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Head injury near eye, swollen, black and blue eye. Should I continue to ice it?

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I fell and banged the side of my head near my eye very hard a few hours ago. It has gotten very swollen and my eye is becoming black and blue I put ice on it should I continue to ice it and could this be more serious if it stays swollen? The the are that swelled up feels very hard it is more of a lump.
Posted Mon, 1 Oct 2012 in Head Injuries
 
 
Answered by Dr. Rajeev Chavda 1 hour later
Hi,
Thanks for posting your query. I am happy to address your questions. You seem to have got a black eye as a result of injury to the face or the head. It is caused when blood and other fluids collect in the space around the eye; swelling and dark discoloration result. Many heal on their own in a few days; however, sometimes they signify a more serious injury. Despite the name, "black eye XXXXXXX the eye itself is not usually injured. The tissues around the eye may be significantly discolored and swollen without any injury to the eye itself. Think of it as a bruise around the eye. Like a bruise, as a black eye heals, the swelling around the eye decreases, and the bruise gradually fades away. The skin around the eye is very loose, with mostly fat underneath. This makes it an ideal site for fluid to accumulate. Rest and ice applied early after the injury help to decrease swelling and pain. Ice helps to decrease swelling by constricting blood vessels, by decreasing fluid accumulation, and by cooling and numbing the area. Apply ice for 20 minutes an hour every hour while awake, for the first 24 hours. Ice should not be applied directly to the injury. To avoid potential cold injury to the site, wrap the ice in a cloth or use a commercial ice pack. For simple, uncomplicated black eyes, the treatment prescribed is similar to home treatment i.e ice, pain medications (avoid aspirin-unless prescribed by a doctor - because this may increase bleeding), rest, and protection of the injured area. The dark discoloration of a black eye will gradually change colors and fade but depending on the severity of your bruise and your treatment of it, the average healing time lies between 5 and 14 days. For more complicated injuries with associated symptoms like dizziness, nausea, vomiting, faintness, confusion or changes in your vision you may get yourself examined by your clinician. Hope I have answered your query. If you have any further questions, I will be happy to help. Thanks
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Follow-up: Head injury near eye, swollen, black and blue eye. Should I continue to ice it? 3 hours later
what do you mean for the first 24 hours ice should not be applied directly to injury? Apply after 24 hours?
 
 
Answered by Dr. Rajeev Chavda 4 hours later
Hi thanks for your kind response, i meant yes, you can apply ice for 20 minutes an hour every hour, for the first 24 hours and as there is no open wound you can apply it directly. If you have no further clarifications, will request you to kindly close the query and rate it. Thanks
Above answer was peer-reviewed by
 
Follow-up: Head injury near eye, swollen, black and blue eye. Should I continue to ice it? 22 hours later
The swelling on the side of my face and around the eye seems to have decreased a little, however it has gotten very dark blue and purple all around the eye and is now more swollen under the eye.
This morning I also noticed some blood inside my eye around the pupil. Is this normal at this point 36 hours later or do I need to go to the hospital? I would prefer to go to a doctor what do you recommend?
Should I keep it covered or will that make it worse. I have been wearing an eye patch on and off to keep it protected
 
 
Answered by Dr. Rajeev Chavda 2 hours later
Hi thanks for your kind response, normally as a black eye heals, the swelling around the eye decreases, and the bruise gradually fades away. The bruising will usually start out a very dark purple, and as it fades, it may change to light purple, then greenish, then yellow before disappearing. If you feel that the swelling has worsened or blood in the cornea has appeared after 36hrs, will then recommend to kindly get yourself examined by your clinician to avoid any concerns. If you have no further clarifications, will request you to kindly close the query and rate it. Thanks
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