Salt, Sodium & Skin Puffiness
Many patients say:
“Doctor, main toh zyada namak nahi khata.”
But still they wake up with:
• Puffy eyes
• Swollen face
• Tight skin in the morning
Reason → hidden sodium, not just table salt.
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Salt vs Sodium – Simple Difference
• Salt = what you add from the salt shaker
• Sodium = present inside foods
Most sodium does not taste very salty.
So people think they are eating less salt, but sodium intake stays high.
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How Sodium Causes Puffiness
Sodium:
• Pulls water into tissues
• Makes body hold fluid
• Slows overnight fluid drainage
Face and under-eyes are first areas to show swelling.
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Foods That Cause Morning Puffiness
Common culprits:
• Packaged snacks
• Namkeen, chips
• Bakery items
• Restaurant gravies
• Cheese, sauces
• Pickles
• Instant foods
Even “sweet” foods can have high sodium.
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Why Puffiness Is Worse in the Morning
At night:
• You lie flat
• Gravity changes
• Sodium pulls water into face
Result → morning swelling, tight eyelids, dull skin.
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Is Completely Avoiding Salt Healthy?
No.
Very low salt can cause:
• Fatigue
• Headache
• Dizziness
Skin needs balance, not extremes.
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Smart Salt Habits for Better Skin
• Reduce salty food at dinner
• Home food > outside food
• Drink water evenly during the day
• Add potassium-rich foods (banana, coconut water, fruits)
• Sleep with slightly raised pillow
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Important Skin Truth
If puffiness:
• Improves by afternoon → lifestyle related
• Stays all day → structural or allergy related
Salt control helps only the first type.
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Clinic Experience
Patients often:
• Blame water
• Ignore sodium
• Expect creams to fix fluid retention
Creams don’t control salt effects.
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Bottom Line
✔ Salt is not the enemy
✖ Excess sodium is
Control timing, source, and balance, not fear.
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