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Step 3. Talk to your doctor about possible medical causes for the puffiness. Certain medications can cause you to retain water, and allergies, conjunctivitis and allergies --such as hay fever--can cause your face to look puffy. If thereâs a medical cause behind the problem, your health care provider will recommend a change in medication or other adjustments to fix the problem.
In many cases, the causes of Puffiness and Under Eye Bags are simple. Examples of mild causes of eye bags might be: 1  Sleeping for too long or not for long enough. 2  Having an irregular sleep schedule. 3  Consuming a high sodium diet, which causes water retention. 4  Irritation by contact lenses. 5  Allergies.