[45F] Experiencing severe eye drainage and pain with associated symptoms

Patient Description

A 45-year-old female presents with severe eye drainage described as greasy, sharp pain and swelling behind one eye, and associated redness. The eye symptoms are accompanied by blurry vision in the affected eye. The patient also reports a pressure headache, rated 5/10, affecting the front and back of the head, and fatigue that worsens with exertion and improves with rest. These symptoms have been present for approximately 18 hours. Additionally, the patient experiences a slight runny nose. The patient has a history of a teeth infection diagnosed over a year ago. There are no known allergies or current medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, possible conditions include:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. Symptoms can include headache, facial pain, runny nose, and fatigue. The pain and pressure you're feeling in your head could be due to blocked sinuses.

    • Treatment typically involves rest, hydration, over-the-counter remedies, and in some cases, antibiotics.
  • Eye Infection (Conjunctivitis or "Pink Eye"): This could explain the redness, swelling, and discharge from your eye. It's often caused by a bacterial or viral infection, or an allergic reaction.

    • Treatment depends on the cause. Bacterial conjunctivitis is usually treated with antibiotic eye drops or ointments. Viral conjunctivitis will resolve on its own, but symptoms can be managed with lubricating eye drops and cold packs. Allergic conjunctivitis can be treated with antihistamine eye drops.
  • Migraine: This is a type of headache characterized by severe, throbbing pain, often on one side of the head. It can be accompanied by nausea and sensitivity to light and sound. Fatigue can also be a symptom of migraines.

    • Treatment typically involves pain-relieving medications and preventive medications.

Please note that these are potential explanations for your symptoms based on the information provided, but they are not definitive. It's important to consult with a healthcare provider for a formal diagnosis.

What you can do

  1. Rest and stay hydrated.
  2. Over-the-counter pain relievers may help with the headache and eye pain.
  3. Warm compresses may help with the eye pain and swelling.
  4. Avoid straining your eyes. If you need to read or look at a screen, make sure the lighting is adequate.
  5. Keep your eye area clean. Avoid touching your eyes with dirty hands.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or do not improve within a few days.
  • You experience severe pain in your eye.
  • Your vision changes significantly.
  • You develop a high fever.
  • You have difficulty breathing.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of sinusitis and how is it treated?

Common symptoms of sinusitis include headache, facial pain, runny nose, and fatigue. Treatment often involves rest, hydration, over-the-counter remedies, and sometimes antibiotics if a bacterial infection is suspected.


How can I differentiate between bacterial and viral conjunctivitis?

Bacterial conjunctivitis often presents with thick, yellow-green discharge and may require antibiotic eye drops. Viral conjunctivitis usually has a watery discharge and resolves on its own, but symptoms can be managed with lubricating eye drops and cold packs.


What are the typical symptoms of a migraine and how can it be managed?

Typical symptoms of a migraine include severe, throbbing pain on one side of the head, nausea, and sensitivity to light and sound. Management includes pain-relieving medications and preventive medications.


When should I seek medical attention for eye pain and swelling?

You should seek medical attention if your symptoms worsen or do not improve within a few days, if you experience severe pain in your eye, significant changes in vision, develop a high fever, or have difficulty breathing.


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