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Swollen cheeks can be caused by a variety of factors, some of which are relatively benign, while others may require prompt attention. It’s a good start that you’ve considered common causes like allergies, but since your symptoms have persisted and are significant, let’s delve deeper into possible causes. A few things come to mind immediately—such as infections, dental issues, or salivary gland problems. Infections like mumps, despite being less common due to vaccination, could cause significant swelling. Another possibility is a blocked salivary gland or sialadenitis, which is inflammation of the salivary glands. Dental abscesses or infections could lead to swelling, but they are usually accompanied by pain or other dental symptoms. Sinus infections typically cause swelling around the cheeks, more toward the under-eye area though, and might be accompanied by nasal congestion or pressure. If you suspect it could be an infection or related to sinus issues, OTC nasal decongestants or saline sprays can help, but they don’t replace medical advice. Considering the swelling has become quite significant, it’s advisable to follow up with a healthcare provider, emphasizing the progression and its unresponsiveness to initial steps. They might consider imaging like an ultrasound or CT scan, or a referral to an ENT specialist or dentist might be in order. Immediate attention is essential if you experience symptoms like difficulty breathing, sudden fever, or excessive pain, as these could indicate a more acute issue requiring urgent intervention. In the meantime, maintain good hydration and avoid irritants or foods that have historically caused you allergies. Being proactive and monitoring any new symptoms is key.