and greasy foods and consume more bland foods such as millet porridge and bitter melon.

2. Milia: Milia are tiny epidermal cysts formed by keratin blocking the ducts of sweat glands or hair follicles. They typically cause no significant symptoms and only appear as small bumps on the lower eyelid. Patients are advised to drink more lemon water to accelerate skin metabolism and apply yogurt to the face to help relieve symptoms.

3. Stye: A stye is an acute suppurative inflammation of the eyelid glands caused by bacterial infection, primarily Staphylococcus aureus. It mainly presents as redness, swelling, pain, and foreign body sensation in the eyelid, and may progress to abscess formation in severe cases. In the early stages, patients can apply warm compresses to help reduce inflammation. Additionally, medications such as levofloxacin eye drops, tobramycin eye drops, or erythromycin eye ointment should be used as directed by a physician.

4. Meibomian Gland Inflammation: This condition is an inflammation of the eyelid glands caused by bacterial infection. A small lump inside the lower eyelid may develop, accompanied by pain. If an abscess forms after the inflammation is controlled, the patient should visit a reputable hospital for incision and drainage, such as undergoing incision and drainage for hordeolum.

5. Eye Stones: Eye stones typically refer to conjunctival concretions of the eyelid and are associated with chronic eye inflammation, trachoma, dry eye syndrome, and other factors. They often cause small lumps on the lower eyelid, accompanied by foreign body sensation, pain, and tearing. Patients should visit a reputable hospital where, under topical anesthesia, the stones can be removed using a scalpel or foreign body needle.

In daily life, it is recommended to maintain a positive mindset, avoid spicy, stimulating, and greasy foods, prioritize rest, and develop healthy lifestyle habits.