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Small child, nasal injury due to fall, bruising around eyes, bleeding from eyes. Serious injury?

My son (13 months) has fallen and had a serious (ish) impact on the nose , his nose is not bleeding but he has bruising around and under the eyes. There is also some blood coming from his eyes although there is no blood in the eye itself. How do I know if it is a potentially serious injury head injury especially as he is now sleeping as per usual schedule.
Asked On : Fri, 18 Jan 2013
Answers:  4 Views:  59
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Diseases and Conditions
Pediatrician 's  Response
Thanks for your query,
I advise you to apply ice cold compresses over nose and bruised area.give paracetamol for pain relief.
You should observe him for warning signs like any abnormal behavior,vomiting,bleeding from nose or ear,in case you observe any immediately take him to ER,

Wishing your son good health.
God bless
Answered: Fri, 18 Jan 2013
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Pathologist and Microbiologist Dr. Shailja Puri 's  Response
Hello and welcome to HCM

Bruising around and under the eyes is due to internal bleeding.

Bleeding from the eyes is due to some kind of injury to the structures around the eye like caruncle, lacrimal duct, etc.

If consciousness is maintained, baby is feeding normally and there is no change in the normal pattern of baby's behaviour; a serious injury is ruled out.

However, I would suggest you to visit your pediatrician for clinical evaluation.

Thanks and take care

Dr Shailja P Wahal
Answered: Fri, 18 Jan 2013
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Pediatrician Dr. Rajiv K Khandelwal's  Response

Thank you for your query.

Injury around the nose can give rise to collection of blood below the skin and around the eyes which is giving rise to red colour of the white areas of the eyes. If the child is sleeping as per schedule then most probably things are fine and nothing needs to be done. However, in case the following symptoms are seen then the child need to be shown to a doctor immediately:
1. Irritablility
2. Unusual crying
3. Drowsiness
4. Abnormal movements.
This swelling shall take some time to subside though it is going to increase for about 24 hours.

I hope I have responded to your query to your satisfaction.

Wishing your son a speedy recovery.


Answered: Fri, 18 Jan 2013
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General & Family Physician Dr. Himanshu Pandey's  Response
Hi ! Thanks for asking to HCM ! Relax ! Just take your child to pediatrics for injury evaluation and follow his diagnostic procedure. Every doubt will be clear their. Take care.
Answered: Fri, 18 Jan 2013
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