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Doctor insights on: Small Pupils After Hitting Head

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What causes small pupils?

What causes small pupils?

Many causes: Without more information, the most inclusive answer is numerous medical conditions, prescription and non-prescription medications, and/or illicit substances. Some of these conditions and/or medications/substances can be harmful/lethal without medical attention. ...Read more

Pupil (Definition)

The pupil is the opening in the iris inside of the eye though which light is focused on the retinal film at the back of the eye. The iris can open and close in response to light to vary the amount inside the eye. It is what looks red, in the ...Read more


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Is it weird to have extremely small pupils?

Is it weird to have extremely small pupils?

No: It all depends on the light necessary for yours eyes to do their job. Medications can also effect the size of pupils with the most common for causing small pupils to be opiates. ...Read more

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What does having extremely small pupils mean?

Nothing really: It means just that. Pupil size is based on your eyes/brain determination of light need for vision. Some medications can cause small pupils. ...Read more

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What are symptoms of: extreme drowsiness, slurring of words, small pupils?

What are symptoms of: extreme drowsiness, slurring of words, small pupils?

Medication: Are you taking prescription narcotics, or using recreational drugs? You describe sedation, with autonomic side effects. See your doctor. ...Read more

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Can I prevent having small pupils while on painkillers?

Can I prevent having small pupils while on painkillers?

Not Really: Pain killers (opioids) can cause small pupils or pupillary constriction known medically as miosis. This is generally a dose related phenomenon and the pupils will become pinpoint at higher doses. There is no way to reverse this unless you stop the medication. ...Read more

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Does having eyes that are extremely red and glossy with small pupils indicate drug use?

Not necessarily: This could be due to allergies or other iatrogenic causes. Just because one had this color does not mean drug use is prevalent. ...Read more

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Broken light sleep with vivid dreams, wake up every hour, small pupils, muscle twitches for last 2 months. 25 years old. Do I have fatal insomnia?

Broken light sleep with vivid dreams, wake up every hour, small pupils, muscle twitches for last 2 months. 25 years old. Do I have fatal insomnia?

Difficulty falling: Asleep is often associated w/anxiety while waking up early and not returning to sleep is associated w/depression. Periodic waking is associated w/overall light sleep. Please see you doc who may order a sleep study. A psychologist can help w/stress management. Natural treatment includes melatonin supplement but w/professional guidance. Stop all stimulants after noon. Insomnia not fatal. ...Read more

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Hit head sat. Blacked out. Bump and small cut. Above right eyebrow. Tingling. Yesterday extremely dizzy now 4 days later developing black eye. Concusion?

Hit head sat. Blacked out. Bump and small cut. Above right eyebrow. Tingling. Yesterday extremely dizzy now 4 days later developing black eye. Concusion?

Yes: You describe symptoms of a closed head injury or tbi, and I advise that you not delay an evaluation by your md or by a local emergency room dept. To be reassured that something more serious is not going on, a exam will help to determine this. A subtle fracture or hematoma can be serious. ...Read more

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I am 60 hours since hitting head, my pupils are still equal and react to light, can I rule out brain bleeding?

I am 60 hours since hitting head, my pupils are still equal and react to light, can I rule out brain bleeding?

No: Loss of pupil reflex is a very late and very serious finding. Assuming a mild trauma (hit on counter etc) the likelihood of intracranial bleed is low. Many studies also have demonstrated that even with significant trauma, in the absence of neurological symptoms, bleed is unlikely. The only way to know for sure is ct. If you have any symptoms, see your doctor. ...Read more

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Can you get herpes in eye from small amount of spit hitting it from Someone taking to you?

Can you get herpes in eye from small amount of spit hitting it from Someone taking to you?

Not likely: First you may be surprised to know that most people have been infected with the herpes simplex I virus but only a small % of the people end up with cold sores. It is thus highly unlikely that you would get herpes from the spit. Herpes I is different from genital herpes which is herpes 2 which usually does not reside in the oral cavity. ...Read more

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At the playground with kids. I stood up & hit the top of my head on metal bar by the slide. Vision went fuzzy for a second. No vomit. Pupils ok. ER?

At the playground with kids. I stood up & hit the top of my head on metal bar by the slide. Vision went fuzzy for a second. No vomit. Pupils ok. ER?

If you are fine now,: You don't need to go to the ER. The symptoms you should look for are headache, vomiting, lethargy, instability walking, dizziness or any other symptoms that you are feeling different from usual. If you have any of those, you should go to the ER. You may have a bump on your head, for which you can apply ice and take Tylenol (acetaminophen). ...Read more

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If my eye suddenly hit by small pebbles/dust, it fells like it goes into my eyes. Actually where does it go?

If my eye suddenly hit by small pebbles/dust, it fells like it goes into my eyes. Actually where does it go?

Outside of the eye: The front surface of the eye is surrounded by a membrane (the conjunctiva) which wraps from the edge of the colored portion (the cornea) posteriorly and folds back to coat the inside of the lids. This is an external space, not connected to the inside of the eye or body. So debris entering this space is flushed out by tears and generally poses no hazard unless it is of high velocity and power. ...Read more

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Someone just told me I had blood in my eye. Small circle, should I be concerned? No one hit me there or anything

Someone just told me I had blood in my eye. Small circle, should I be concerned? No one hit me there or anything

Hemorrhage: With no symptoms and no history of eye trauma, the most likely possibility is a subconjunctival hemorrhage - a slight leak of blood from a weak walled vein under the conjunctiva. These can be from coughing, straining, rubbing the eye, or simply an unknown cause. It will rapidly fade and cause no harm. If the vision is fine and there is no pain you can wait a week or so for it to fade. ...Read more

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Our baby fell from 3-4 feet and not sure if she hit her head. Pupils were fine and followed a toy but seemed letharage but was tired prior to the fal?

Our baby fell from 3-4 feet and not sure if she hit her head. Pupils were fine and followed a toy but seemed letharage but was tired prior to the fal?

Do This: Wake up and make sure she is alert every 4 hours for 24 hr. Make sure the pupils are equal in size. No vomiting. Normal sense of balance. If these things are ok, so is the baby. Also make sure everything else is ok, such as no arm or leg injuries. ...Read more

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My 6 month old baby was sitting and fell backwards/ hit her head. Her pupils respond to light equally, no vomiting. Should I wake her every two hours?

My 6 month old baby was sitting and fell backwards/ hit her head. Her pupils respond to light equally, no vomiting. Should I wake her every two hours?

NOOO!!!: Your infant almost certainly cried immediately upon hitting the back of her head. You cannot be crying and be unconscious simultaneously! So yr infant did NOT lose consciousness (the MOST significant sign post head trauma. Other findings might be seizure, Vomitting. If you want to have an irritable infant don't let them sleep. It is unusual sleepiness for your child that might indicate nastiness. ...Read more

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Hit head very hard @ playground w/kids. I stood up & hit the top of my head. Thought it cracked open but didn't. Vision was fuzzy. No vomit. Pupils ok?

Hit head very hard @ playground w/kids. I stood up & hit the top of my head. Thought it cracked open but didn't. Vision was fuzzy. No vomit. Pupils ok?

Quick care: As you've said "hit head very hard" with immediate symptoms, I'd advise a quick assessment at your local quick care center to make sure you've not seriously hurt yourself. You may have a concussion, that would need to be addressed with you on what to watch out for. ...Read more

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My son fell on the sidewalk and hit his head and now has a huge bump he seems ok but has a really bad headache and dilated pupils should I be worried?

My son fell on the sidewalk and hit his head and now has a huge bump he seems ok but has a really bad headache and dilated pupils should I be worried?

Recommendation: The bump is consistent with local bruising, and if both eyes have dilated pupils, likely autonomic reaction to his pain. Although unlikely that he has intracranial problems such as bleeding, the bad headache may be rather debilitating. If he has trouble with vision, develops intense dizziness, nausea, vomiting, double vision, go to ER. Do contact your doctor about what has happened. ...Read more

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Hit head hard 48 hrs ago. No loc, no ha, pupils fine, no dizziness. Scalp a bit sore but feels like wet sensation under scalp in that area. Concerning?

Hit head hard 48 hrs ago. No loc, no ha, pupils fine, no dizziness. Scalp a bit sore but feels like wet sensation under scalp in that area. Concerning?

? goose egg: You likely have a local subcutaneous hematoma or bruise over the scalp, and this will resolve over the next several days. Your description otherwise is reassuring, and does not implicate any direct brain problem. ...Read more

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My left pupil is larger than right. Also I get double vision a lot when tired, and my left eye is crossed. Hit head and also have hemi cp left?

My left pupil is larger than right. Also I get double vision a lot when tired, and my left eye is crossed. Hit head and also have hemi cp left?

Consult an eye doc: Please consult an ophthalmologist ASAP. For how long do you have these symptoms? Is it getting worse with time? You will through exam and history to help with your diagnosis. ...Read more

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Hard hit to the head 2 days ago, onset of nausea just a day late. No throwing up. Should I be worried? Saw doc today. Pupils and cognitive tests good.

Hard hit to the head 2 days ago, onset of nausea just a day late. No throwing up. Should I be worried? Saw doc today. Pupils and cognitive tests good.

Head bonk.: Sounds like you are doing well. I suspect your doc explained that you should continue to monitor yourself for any decline in function or progression of symptoms. Increased drowsiness, nausea, loss of function or sensation or alteration of your senses. ...Read more

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17YO daughter hit back of head iceskating. Was a little dizzy, pupils dilating properly, headaches for about 5 hours, intensity varies. Concussion?

17YO daughter hit back of head iceskating. Was a little dizzy, pupils dilating properly, headaches for about 5 hours, intensity varies. Concussion?

Must be evaluated: By a professional not by you, to make sure no intracranial injury, will need tests for this, take her to your nearest ER ...Read more

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Have small abersaion on eye. Spark hit it. Doc got piece of dirt or metal out. Like a spec. How long till feels better & heals. Any long turn effects?

Have small abersaion on eye. Spark hit it. Doc got piece of dirt or metal out. Like a spec. How long till feels better & heals. Any long turn effects?

Rapid healing: These are a type of abrasion and usually will become asymptomatic in 24 hours. However healing commonly occurs with a minor opacity which is not a problem if out of the visual axis but which can disturb the vision if central or near central in location. Ask your ophthalmologist about those chances. ...Read more

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I woke up with red mark under eye not been hit or rubbing it just a small red mark looks like a bruse?

I woke up with red mark under eye not been hit or rubbing it just a small red mark looks like a bruse?

Sleep on it?: Did u sleep on your face at an awkward angle? . this may have caused some irritation or a bruise ...Read more

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I was hit by a car door four weeks ago. The black eye is gone. I have a small lump still on my face. Will this heal?

I was hit by a car door four weeks ago. The black eye is gone. I have a small lump still on my face. Will this heal?

Lump: The lump could be a hematoma (blood collection).Or a fracture facial bone. See a plastic surgeon or an ENT doctor. ...Read more

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What could cause a small painful bump on the bottom outsise corner of the eye. Was hit in the ete by a bug while riding a motorcycle.

Bug bite: The bug that hit you probably had enough time to sting you. This would cause an allergic reaction that may be very painful depending on the toxin. See your family dr. Initially. If the swelling and pain increase significantly may have to go to er. ...Read more

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Got hit in face now swollen around eye area and sore and eye is very red it been three days what to and I got small bumps around swollen area?

Got hit in face now swollen around eye area and sore and eye is very red it been three days what to and I got small bumps around swollen area?

Two weeks: Sounds like you have subconjunctival hemorrhage which is due to bleeding trapped between the white or sclera and clear membrane or conjunctiva of the eye. It usually takes two weeks to clear. If it does not clear see a board certified ophthalmologist near you or on health tap healthtap. Com/rebeccamammo
CKKMCR ...Read more

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My 14 month son hit near eye on bed frame. There is a small cut. Doctor said there is no serious injury. What to use to prevent scar?

My 14 month son hit near eye on bed frame. There is a small cut. Doctor said there is no serious injury. What to use to prevent scar?

Close the cut: You can close it with steristrips if it is a clean cut
you need to clean it with antiseptics
if it is a deep cut it needs to be sutured by a physician
this will give a smaller scar ...Read more

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Got hit accidentally by zip lock bag of ice near eye brow Small gash. No pain near sight just sore bit swollen. Should I worry about concussion?

Got hit accidentally by zip lock bag of ice near eye brow Small gash. No pain near sight just sore bit swollen. Should I worry about concussion?

Not likely: Unlikely to have concussion from the scenario you describe. If you develop headache, nausea, confusion. See your Dr. Meanwhile, review this article: http://www. Mayoclinic. Org/diseases-conditions/concussion/basics/symptoms/con-20019272 ...Read more

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Got hit in my face 3-4 days ago. Now have black eye. Bleed a bit from the nose then stop. Now see mucus/salive with small blood through mouth split. Er?

Got hit in my face 3-4 days ago. Now have black eye. Bleed a bit from the nose then stop. Now see mucus/salive with small blood through mouth split. Er?

Nose or eye: There could be two reasons for this finding. First is that the trauma that you sustained could have also caused damage to the inner lying tissues of the nose or it can be due to the fact that the nasolacrimal duct which drains tears from our eye is draining blood from the eye. Either way you must see an ophthalmologist to get thoroughly examined. ...Read more