Inside Lower Eyelid Color

What Causes Pale Inside Lower Eyelids?

Pale inside lower eyelids can have various causes, ranging in severity from 'needs attention' to 'life-threatening'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose pale inside lower eyelids, we could:
  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "pale inside lower eyelids" as a symptom.  Here are two possibilities:
  • Iron Deficiency Anemia
  • Hemolytic Uremic Syndrome

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
frequent red blood in stools
low ferritin levels
much recent breastfeeding
elevated TIBC
very low serum iron
microcytic red cells
poor cold weather tolerance
nails that are mostly white
low energy/stamina
iron deficiency anemia
being in late pregnancy
... and so on

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of pale inside lower eyelids:
Cause Probability Status
Iron Deficiency Anemia 97% Confirm
Hemolytic Uremic Syndrome 63% Possible
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

In the Eyes/Ocular Symptoms section of the questionnaire, The Analyst™ will ask the following question about inside lower eyelid color:
With the help of a friend or a mirror, gently pull down your lower eyelids and look at the inside surface. What color is it? Only answer if your eyes feel 'normal', without problems such as dryness, itchiness, pain, swelling, or infection.
Possible responses:
→ I can't do this test / don't know
→ I have current eye problems
→ Very pale/white, (almost) no trace of pink or red
→ Light pink
→ Rich pink or red
Based on your response to this question, which may indicate white inside lower eyelids, pale pink inside lower eyelids or rich pink inside lower eyelids, The Analyst™ will consider possibilities such as:
Hemolytic Uremic Syndrome

Losing color in the cheeks and inside lower eyelids is a symptom of HUS.