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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And Bruising Of The Eye?

My 8 year old son in law got hit right between the eyes ( he collided with our 70 lb dogs head). He now has a swollen area there, a little bigger than a quarter,with a red bruise in the middle of the swollen area. Instead of the area getting hard it is squishy like there is water under the bruise. He doesn t have a headache or feel nausiated. He can walk and read fine and respondes to questions well. Bridge of his nose hurts and swollen area very tender. Does this sound like something I should be worried about. He is visiting from out of country and I don t know what to do? Thank you for you time. Vivie
Fri, 30 Oct 2015
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Pediatrician, Pulmonology 's  Response
Hi...by what you quote I feel that your kid might be having a hematoma formation and this what is making the area the color it and also the consistency and the tenderness.

UNLESS THERE IS HIGH GRADE FEVER WHICH IS SUGGESTIVE OF CELLULITIS OR SKIN AND SOFT TISSUE INFECTION YOU NEED NOT WORRY.

For pain - Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.

Regards - Dr. Sumanth
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What Causes Swelling And Bruising Of The Eye?

Hi...by what you quote I feel that your kid might be having a hematoma formation and this what is making the area the color it and also the consistency and the tenderness. UNLESS THERE IS HIGH GRADE FEVER WHICH IS SUGGESTIVE OF CELLULITIS OR SKIN AND SOFT TISSUE INFECTION YOU NEED NOT WORRY. For pain - Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - Dr. Sumanth