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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Black Bruised Eye After Head Injury

My 4 year old son collided with another boy. Their heads hit and my son just so happened to get hit right above his right on on the eyebrow. He got a giant black eye a day or so after the fact and has a rather large hard spot under the skin where they hit. Should I be worried?
Tue, 2 Feb 2016
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Neurologist, Surgical,  's  Response
Hello. Thanks for asking from HCM.

I can understand your concern. Forehead or periorbital injury can cause black swollen eye. It occurs because of rupture of blood vessels in skin layer and accumulation of blood/fluid in layers.
You should not worry if he is conscious, oriented, active and responding well.


The bruise and swelling will subside on its own in 10 to 14 days. To fasten relief, you can

: Apply icepacks at injury site
: Keep his head at higher level than chest
: Give him painkiller syrup like Diclofenac sodium after proper prescription
: You should also observe him for signs of dangerous head injury like vomiting/bleed through nose,ear, throat/loss of consciousness for more than 5 minutes/fits. If you find any of above sign, consult doctor as soon as possible. He may advise CT head to rule out fracture or brain bleed. Further management will be decided after report.

Hope it will help you. Take care.


Thanks.
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Suggest Treatment For Black Bruised Eye After Head Injury

Hello. Thanks for asking from HCM. I can understand your concern. Forehead or periorbital injury can cause black swollen eye. It occurs because of rupture of blood vessels in skin layer and accumulation of blood/fluid in layers. You should not worry if he is conscious, oriented, active and responding well. The bruise and swelling will subside on its own in 10 to 14 days. To fasten relief, you can : Apply icepacks at injury site : Keep his head at higher level than chest : Give him painkiller syrup like Diclofenac sodium after proper prescription : You should also observe him for signs of dangerous head injury like vomiting/bleed through nose,ear, throat/loss of consciousness for more than 5 minutes/fits. If you find any of above sign, consult doctor as soon as possible. He may advise CT head to rule out fracture or brain bleed. Further management will be decided after report. Hope it will help you. Take care. Thanks.