<s>[INST] Good day My name is Jenny and I have a 9 month old baby that is diagnosed with Di George syndrome He had open heart surgery at the age of 6weeks,after 5 months in hospital picking up every chest infection possible he also now have chronic lung disease and is on permanent home oxygen About 2 months ago he had a echo done and it was confirmed that the heart surgery was a great success and all his heart medication was stopped What concerns me is that a week ago his temples started swelling,it doesn t seem to swell more but I don t know the cause of this it also looks like his eye lids are bit swollen,can u please assist me with answers to this [/INST] Hi...I just read through your query. I congratulate you on the success of the surgery. I feel these are the possibilities for eye lid and temples puffiness - 1. Positional edema.2. Sometimes post cardiac surgery there can be fluid accumulation in the body and this is remote possibility as ECHO is normal.3. Nephrotic syndrome - This might occur when the kid is losing protein in the urine.Regards - Dr. Sumanth </s>