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There can be many reasons causing the swelling, related to the description that you have mentioned. The swelling seems to come across as an infection involving one of the numerous lubricating secretory organs that are located just under the surface of the upper palpebra or eyelid. When the gland becomes septic due to infection and gets inflamed it is unable to lubricate, thus leading to a blockage which becomes visible through the delicate and tender eyelid skin.
This is known as a meibomian cyst or chalazion and cannot be treated through nonprescription applications.
The best way to get relief from the pain and the discomfort is to apply a warm compress on the affected eyelid with the help of a clean piece of cloth or pad dipped in hot water.
Sometimes eyelid swelling could be the result of an allergic response towards a particular allergen that causes the lid to swell and get puffy. In addition to the pain, the eyes also may get red and become itchy. An anti allergy application or drug can help in removing the cause of the allergic response. In some cases, the swollen eyelid could also be an indication of a stye and the best way to diagnose the condition, would be to check with your doctor for the best possible treatment for the condition. An injury or trauma could also be the cause of a painful eyelid swelling. In a rare case an intensely serious infection such as, orbital cellulitis can also result in painful eyelid swelling. In such a scenario, the case must be looked into and evaluated thoroughly, by an ophthalmologist.
Do not try to pry open the bump or the swelling through external means and without the supervision of a doctor, as doing so may wind up affecting his vision. Seek medical help immediately if he experiences symptoms such as: interference in vision, long duration of swelling, lack of response to the warm pack or compress care, increased redness, inflammation, swelling extending into the face and the cheeks etc.
A clean and hygienic warm compress placed directly on the affected eyelid every day for approximately 15 - 20 minutes, can help in reducing the swelling and also reducing the chances of developing the infection again. It is always a good habit to get prescription topical applications for the condition rather than resorting to over the counter antibiotics. A good ointment or medicated lotion helps when applied during bedtime, giving the ointment the time to work on the swelling or infection at night. However, take care to see that the ointment is applied carefully and does not enter the eye.
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