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.

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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:

low serum iron

elevated TIBC

poor cold weather tolerance

low energy/stamina

nails turning white towards the ends

microcytic red cells

very low ferritin levels

iron deficiency anemia

recent breastfeeding

being in late pregnancy

frequent red blood in stools

... 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	96%	Confirm
Hemolytic Uremic Syndrome	50%	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.

Iron Deficiency Anemia

Concerned or curious about your health? Try The Analyst™