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Have headache behind the right eye and feels like bruising. Eye was hurt with a hose pipe. Advise?

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Ophthalmologist
Practicing since : 2003
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My husband has had a headache every day now for a couple of months. It is just behind the right eye. When he pushes his eye the pain is worse and feels like bruising. A couple of months ago my son accidentally hit him in the eye with a high pressure hose pipe. His vision is fine and he's not experiencing any problems with it.
Posted Sun, 27 Oct 2013 in Headache and Migraines
 
 
Answered by Dr. Dadapeer K 1 hour later
Brief Answer:
Headache is not related to eye.

Detailed Answer:
Hello,
Welcome to Health Care Magic

You have quoted in the history that your husband had accidental injury to the right eye following which he is having pain behind the right eye and the pain worsens on eye movements.

Since in the case of your husband vision is normal, eye is normal I can say 2 things.

1. Injury is unlikely to be related with this head ache as it is already 2 months following injury.
2. It is unlikely to be because of eye diseases or because of neurological diseases involving the nerves of the eye as he is not having any other symptoms and vision in the eye is normal.

Hence in this case headache can be because of other causes like migraine, ENT related problems like sinusitis. I advice you to consult Physician for examination, evaluation and treatment accordingly.

Hope I have answered your query.
Thank you
Above answer was peer-reviewed by
 
Follow-up: Have headache behind the right eye and feels like bruising. Eye was hurt with a hose pipe. Advise? 47 minutes later
His eye doesn't hurt with movement just but if he applies pressure to the eye he can feel bruising behind the eye. It isn't his sinuses. It's a headache that doesn't get worse or better but is persistent.
 
 
Answered by Dr. Dadapeer K 44 minutes later
Brief Answer:
Need to rule out primary headache like Migraine

Detailed Answer:
Hello,
Welcome to Health Care Magic
Thank you for the follow up query.

Constant headache or pain on applying pressure pressure over the eyes is seen usually in inflammatory conditions of the eyes, strain of the eye muscles and in sinusitis as a result of inflammation of the sinuses which are present around the eyes.
Since the eye is normal without any redness, watering, diminution of vision inflammatory condition of the eyes is unlikely.
Strain of the eye muscles can be seen in uncorrected refractory errors including presbyopia which is commonly seen after 40 years of age. If your husband is having difficulty in reading small letters, then he needs correction by appropriate glasses.
If he is not having above two conditions, I will like to consider sinusitis and to rule out this please note
Whether pain increases on bending his head forwards
Whether pain is more in the morning after getting up
whether pain is more in the night after working for whole day in upright position
whether there was any history preceding cold

If the answer for any of the questions is yes, then he needs to undergo examination to rule out Sinusitis.

Once I rule out all these diseases, I will consider primary headaches like Migraine, Tension headache. Primary headaches will have associated symptoms like nausea, visual symptoms particularly in migraine. These primary headaches are usually periodical and may not be persistent.

Hope I have answered your query.
Thank you
Above answer was peer-reviewed by
 
Follow-up: Have headache behind the right eye and feels like bruising. Eye was hurt with a hose pipe. Advise? 26 hours later
Thank you for the above.

He has no more pain when moving or bending his head forward. The pain is constant but not debilitating enough to stop him from doing things. The pain doesn't seem to go away totally just occasionally improves. The pain is worse if he pushes the eye when closed (as if there is bruising behind the eye).

He is not experiencing any nausea. We have wondered about tension headaches. Can tension headaches last for months?
 
 
Answered by Dr. Dadapeer K 1 hour later
Brief Answer:
Tension headache can last for months

Detailed Answer:
Hello,
Thank you for the follow up query

Tension headache presenting as a chronic type of headache can lasts for months.
Nausea and other eye symptoms like flashes of light are usually associated with Migraine and are not seen with tension headache.
Tension headache usually present as dull headache as you have described.

I advice you to consult physician for examination and diagnosis of the type of headache as most of the headaches overlap with one another in symptoms, hence proper history and examination is required before coming to correct diagnosis in case of headache.

Hope I have answered your query.

Thank you
Above answer was peer-reviewed by
 
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