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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headache And Black Eyes After A Head Injury?

my daughter got hit in the head by an ice hockey puck a light weight one, just above her nose in the middle , between the eyes, this was Wednesday, and today it has turned black and her eyes are also going black and she is having headaches,would this be normal
Thu, 21 Jan 2016
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Neurologist, Surgical 's  Response
Hello. Thanks for asking from HCM.


I can understand your concern. It is good that your daughter is conscious, oriented after head injury. You have to first rule out dangerous head injury by observing signs of it in your daughter like

: vomiting
: loss of consciousness for more than 5 minutes or decreasing consciousness
: fits
: bleed through nose/throat/ear without direct damage
: onset of new focal deficit
: persistent headache not responding to medications

If there is any of above sign, you should consult ER as soon as possible. The doctor will evaluate her and may ask for CT head to rule out fracture or brain bleed. Further management will be decided after CT report. In case of fracture only, medical management is given usually while bleed may require surgery.

If no above signs, then no need to worry. This black eye is due to collection of blood in skin layers and spread of it around eyes through skin layers. This colour change occurs due to breakdown of blood products and there consumption by body. It will fade away in 10-14 days on its own. At swelling, you can
Apply icepacks.
Keep head at higher level than chest to relieve swelling.
You can give her painkiller like Diclofenac sodium after proper prescription. Avoid pressure at injury site.


Hope it will help you. Still no relief, you should consult doctor.


Thanks. Take care.
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What Causes Headache And Black Eyes After A Head Injury?

Hello. Thanks for asking from HCM. I can understand your concern. It is good that your daughter is conscious, oriented after head injury. You have to first rule out dangerous head injury by observing signs of it in your daughter like : vomiting : loss of consciousness for more than 5 minutes or decreasing consciousness : fits : bleed through nose/throat/ear without direct damage : onset of new focal deficit : persistent headache not responding to medications If there is any of above sign, you should consult ER as soon as possible. The doctor will evaluate her and may ask for CT head to rule out fracture or brain bleed. Further management will be decided after CT report. In case of fracture only, medical management is given usually while bleed may require surgery. If no above signs, then no need to worry. This black eye is due to collection of blood in skin layers and spread of it around eyes through skin layers. This colour change occurs due to breakdown of blood products and there consumption by body. It will fade away in 10-14 days on its own. At swelling, you can Apply icepacks. Keep head at higher level than chest to relieve swelling. You can give her painkiller like Diclofenac sodium after proper prescription. Avoid pressure at injury site. Hope it will help you. Still no relief, you should consult doctor. Thanks. Take care.