Dull pain in left eye: Dull Pain Behind Your Eyes? Here’s Why: Classic Vision Care: Optometry
Dull Pain Behind Your Eyes? Here’s Why: Classic Vision Care: Optometry
Dull pain behind the eyes is a common complaint. It can feel very much like a deep headache and can be very concerning. If you are experiencing this kind of pain, letting your eye doctor know right away will be very important so that he or she can begin their evaluation of the health of your eyes and discover what the source of this pain may be.
Some symptoms can be a dull ache, or a sharp and intense pain. Some sufferers describe the feeling that their eye is being stabbed by a sharp object, while others reference the “deep headache” sensation. Symptoms can also include tearing, sensitivity to light, redness, numbness or weakness, double vision, fever, sinus pressure, or pain during eye movement. If these sensations persist, they should never be ignored.
If you are experiencing dull pain behind your eyes, here are some reasons why this may be happening:
- Dry Eye Syndrome. When this syndrome persists, it can cause pain and general headaches, and pressure can build up around and behind your eye. There are many different options for treating dry eye syndrome, but often it just takes an artificial tear product applied several times a day to handle those symptoms.
- Vision Trouble. Near- and far-sightedness can actually cause eye pain, as can astigmatism or the blurring vision that occurs as we age. The pain that comes from vision trouble stems from our eyes and our brain trying to compensate for the issue, and as we squint and work harder on focusing it can cause pain to build up behind the eyes.
- Sinus Issues. Inflammation of the sinuses and sinus infections can cause pain around the eyes due to pressure in the sinus cavities that reside around the eye’s bony orbit.
- Optic Neuritis. An inflammatory condition of the optic nerve, this condition often will cause pain behind the eye or whenever the eye moves.
- Headaches. Migraine sufferers will often complain about a throbbing pain behind one eye, and this condition is triggered many times by stress, smells, flashing lights, and food allergies. There is some evidence that hormones can be a culprit here, as well. Cluster headaches are another type that are extremely painful and can also affect the eyes. They often begin quite suddenly and can re-occur on a cyclical basis during 24 hours.
If your eye pain is severe or persistent, accompanied by a headache or fever, or if you are experiencing extreme light sensitivity or seeing halos, have swelling or sudden changes in your vision, contact us here at Classic Vision Care right away. We are a comprehensive optometry center in Kennesaw, Marietta, and East Cobb, Georgia, and we are committed to providing our patients with a comfortable, fully personalized experience.
Why Do I Have Pain Behind My Right Eye? | For Eyes
It’s a good practice to call your eye doctor if you ever experience eye pain. Eye pain is uncomfortable and can indicate an eye disease or another issue, which may require prompt treatment.
Just be prepared to answer some of the following questions when you call our office:
- Did your eyes come into contact with any chemicals or debris?
- Do both eyes hurt?
- Do you have a headache and eye pain?
- How would you describe your eye pain?
- What other symptoms are you experiencing?
- Where do you feel pain?
The location of your eye pain can tell you a lot about the potential causes. Here’s what you should know if you have pain behind your right eye.
What causes pain behind your right eye?
Eye pain can happen in a single eye or both of your eyes. While the cause may be severe in some occasions, it may suggest a temporary condition. Either way, reporting your symptoms to your eye doctor is an excellent way to monitor your pain progression and the likelihood of you having serious eye conditions.
Here are three primary reasons for pain behind your right eye:
An infection in your sinuses may cause an increase in pressure, which can make your eyelids puffy. This may lead to discomfort behind or beneath your eye. As your sinus infection gets better, the redness and pain should decrease.
Just as puffiness around the eye due to an infection can contribute to discomfort, an infection or inflammation in the optic nerve can, too. This indicates optic neuritis (a serious eye condition that mandates a visit to the optometrist’s office). In addition to the uncomfortable feeling behind your eye, you might experience these symptoms: a blurry field of view, darkened vision, and trouble seeing color saturation.
Headaches can cause pain anywhere on the upper part of your body, from your neck to your eyes. If you have a crippling headache that won’t go away, it’s likely a migraine, and that can make the area behind your eye more sensitive than usual. Keep in mind that regular headaches may indicate a refractive error (e. g., astigmatism, farsightedness, nearsightedness, or presbyopia), so if your head pain keeps returning, it’s best to get your eyes checked.
Is it normal to have pain behind your eye with movement?
Pain behind your eye with movement is one of the primary symptoms of optic neuritis. This side effect may start one day with no other warning signs, or it may worsen over a series of days.
Reach out to an eye doctor right away if you’re experiencing this symptom or any others of optic neuritis, as they may continue to develop if you don’t get treatment in time. Bear in mind that not everyone needs a remedy for this condition, as it can go away on its own, but specific medications can help with your loss of eyesight and other symptoms.
Summary: What’s the reason for the pain behind your right eye?
Many conditions can cause pain behind your right eye. We recommend watching for symptoms of an increase in sinus pressure (or an infection), migraines, and optic neuritis. All of these issues can affect the areas around your eye if left untreated.
Pain behind your eye with movement can also happen due to optic neuritis. If you have this symptom or any others, we urge you to write them down so that you can share them with your eye doctor. Next, you’ll want to contact your optometrist as soon as possible to find out if you need a comprehensive eye exam.
Our team will let you know if your symptoms are severe and require you to come in right away. Otherwise, we may give you some simple tips on how to treat your eye pain at home.
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What is eye pain?
Eye pain can be sharp, aching or throbbing, and can affect one or both eyes. Eye pain is more serious than the simple irritation one feels from a piece of dirt or small foreign object in the eye. In such cases, discomfort disappears once the foreign object is removed. The type of eye pain discussed here is more intense and longer-lasting, and can be accompanied by other symptoms. Some eye pain may be a sign of an underlying health problem or injury, and should be brought to the attention of a doctor as soon as possible.
Who is more likely to experience eye pain?
The symptom of eye pain is not associated with any particular group of people. Eye pain due to injuries can happen to anyone, particularly when protective eyewear is not used during activities that put the eyes at risk.
What causes eye pain?
Eye pain can be caused by several conditions and factors. These can include:
- A bacterial or viral infection. Infecting organisms can be picked up on one’s hands, and then transferred to the eyes by rubbing them or placing a finger in or near the eyes.
- A bacterial or viral infection that spreads from an area of one’s own body (such as the nose or sinuses) to the eyes.
- Dirty contact lenses, poorly fitting contact lenses, or decorative contact lenses.
- Allergic reactions to pollen or animals.
- Irritation from cigarette smoke, air pollutants, chlorine in a swimming pool or other toxins.
- Swelling or inflammation of the eye.
- An increase in eye pressure. This can happen when the fluid in the eye is not balanced.
What are some common conditions and symptoms associated with eye pain?
Common conditions and symptoms linked to eye pain can include:
- Cellulitis: Inflammation of tissue beneath the surface of the skin.
- Preseptal: Affects the skin of the eyelid; found especially in young children.
- Orbital: Affects the eye socket, causing the eye or eyelid to swell so that proper eye movement becomes difficult.
- Conjunctivitis (pink eye): An infection or allergic reaction in the conjunctiva, the mucous membranes that line the inner eyelids and surface of the eyeballs.
- Viral: Most common type of pink eye. Causes burning, red, watery eyes. Is highly contagious, particularly in school settings or crowds of people.
- Bacterial: May be highly contagious. Causes sore, red eyes with sticky pus.
- Allergic: Stems from an allergic reaction to an airborne allergen. Is not contagious. Causes itching, red, watery eyes.
- Corneal abrasion: A scrape or scratch on the cornea.
- Corneal laceration: A cut on the cornea, usually caused by a sharp object flying into the eye, or something hitting the eye with force. A laceration may tear partially or completely through the eyeball.
- Corneal ulcer: An open sore on the cornea, caused by either infection, severe dry eye or other conditions.
- Dry eye: Lack of moisture in the eyes, leading to the sensation of a foreign object in the eye, sensitivity to light, tearing up, and sometimes redness. Causes include wearing contact lenses, use of certain drugs (such as antihistamines, beta blockers, opiates, and tricyclic antidepressants), disease, injury or environmental factors (such as air conditioning).
- Fuchs’ dystrophy: An eye disease in which cells in the upper layers of the cornea die off, causing fluid buildup, swollen and puffy eyes, and blurred vision.
- Keratitis: An infection of the cornea (the clear dome-shaped front of the eye) resulting from injury or use of contact lenses. The infection can be caused by a fungus, bacteria, herpes virus, amoeba, or intense exposure to ultraviolet radiation (such as in snow blindness or welder’s arc eye). If left untreated, blindness can occur.
- Glaucoma: Fluid buildup in the front of the eye, causing pressure that damages the optic nerve. This is the leading cause of blindness in people over 60 years of age.
- Primary open-angle glaucoma: Fluid does not drain from the eye normally. This kind of glaucoma rarely causes eye pain.
- Angle-closure glaucoma: The iris (the colored part of the eye) is very close to the drainage angle of the eye, potentially blocking proper drainage. Angle-closure glaucoma causes pain more often than other types of glaucoma.
- Hyphema: Blood collects between the cornea and iris, usually due to an injury that causes a tear to the iris or pupil of the eye.
- Microvascular cranial nerve palsy: Blood flow to the nerves that control eye movement is blocked. As a result, normal eye movement is not possible and double vision may result. Is found frequently in people with diabetes or high blood pressure.
- Optic neuritis: Swelling of the optic nerve, the nerve that carries light signals to the back of the eye, and then to the brain for processing of visual images. Optic neuritis may be an autoimmune disease, and is often found in people who have had virus-based diseases such as mumps, measles, flu or multiple sclerosis.
- Uveitis: Inflammation of the middle layer of the eyeball (the uvea). Damage to eye tissue can be serious, leading to blindness.
Care and Treatment
How is eye pain treated?
Generally, eye pain is first treated by determining the cause of the pain and then treating that cause. Pain medicines are typically not needed.
For infectious conditions:
- Eye drops that reduce inflammation (corticosteroids) or that widen the pupil of the eye in order to reduce pain and swelling.
- Antibiotic, antifungal or antiviral eye drops.
- Oral non-narcotic medications to reduce pain or allergy symptoms.
- Use a clean towel or tissue every time when wiping the face or eyes.
- Wash hands frequently, particularly after coughing, sneezing or using the toilet.
- Keep hands and fingers out of the eyes.
- Avoid the use of contact lenses when the eyes are infected.
- Do not use makeup when the eyes are infected.
In cases of eye injury:
- Seek medical care as soon as possible.
- Gently place a shield over the eye until medical attention can be received. A shield can be made from something as simple as the bottom of a paper cup that has been cut out and taped over the eye.
- Unless there has been a chemical injury, do not rinse with water.
- Do not try to remove an object stuck in the eye.
- Do not rub or apply pressure to the eye.
- If the eye is bleeding, discuss with the eye doctor whether to avoid the use of aspirin or anti-inflammatory drugs, as these may thin the blood and make it more difficult to control bleeding.
- Lubricating eye drops.
- Surgical treatments can replace a damaged or scarred cornea with transplanted cells or an entire cornea. Surgery can also help restore the function of damaged eye muscles or remove a foreign object from the eye.
- Laser surgery can improve drainage in the eye in cases of glaucoma.
- Prism glasses or the use of eye patches may be used to assist in recovery from certain conditions such as microvascular cranial nerve palsy.
When to Call the Doctor
When should I call a doctor?
Any case of eye pain should be taken seriously. However, eye pain along with any of the following symptoms is of great concern:
- A visual sensation of halos around lights
- A buildup of fluid pressure behind the cornea
- Signs of bodily infection (such as fever or chills)
- Blurred vision
- Bulging eyeballs
- Inability to move the eyes through their normal range
Pressure or Pain Behind the Eye: Causes & Best Treatments
Pressure or pain behind the eye is often temporary, linked to a headache or sinus pressure. However, there may be a more serious underlying cause, like an infection, inflammation, or tissue damage that needs treatment. (Learn More)
There are many different conditions with pressure or pain behind the eyes as a symptom, along with blurry vision, itching, redness, or bulging. The conditions range greatly in severity. If the problem persists more than a day or worsens, work with a doctor to get a diagnosis and treat the problem. (Learn More)
Primarily, take prescription medication as directed after you get an appropriate diagnosis. You can also alleviate some of the pressure or pain with home treatments, like cold compresses, over-the-counter eye drops, or over-the-counter painkillers. (Learn More)
Pressure or Pain Behind the Eyes: A Symptom Indicating Several Problems
Many people experience eye pain or pressure at some point because of an infection, headache, allergies, or a similar cause. Often, temporary pain does not mean anything serious.
If you experience frequent or constant pressure or pain behind your eyes, there may be a bigger health issue. Visiting an optometrist or ophthalmologist can help, but you may also need to see a physician or a specialist to determine the underlying cause.
Eye strain is a common problem in the modern world. This is because more workers than ever before use computers and other screens. Chronic and untreated allergies, viruses and bacteria, corneal damage, inflammation of various parts of the eye, and even tumors can be underlying causes of pain or pressure behind the eyes, which need different approaches to treatment.
Reviewing information on symptoms and treatments can help you understand a little of what is happening with your eyes, but it is best to work with medical professionals if you are concerned.
Potential Causes of Pressure or Pain Behind the Eyes
Eye pressure and eye pain go together in many conditions, but they are different sensations. Pressure will feel like something is pushing on your eye from the back. In contrast, pain can be described as gritty, dull, a shooting sensation, or feeling like something is stuck in your eye.
There are many common causes of pressure or pain behind the eyes.
- Eye strain: Often, feeling mild pressure or pain behind the eyes can be attributed to eye strain. This condition is not a specific medical problem, but a vague group of symptoms associated with your eyes becoming tired from consistent use.
Driving for several hours, reading small print, or working at a computer without looking up for a long time can lead to temporarily blurry vision, dry eyes, and feelings of pressure behind your eyes. Dryness from not blinking enough might contribute to feeling itchiness or pain in or behind the eyes.
- Headaches and migraines: Pain and pressure around or behind the eyes are common symptoms of headaches and migraines. Other symptoms may include pulsing pain in the head, nausea and vomiting, sensitivity to stimuli like light and sound, or seeing flashes of light before the onset of the migraine.
Headaches are often tension-related, which can make feelings of eye strain worse. Migraines may be cluster-based or tension-based. They may or may not make the eyes and other parts of the face hurt.
- Sinus infections or allergies: The sinuses are positioned above, below, behind, and between the eyes. When a condition causes them to fill with mucus, they can put pressure on the surrounding area, leading to pain in the eyes, nose, and around the cheeks.
Sphenoid sinusitis specifically is linked to aching behind the eyes. However, other symptoms of sinusitis include runny or stuffy nose, loss of smell, headaches, mucus dripping out of the sinuses and down the throat, fever, coughing, tiredness, and bad breath.
- Grave’s disease: An overactive thyroid gland has several consequences on your health, and eye pressure and pain can be some of them. Tissues, fat, and muscles all over the body, but especially around the eyes, can swell, leading to eyes that appear to bulge. This may feel like irritation around the eyes, sensitivity to light, eyes tearing up or watering more than usual, dry eyes, double vision, ulcers in the eye, swelling of the eye, being unable to move the eyes, and loss of vision.
- Optic neuritis: This condition is caused by inflammation and swelling around the optic nerve, which can cause pain or pressure behind the eye. It may also cause reduced vision, color blindness, blurry sight, pain while moving the eye, and pupils that react unusually to bright light. Optic neuritis usually peaks within a few days. It can take 4 to 12 weeks to improve.
- Toothache: The throbbing pain of a toothache, especially when it is caused by infection, can radiate up to the face. As a result, it can add pressure or pain around the eye. If the infection from the tooth spreads through muscle or bone and moves up the face, it can cause the eye to swell, appear pink or red, or feel more painful.
- Corneal damage: Abrasions and ulcerations on the cornea can cause pain in or behind the eye. The cornea is on the surface of the eye, and it has pain-sensitive nerve endings.
Scratches on the surface of the cornea from trauma, getting something in your eye, or even overusing contact lenses can hurt. If these become infected, the resulting ulcer can hurt and take longer to heal.
- Face injury: Damage to the face from an injury can cause pressure or pain behind the eyes. Eye socket fractures can damage the muscles, nerves, and sinuses, which can make the eye hurt or feel pressured in turn.
You may have a black eye, double or blurry vision, reduced eyesight, numbness around the eye, and swelling in the area that leads to feeling pressure behind the eye. The eye could potentially bulge from the socket.
- Chemicals or objects in the eye: Getting something in your eye, from a piece of dust to acid, can cause serious, acute pain. This can also damage your eye, which may lead to ongoing pain as the eye heals or feelings of pressure if the eye has swollen.
- Blepharitis: Oil glands can get plugged or infected around the edges of the eyelids. This can lead to pain in or behind the eye. Blepharitis can often be linked to certain skin conditions or allergies.
- Conjunctivitis: This is eye redness, itching, swelling, or infection that has several potential causes. Allergies or chemicals can cause inflammation, which is diagnosed as conjunctivitis and commonly referred to as pink eye.
If you have a bacterial or viral infection in your eye, this can also be conjunctivitis. You need prescription medications to treat the problem. Pressure behind the eye may be a symptom of conjunctivitis, but this eye problem typically does not hurt.
- Chalazion or stye: Local irritation from a lump in or around your eyelid, usually due to a blocked gland in the eyelid, can cause pressure or pain that radiates from that area. It can be painful to the touch too. Styes more frequently cause pain and sensitivity, whereas chalazions are often (though not always) painless.
- Iritis: Inflammation of the iris, or the colored part of the eye, can lead to pain deep inside the eye, which might feel like it comes from behind the eye. You may also have sensitivity to light, redness, floating spots in the visual field, and blurry vision.
- Keratitis: Painful inflammation of the eye might be caused by too much exposure to the sun, bacteria, or the herpes simplex virus. Pain in or behind the eye is the main symptom of keratitis, but sensitivity to light may also indicate you have inflammation.
- Scleritis: Inflammation of the white part of the eye, or sclera, is diagnosed as scleritis. Anterior scleritis is the most common form, but posterior scleritis (affecting the back of the eye) may cause pressure or pain behind the eyes. Pain and tenderness are more common symptoms of posterior scleritis, with less redness. This could be related to other conditions like acute angle-closure glaucoma.
- Uveitis: This is a term covering a group of inflammatory diseases that produce swelling and can destroy eye tissues. The uvea is the part of the eye composed of the iris, the ciliary body behind the iris, and the choroid, or tissue surrounding the eye. These diseases can spread to other parts of the eye, including the retina and optic nerve.
- Acute angle-closure glaucoma: This is one of the most serious causes of eye pain and pressure. Severe orbital pain that sets in quickly and a rapid rise in internal eye pressure are signs of this medical emergency. In addition, you may experience blurry vision, headaches, nausea and vomiting.
Immediate medical attention is required. If acute angle-closure glaucoma is not promptly treated, permanent vision loss can occur.
Is There a Difference Between Pain Behind Left Eye & Right Eye?
Headaches, optic neuritis, and sinus issues can sometimes result in pain that is felt more acutely behind one eye or the other.
Generally, whether the pain is behind the left eye, right eye, or both eyes doesn’t make a big difference. In some instances, sudden and intense pain behind one eye is the sign of a brain aneurysm. This is a medical emergency and requires immediate medical attention.
Home Remedies Ease Symptoms, but a Diagnosis Is Crucial
You will need a specific approach to treatment that depends on the cause of the pressure or pain behind the eye.
Conditions caused by bacteria and viruses require prescription medication. Eye drops are often prescribed, but you may need to take antibiotic pills or antiviral medicines too. These reduce symptoms or eliminate the disease altogether, depending on your diagnosis.
Bacterial infections usually take about one to two weeks to clear up. Some viral infections, like herpes simplex, are potentially chronic and recurrent, but symptoms can be managed. Outbreaks can be reduced with the right antiviral prescription.
You can lessen pain by taking nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen. If you take other prescription medicines, confirm with your doctor that you can mix over-the-counter painkillers with your medication. Some of these over-the-counter options also help to reduce swelling, which eases the sensation of pressure behind the eye.
If you have an infection, putting a blindfold over your eyes can help reduce sensitivity to light.
Do not put oil-based drops, like essential oils, into your eyes. You may use over-the-counter eye drops to reduce redness. If your doctor prescribes eye drops, confirm that it is safe to use over-the-counter eye drops as well. Generally, your doctor will recommend you stick to the prescription drops, but sometimes, over-the-counter drops can be combined with them to relieve itchiness or other symptoms.
Some milder causes of pressure or pain behind the eye can go away on their own, but if the condition persists or gets worse, work with your doctor to get a diagnosis and start treatment. Some conditions that cause pain or pressure behind the eye can be serious, so it’s important to have the situation assessed. With severe cases, prompt treatment can mitigate long-term harm.
Generally, whether the pain is behind the left eye, right eye, or both eyes doesn’t make a big difference. In some instances, sudden and intense pain behind one eye is the sign of a brain aneurysm. This is a medical emergency and requires immediate medical attention.
When You Should Call or See a Doctor
While minor pain or pressure behind the eyes might pass on its own within a few hours, there are instances in which you should call or see a doctor.
Reach out to your doctor if you experience any of these along with pain or pressure behind your eye:
- Sudden, intense pain
- Throbbing pain
- Discharge from the eye
- Abnormal sensitivity to light
- A burning sensation in the eye
- Blurry vision
- Redness in the eye
- Persistent headache
- Nausea or vomiting
- Drooping eyelid
If you have anything in your eye, or you suspect your eye pain is caused by an injury or accident, seek medical attention immediately.
How to Avoid Pressure Behind the Eyes in the Future
If the pressure behind your eyes is due to migraines, you can take steps to avoid migraine triggers, such as flashing lights or certain foods. If you frequently get tension headaches, you can lessen their frequency by avoiding eye strain and fatigue.
If the pressure is due to sinus inflammation, you can manage the issue with over-the-counter sinus medication. Sleep with a humidifier at night to keep your sinuses moisturized and to alleviate swelling.
Take steps to promote overall health to lessen the likelihood of experiencing pressure behind the eyes in the future.
- Get consistent sleep. Aim for 7 to 8 hours per night. Lack of sleep can trigger headaches and reduce overall immunity, leading to sinus inflammation and other issues that can cause pressure behind the eyes.
- Stay hydrated. Dehydration can often lead to headaches and other issues. Sip fluids frequently to alleviate these issues.
- Elevate your head. If you continually experience pressure behind your eyes, try elevating your head with a couple pillows while you sleep. This can reduce swelling in your face.
- Consult your doctor. Your physician will be able to make personalized recommendations to help you avoid pressure and pain behind the eyes in the future. In some instances, such as with sinus issues, they may prescribe medication.
What Facts Should You Know About Eye Pain? (October 2019). eMedicineHealth.
Eye Strain. (November 2019). MedicineNet.
What Is a Black Eye? (May 2019). American Academy of Ophthalmology (AAO).
What Is Scleritis? (November 2019). American Academy of Ophthalmology (AAO).
Uveitis. (July 2019). National Eye Institute (NEI).
What Are the Symptoms of Glaucoma? (September 2019). Glaucoma Research Foundation.
What Is Blepharitis? (August 2019). American Academy of Ophthalmology (AAO).
What Are Chalazia and Styes? (August 2019). American Academy of Ophthalmology (AAO).
Persistent Iritis, With a Few Twists. (November 2008). American Academy of Ophthalmology (AAO).
Signs That You May Have a Brain Aneurysm and Need to Go to the ER. (November 2020). St. Luke’s Health.
Migraine Before Rupture of Intracranial Aneurysms. (February 2013). The Journal of Headache and Pain.
This Is When to See a Doctor About Eye Pain ASAP. (June 2018). SELF.
Sore Eyes, Eye Pain: Symptoms, Causes, Treatments
Symptoms and causes
Dry, sore eyes
Sore eyes combined with a dry, gritty feeling could be caused by dry eye syndrome. Constantly sore and dry eyes may even water more, as the eyes respond to the dryness and irritation with excess tears. Have a look at the information on dry eyes and watery eyes for more details.
Itchy, red, sore eyes
Allergies and eye infections can both cause your eyes to feel sore, red and itchy. Often, itchy or irritated eyes can become sore after excessive rubbing. The eye infection conjunctivitis is a particularly common cause of sore, red eyes. Contact lens irritation can also cause sore, red eyes.
Sharp eye pain
An injury to the eye or trauma can often cause sharp or stabbing eye pain. In extremely rare cases, sharp or stabbing eye pain can be a symptom of a much more serious condition, such as a brain tumour or aneurysm. However, a much more common cause is simply a headache or migraine that feels as if it is directly behind the eye.
If you experience sudden eye pain combined with blurred vision, haloes around lights, nausea or vomiting, it could be symptom of acute closed-angle glaucoma. This is a medical emergency, and you should seek medical attention straight away.
Dull eye pain
If you experience a dull, aching eye pain, or pain that feels deep within your eye, it may simply be caused by eyestrain or overuse of your eyes. However, if the pain does not subside, it could be a symptom of a more serious condition or eye disease such as glaucoma.
It’s really important to see your eye specialist or doctor if you encounter eye pain, especially if the pain does not subside. While it’s unlikely your sore eyes will be a symptom of a very serious condition, it’s still a possibility, and you should get an expert diagnosis.
Treatments obviously depend on the cause, and can be as simple as using eye drops or compresses for dry eyes and allergies, to medication and surgery for more serious eye conditions.
Whatever the cause of your eye pain, our specialists can help you, with expert diagnosis and the most advanced treatments. Make an appointment today to discuss your sore eyes with one of our eye doctors.
Sharp eye pain and underlying conditions
Sharp eye pain is a common symptom that occurs with many eye conditions. Some of the most common causes of sharp pain in the eyes are:
Sharp eye pain and acute angle-closure glaucoma
Acute angle-closure glaucoma should be treated as a medical emergency. This condition is caused by a rapid increase in pressure inside your eye, leading to severe eye pain and other symptoms such as blurred vision, nausea, vomiting, headache, and seeing halos around lights.2
Acute angle-closure glaucoma can be treated with medication or laser surgery. If you’re experiencing these symptoms, you should see a doctor immediately.
Other forms of glaucoma can be detected through OCT, but are not usually associated with sharp eye pain.
Sharp eye pain and microbial keratitis (corneal infection)
Microbial keratitis can be a painful infection that affects the cornea, which is the transparent layer at the front of your eye. It’s often related to contact lens wear or due to a scratch on the surface of the eye, but there are many other potential causes.
If not treated, it can lead to complications with your vision and may scar. Your eye may also become increasingly red and painful due to the development of an ulcer on the surface of the cornea. 3 Occasionally, you can see this ulcer. It looks like a small white spot on the cornea. The condition is usually treated with antibiotic eye drops and, in some cases, a sample from the ulcer is taken to find out which bacteria has caused the infection. In serious cases, you may be admitted to hospital to see an ophthalmologist. If you have symptoms of keratitis, you should contact your optometrist as soon as possible.
Sharp eye pain and scleritis
An inflammation of the white part of the eye (sclera) can cause sharp eye pain, redness, blurred vision, watery eyes, and extreme light sensitivity.4 Scleritis is often caused by an eye infection and it has been associated with various autoimmune disorders. The condition can be treated with non-steroidal anti-inflammatory drugs, corticosteroids, and antibiotics.4 People with scleritis will see an ophthalmologist in order to prevent any further complications. Like iritis, scleritis can be detected through a slit lamp test during your eye exam.
Migraine vs. Headache: Here’s How to Tell the Difference | Cove
Your world grinds to a halt as a throbbing pain behind your left eye spreads, expanding until you swear you can feel your teeth pulsing. The light from your phone causes an explosion of pain, and every sound feels like an ice pick to your temple. You prepare to hide in your bedroom for the next several hours, and then your friend says it: “Why don’t you have some water? It’s just a headache, right?”
Maybe you’re not sure what’s causing the pain—it could be a migraine attack, a sinus headache, or something else entirely. What do you know? It’s much more than “just a headache.”
But to make it go away, you need to know what you’re dealing with. So, what exactly distinguishes a migraine from other types of headaches?
Before we cover some of the many types of headaches out there, let’s talk about what a migraine is. The most well-known migraine symptom is a pounding, severe headache, usually starting on the left side of your head. Some other types of headaches also start on the left side, and a migraine won’t always start there, so how can you know for sure when you’re dealing with an attack?
Well, migraine symptoms typically follow a unique pattern. The scientific term for the period before the headache sets in is the “prodrome. ” It can last for a few hours, or even up to a few days. During this period, it’s common to experience symptoms like:
- difficulty concentrating, speaking, or reading
- food cravings
- frequent yawning
- increased urination
- nausea, constipation, or diarrhea
- sensitivity to light, sound, touch, and smell
- stiff muscles
- trouble sleeping
Once the headache strikes, the pain can last 4-72 hours and be debilitating.
Afterward, many people will be stuck recovering from a “migraine hangover,” or, to get scientific, a “postdrome.” The hangover can last several days and leave you nauseous, moody, thirsty or craving certain foods, unable to concentrate, and sensitive to lights and sounds.
You’ll need to talk to a doctor to get prescription migraine treatment, though some home remedies can help soothe your migraine symptoms.
In contrast, many of the headaches we’ll discuss below can be treated with over-the-counter anti-inflammatories, pain relievers, and lifestyle changes. With that said, while not every headache is a migraine, many headaches can still be extremely painful.
Let’s take a look…
It’s hard to say how many types of headaches there are because they’re often symptoms of other conditions. In that vein, we can divide types of headaches into two categories: primary and secondary.
Primary headaches are not caused by other underlying conditions or illnesses, according to Mayo Clinic, but by overactivity or chemical changes in the brain, the nerves, blood vessels, or muscles in or around your head. Secondary headaches, on the other hand, result from other issues, like viral or bacterial infections, injuries or traumas, and dehydration, to name a few.
In other words, secondary headaches are a side effect of another condition, while primary headaches are the condition.
Migraine attacks are considered primary headaches, along with the following headaches listed in IDHC-3, the International Headache Society’s officially recognized list of headaches:
Tension headaches typically come on slowly and involve mild or moderate (but not severe) pain that feels like a vice or band wrapping around your head. Unlike a migraine, tension headaches usually hurt on both sides of your head, and don’t bring along telltale migraine symptoms like nausea, sensitivity to light, aura, or the prodrome stage.
Tension headaches can be caused by a variety of triggers, according to Medline Plus, such as:
- alcohol and caffeine
- clenching or grinding your teeth
- holding your head in one position for too long
- sleeping in a strange position or in a cold room
- straining your eyes
You can often treat a tension headache with over-the-counter pain relievers, as well as preventive treatments like acupuncture, meditation, and cognitive behavioral therapy.
According to the Genetic and Rare Disease Information Center (GARD), cluster headaches are extremely painful, marked by severe pain often behind your left or right eye that gets worse over a period of 5-10 minutes, and lasts for up to three hours. They pop up in bursts (or clusters), and you can get them up to eight times a day for weeks at a time (usually 6-12 weeks). They can bring along other issues, like facial swelling or drooping, nasal dripping, and other symptoms at or near the site of the pain, reports GARD.
What causes cluster headaches? Scientists aren’t sure. But, according to Mayo Clinic, they might have to do with your body’s sleep clock. Men, smokers, and alcohol users are more likely to get cluster headaches, but they can also be genetic.
Besides these two common kinds of non-migraine headaches, the ICHD-3 lists several other types of primary headaches:
Cough headaches are triggered by coughing or sneezing. They last just a few minutes or a couple hours and go away when the main problem (the cough, for example) is cured.
Exercise headaches typically cause pain on both sides of your head, come on during or after exercise, and can last just a few minutes or up to 48 hours, states the American Migraine Foundation.
It might sound like a joke, but it’s not: If you get a severe headache on both sides of your head right before or after orgasm, you could be in the 1-1.6% of the population that experiences frustrating (but harmless, and treatable) sex headaches.
If you have ever shouted “brain freeze!” while slurping a milkshake a little too fast, you might have had the short, stabbing headache known scientifically as a “cold-stimulus headache,” caused when cold temperatures temporarily restrict blood flow.
Harmless external pressure headaches are marked by short-lived head pain that pops up when something is literally pressing on your head, like a headband or helmet, and go away when the pressure is taken away, according to the journal Current Pain and Medical Reports.
Very brief (often just seconds-long) ice pick headaches, also known as “primary stabbing headaches,” might happen up to three times per day, and are only a cause for concern if they’re a symptom of another condition, notes the American Migraine Foundation.
A nummular headache causes severe pain on just one very specific spot, sometimes as small as a coin, that can last up to several months, or crop up in short bursts of seconds or minutes, though they are not well understood by scientists, reports a Neurological Bulletin paper.
Hypnic headaches, or “alarm clock headache,” wake you up from sleep for 15 minutes to four hours at a time, states the American Migraine Foundation, and, oddly, can often be treated with caffeine before bed.
New daily persistent headaches (NDPH) are just what they sound like—chronic headaches that strike nearly every day (or at least 15 days per month, for three months) in people who have never had headaches before. The Annals of Indian Neuropsychology Academy advises that this is more of a “syndrome” than a diagnosis, because it usually implies you have some other kind of headache condition, like migraine or tension headaches.
A few common ones include:
Sinus headaches can imitate migraine symptoms, like watering eyes, stuffy nose, and sinus pressure or pain. Sinus headaches, however, are relatively rare, result from sinus infections, and typically go away when the infection’s cured. In fact, many people who think they have sinus headaches actually have migraine. Telltale signs that that’s the case is that you have forehead and facial pressure over the sinuses, but no fever, changes in smell, or foul-smelling breath.
As you might guess, post-traumatic headaches result from trauma. The American Migraine Foundation notes that they’ve often described as feeling like both a tension headache and a migraine headache. While they often clear up within a few months, there’s a chance they last longer. And when that’s the case, it’s a good idea to speak to a doctor about your symptoms.
Medication-overuse headaches are also known as rebound headaches because they’re a result of taking a medication more often than your doctor recommends. According to Mayo Clinic, any medication you take for a headache (from over-the-counter pain relievers to preventive migraine drugs) can cause rebound headaches, but only if you have a headache condition. In other words, medication overuse won’t cause a headache if you didn’t already get them before. Luckily, they’ll usually go away if you stop taking the medication.
The only way to be sure what kind of a headache you have is to see a doctor, but you can help your doctor make a diagnosis by keeping tabs on your symptoms with a headache diary.
You should record things like:
- what your headache feels like
- what other symptoms come along with it
- how long your headache pain and other symptoms last
- how often your headache strikes
A doctor can take a cohesive look at your headache patterns, your family history, and the results of any required tests and examinations to help you figure out what kind of headache you have—so you can get treatment.
So how can you tell if you have migraine attacks versus a different type of headache? Without the help of a doctor, it can be difficult to tell the difference between, say, chronic migraine, and another serious condition. That’s why it’s important to talk about your condition with a doctor.
The information provided in this article is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the content provided in this article for specific medical advice. If you have any questions or concerns, please talk to your doctor.
Photo by Aiony Haust on Unsplash.
90,000 Pain in the eyes when moving or from bright light: causes and treatment. Are you ready to have your eyesight tested?
Eye pain is a commonly used term to describe discomfort on the surface, inside, behind, and around the eyes.
Pain can be unilateral or bilateral. In other words, you may only experience pain in the right eye, only in the left eye, or discomfort in both eyes.There is no evidence that pain in the right eye is more common than pain in the left, and vice versa.
In some cases, such as eye injury , the cause of the pain is obvious. But it is often difficult to understand exactly why the eye hurts.
To complicate matters, the intensity of the pain does not indicate the severity of the underlying cause of the discomfort. In other words, a relatively minor problem, such as superficial damage to the cornea, can cause unbearable pain.
And some very serious eye diseases – cataracts, macular degeneration, glaucoma, retinal detachment and diabetic retinopathy – are absolutely painless.
ARE YOU READY TO TEST YOUR VISION? Find an optometrist nearby .
Pain in the eyes can be accompanied by various sensations and symptoms that will help the optometrist determine the cause of the discomfort and prescribe the correct effective treatment for eye pain. For example:
A sharp, stabbing sensation
Burning sensation in the eyes
Dull aching pain
Feeling as if something got “in” the eye (feeling of a foreign body)
Eye pain is often accompanied by blurry vision, redness ( bloodshot eyes ) and light sensitivity .
Causes of eye pain
Below are the most common causes of eye pain based on the location of the discomfort.
Pain on the surface or inside of the eye
Often eye pain that feels like something has entered the eye is caused by irritation or inflammation of the outer part of the eyeball, in particular the cornea.
The main causes of pain emanating from the outer or inner part of the eyeball:
Foreign body in the cornea
It is not surprising that in most cases the foreign body sensation is caused by the foreign body itself.Metal shavings, inorganic abrasive particles (sand, fine stone chips), sawdust and other organic materials are examples of the most common foreign bodies that enter and enter the surface of the cornea.
Foreign body discomfort in the cornea may be minor or severe. Usually, blinking causes the most unbearable pain (because at this time the eyelid rubs against a foreign body). Blurred vision and sensitivity to light also often accompany eye pain.
A foreign body in the cornea requires immediate attention to an optometrist, as a foreign body that has penetrated the cornea may soon lead to a serious eye infection.
In most cases, the optometrist easily removes a foreign body from the eye using special tools. He also prescribes antibacterial eye drops to prevent infection during corneal repair.
This is a scratched cornea.While corneal abrasion is usually harmless, it can cause severe discomfort as well as sensitivity to light and watery eyes.
Most superficial corneal scratches heal on their own within 24 hours. But deeper scratches, if left untreated, can lead to serious eye infections and even corneal ulcers.
Since it is often impossible to tell for sure whether the pain is caused by a small scratch, deep wound or foreign body in the cornea, you should consult an optometrist to determine the root cause of the pain if you experience acute eye discomfort that does not go away quickly.
Dry eye is another common cause of discomfort. If we compare the discomfort associated with dry eyes with the pain of a foreign body or a scratch on the cornea, it develops much more slowly. Sometimes dry eyes can cause corneal abrasion because there is not enough tear fluid on the surface of the eye to hydrate the cornea.
If the use of moisturizing eye drops significantly improves the condition, dry eyes are likely to be the cause of the pain.In most cases, dry eyes do not require immediate action; however, an optometrist can do some tests to determine the degree of dryness and recommend the most effective treatment.
Other (more rare) causes of pain in the anterior chamber or “inside” the eye:
Conjunctivitis (pink eye)
Eye infections (including eye infections caused by fungi and acanthamoebic keratitis)
Iritis (anterior uveitis), t.ie, inflammation of the iris
Discomfort caused by contact lenses
Endophthalmitis is a disease that causes very severe pain in the eyes. This is an inflammation of the inside of the eyeball caused by a bacterial infection. It also occurs in rare cases as a complication after cataract surgery.
Endophthalmitis causes not only eye pain, but also redness, swelling of the eyelids and blurred vision. If you experience these symptoms after cataract surgery or other eye surgery, see your optometrist immediately.
Stitching pain in the eyes
The main causes of pain behind the eyeballs are migraines and sinus infections.
In the case of a migraine, pain is almost always felt behind one eye and is often accompanied by pain elsewhere on the same side of the head.
The pain associated with a sinus infection is usually less severe than migraine pain, and both eyes may hurt.
Although pain behind the eyeballs caused by migraines or sinus infections is not an emergency, you should see an optometrist or physician if you have chronic or recurrent pain of this type and receive the necessary treatment to prevent such attacks in future.
Pain in the eye socket
Perhaps the most common pain around the eyes is inflammation of the eyelid, namely stye (or hordeolum). The primary sign of barley is a very painful lump on one eyelid.
Barley does not require an urgent visit to the ophthalmologist. It is easily treated at home with a warm compress applied to the eyelid several times a day for several days.
OTHER RELATED MATERIALS: 2 Easy Ways to Cure Stye
Blepharitis is another common (and usually harmless) condition that causes eyelid swelling and discomfort around the eyes.
Prolonged use of the computer can also cause pain around the eyes and pain in the eye muscles. This problem does not require urgent action. There are simple steps you can take to relieve eye strain.
A less common and more serious cause of pain around the eyes is optic neuropathy, which can lead to permanent loss of vision. Usually this disease is accompanied by a decrease in visual acuity and a deterioration in color perception, as well as increased pain when moving the eyes.
Eye pain caused by optic neuropathy requires immediate attention to an ophthalmologist or neurologist. In people under the age of 40, the main causes of optic neuritis are multiple sclerosis and other neurological diseases.
Eye pain treatment
Eye pain is an emergency. In almost all cases, choosing the right treatment for eye pain begins with an eye exam with a nearby optometrist. Only an ophthalmologist can determine the exact cause of eye pain and prescribe the correct treatment that will prevent eye damage and possible permanent vision loss.
In particular, contact an optometrist immediately if your eyes are ill and:
Pain occurred suddenly during metalworking, woodworking or other work in which a foreign body could enter the eye (especially if goggles or shields).
Pain caused by eye injury.
The pain is severe and accompanied by blurry vision and / or sensitivity to light.
You recently had eye surgery, including LASIK and cataract surgery.
You have redness and discharge from your eyes.
The pain is severe, sudden, and you had glaucoma . This may indicate a less common form of glaucoma, angle-closure glaucoma, which can lead to rapid vision loss and requires urgent medical attention.
When it comes to eye pain, don’t tempt fate. See your optometrist as soon as possible to determine the exact cause of your pain and get the right treatment for your eye pain.
ARE YOU READY TO TEST YOUR VISION? Find an optometrist nearby .
Page published in November 2020
Page updated June 2021
90,000 “The eye hurts!” – a signal not only for ophthalmologists
Sometimes we turn to ophthalmologists seemingly to the address, complaining of hemorrhages in the eyeball area, pain or fog in the eyes.
And it turns out that this is just the tip of the iceberg of a completely different problem, which is dealt with by completely different doctors.For example, the flashing of flies can be associated with age-related changes in the vitreous body (the part of the eye that helps it keep its shape, occupying up to 2/3 of the volume). And it can also be a direct consequence of excessive physical exertion, stress, diabetes mellitus. You understand that the treatment will vary greatly. In what other situations it is necessary to keep an eye out, not excluding consultations with related specialists, – “SB” said the ophthalmologist of the 20th Minsk polyclinic Alexander LAVER.
Hypertension “knocks” in the eyes
Normally, on the fundus of the arteries and veins have a straight course, their ratio is 2 to 3, there are no changes on the retina.But with a constant increase in blood pressure over time, the picture is different. For example, sclerosis of the walls of the arteries develops – then their color changes, to the point that the doctor says about the symptoms of “copper” or even “silver wire”. The veins begin to wriggle and expand, their ratio with the arteries becomes already 4 to 1. The Salus-Hun symptom may occur (when the artery squeezes the vein until its patency is disturbed), the optic nerve may suffer. Flies, blurred vision, a temporary decrease in its acuity – this is generally a “classic of the genre” in hypertensive crisis.Of course, fundus examination will not be superfluous. But the main thing is to still fight the root cause, that is, to take the pressure under control again.
Hypertension can lead to another condition – hemorrhage in the conjunctival region. As well as strong sneezing or physical exertion, such as hard work or childbirth. It’s all about the weakness of the vessel walls. From the outside it looks scary: sometimes the eye seems to completely flood with blood, or even the eyelids acquire a crimson, even bluish color. You should not be very afraid here: most often everything dissolves by itself, even if sometimes longer than a month.Yes, there may be hemorrhage on the retina, but then vision is reduced. If this is not the case, you can not run headlong to the ophthalmologist. And drip emoxipin, potassium iodide. To strengthen the walls of blood vessels – angioprotectors containing rutin. Just read the instructions carefully first – there are contraindications.
PHOTO OF ALEXANDER KUSHNER
What about eye pain? Although this complaint is often addressed to ophthalmologists, as a rule, this is the domain of neurologists.Firstly, this is how trigeminal neuralgia, which occurs when it is damaged or squeezed, makes itself felt. Then attacks of sharp, burning, stabbing, twitching pains, sometimes affecting the eye, come. Secondly, we can talk about a banal migraine. However, if this is the most common form of the disease, without an aura, then the eye rarely suffers: the head just hurts, pallor and nausea appear. But with the aura, the situation is different: the precursors of an attack are spots, zigzags flickering before the eyes, then for a while some part of vision falls out on one side.And only then the actual headache comes. Treatment, as in trigeminal neuralgia, is reduced to anesthesia and supervision of a neurologist. For prevention, you should avoid stress, lack of sleep, alcohol, do not lean on coffee.
Oddly enough, the ophthalmologist is also referred to with signs of vertebral artery syndrome. It passes in the cervical region, in a kind of canal from the vertebrae and their processes, and is compressed with osteochondrosis. Or congenital deformity or vasoconstriction due to blood clots, atherosclerosis, and a number of other reasons are doing their job.And since the vertebral arteries feed the brain, the inner ear, they also suffer from a lack of blood circulation. Hence the so-called cervical migraine (pain that begins in the neck and rises through the back of the head to the temples), tinnitus, partial numbness of the face or limbs, dizziness, fainting. As an option, pain behind the eyes, loss of visual fields, again zigzags, dots, fog up to temporary blindness. This syndrome is dangerous in that against the background of chronic failures in the blood supply to the brain there is a risk of stroke.Although it is not difficult to diagnose the root cause. Usually ultrasound of the brachiocephalic arteries, X-ray of the cervical spine, MRI of the brain are performed. And the treatment regimen includes anti-inflammatory and blood flow-improving drugs, neuroprotectors and antihypoxants. Plus prevention: massage, exercise therapy, physiotherapy, swimming pool. Of course, all this is as intended and under the supervision of a neurologist.
It turns out that the complaint “hurts the eye!” very, very vague. On the one hand, the symptom should not be dramatized, and on the other, it should not be downplayed.This is rather not a threat to vision as such, but a clear signal: somewhere in the body there is a truly problematic point.
Recommended by Dr. Laver
Do not neglect the consultation with a neurologist, therapist and be sure to control your blood pressure.
Flies, black dots, “spiders” flying before the eyes of more than 80% of people are evidence of the destruction of the vitreous body. Its substance is destroyed due to myopia, trauma, excessive physical exertion, but most often this is the effect of age.There are usually no complications. Yes, someone has visual discomfort from flickering, but they get used to it over time. The problem is that it could be a detachment of the posterior hyaloid membrane or retina. Then the flashing lightning joins the flies. If this is your case, the path lies exactly to the ophthalmologist. There is no cure for this eye condition as such. From drops, emoxipin, potassium iodide, vitamins can be used. Inside – various dietary supplements, which, oddly enough, it happens, and help. You can also take a course of vascular treatment.And, if possible, try not to physically overwork. This advice primarily applies to summer residents from among retirees.
Pain in the back of the head: if you have pain in the back of the head
Pain that occurs in the back of the head or in the upper part of the neck is an extremely unpleasant phenomenon, aggravated by the difficulty of determining the location of the pain.
Causes of pain in the back of the head
There are several reasons why pain in the back of the head may occur. Let’s take a look at some of them.
Diseases of the cervical spine (osteochondrosis, spondylitis, subluxations in the intervertebral joints, sprains during trauma) – the pain will be localized in the back of the head, in the neck, there may be an increase in pain when moving the head.
Cervical spondylosis – refers to chronic diseases of the spine. In this case, the growth of osteophytes occurs along the edges of the vertebral bodies. Osteophytes are interpreted by many as salt deposits. But this is not the case. The appearance of osteophytes is associated with bone degeneration of the ligaments.For the most part, the cause of spondylosis is age-related changes, but the appearance of this disease is possible in younger people who lead a sedentary sedentary lifestyle. Symptoms of cervical spondylosis, in addition to pain in the back of the head, are eye and ear pains, as well as pain in the shoulder girdle. In addition, neck mobility is limited, pain when turning the head.
Myogelosis of the cervical spine or muscle hardening. Myogelosis can occur from drafts, prolonged stay in an uncomfortable position, with incorrect posture, and even under the influence of excessive nervous tension.Symptoms of myogelosis include pain in the back of the head and shoulders, limitation of movement performed by the shoulders, and dizziness.
Mental stress – can be the result of stress, both acute and chronic. The risk of stress headaches increases from age 25-30. This is especially true for women.
Prolonged mental or physical stress, uncomfortable posture (for example, driving or at the computer) can also lead to pain in the back of the head.
Neuralgia of the occipital nerve, which can be caused by diseases of the cervical vertebrae, spondyloarthrosis, osteochondrosis, as well as hypothermia and colds. Pain with neuralgia of the occipital nerve is paroxysmal in nature, it radiates to other organs: the ear, lower jaw, neck and back, sharply increases and becomes shooting when sneezing and coughing, turning the head.
Arterial hypertension also causes a headache localized in the occipital region.Most often observed in patients in the morning.
Cervical migraine, in which the patient feels a burning pain in the back of the head and temple, the pain can also spread to the brow region, often there is pain and a feeling of sand in the eyes, fog in front of the eyes, dizziness, hearing loss.
Vertebrobasilar syndrome – arises as a consequence of osteochondrosis of the cervical spine. At the same time, some patients develop tinnitus, pain in the back of the head, a feeling that the world is “floating”, a veil before the eyes.Characteristic signs are also nausea, vomiting, hiccups, paleness, double vision, hearing impairment, and some movement coordination disorders may occur. The diagnostic symptom of vertebrobasilar syndrome is a sudden fall and immobility in the presence of consciousness, which occurs when the head is turned or thrown back.
Prolonged muscle tension as a result of improperly performed exercises. Tension headaches are characterized by a constant feeling of heaviness in the forehead and back of the head, which intensify to a state of pain with fatigue, concentration, excitement, prolonged fixation of the head (when reading, writing, heavy physical exertion).There is a feeling that something is pulling the head and pressing on it, as if some foreign body is in the forehead, crown, and occiput. With pressure on the muscles of the temples, forehead, nape, back of the neck, headache increases, dizziness and tinnitus appear. Limiting the mobility of the cervical spine reduces the intensity of the headache.
90,000 Pain in the head on the left side
Pain in the head on the left
Headache is called pain if, according to sensations, it is localized from the eyebrows upward, captures the temporal zones, and reaches the cervico-occipital region.It happens that there are unpleasant sensations only on one side. Sometimes the head hurts on the left side of the temple, closer to the crown or the back of the head. Such an arrangement of pain can indicate vasospasm in a certain area.
Types of headaches
As a symptom, headache under normal pressure signals a change in the state of the body. The symptom may be primary when it is not a consequence of organic changes. Secondary symptoms are also distinguished. In this case, the pain became a consequence of the disease that had arisen.
Primary pains include:
• pain from muscle strain;
• trigeminal cephalalgias.
The cause of the headache in the left side can be:
• hemostasis disorder;
• head trauma;
• taking or withdrawing chemicals;
• vascular disease;
• eye or ear diseases;
• intracranial anomalies;
• diseases of the oral cavity and teeth;
• mental disorders.
Sudden onset of one-sided pain can be a symptom of a serious illness or subarachnoid hemorrhage that threatens the patient’s life. If the left side of the head hurts for a long time, this may indicate that purulent otitis media is progressing. In the face of the skull, there are sinuses, the inflammation of which also leads to local pain. The existence of a large number of diseases, the symptoms of which include headache, greatly complicates the diagnosis.
What to do if the head hurts the second day?
Do not take pain medications on a regular basis.A headache at one point should be the reason for an early visit to the doctor. Diagnostics is reduced to an objective examination and collection of analysis. Additionally, neuroimaging may be required.
The specialists of the DorsumMed network of clinics have sufficient experience and are equipped with the latest technology. To make an appointment, fill out the fields of the proposed form. The responsible manager will call you back to suggest a convenient time for the visit.
Sinusitis (sinusitis) ›Diseases› Dr.Peter.ru
They say that if a runny nose is treated, it goes away in 7 days, and if not treated, it takes a week. So is it worth the time and money? Definitely – it is worth it to avoid complications – sinusitis, or, as it is called in everyday life, sinusitis.
This disease is characterized by severe difficulty in nasal breathing, the nose is usually obstructed on both sides, but alternating congestion of the right and left nostrils also occurs. In most cases, the patient has mucous (transparent) or purulent discharge from the nose.However, if the nose is very stuffy, there may be no runny nose, since the outflow of mucus from the sinus is difficult.
Unpleasant sensations in the nose and paranasal region, and sometimes pain in sinusitis, gradually increase: in the evening they are more pronounced than in the morning. With acute sinusitis, the body temperature can rise to 38 C and above. In a chronic process, it rarely rises. General malaise is manifested by fatigue, weakness, sleep disturbance associated, including with difficulty breathing.
The manifestations of the disease depend on which sinus is affected. With inflammation of the frontal sinus – frontitis – dull pains in the forehead, more often in the morning, when a person wakes up. With inflammation of the maxillary sinus (sinusitis), pain occurs in the area of the upper jaw and teeth, pain is felt when touched on the cheek on the affected side. Due to the close location of the sinuses to the lacrimal duct in the corner of the eye, inflammation can be accompanied by swelling of the eyelid, pain in the area between the eyes.In addition, sometimes the sense of smell is impaired, pain appears when touching the nose and the edematous area. Inflammation of the sphenoid sinus (sphenoiditis) is rare.
Then the localization disappears and the whole head begins to ache, if both halves of the nose are blocked, but if the inflammatory process is one-sided, then the headaches are one-sided, there is pain in the ears and neck.
Sinusitis (sinusitis, frontal sinusitis, ethmoiditis, sphenonditis) is an infectious inflammation of the paranasal sinuses, in which swelling of the mucous membrane occurs and blocks the fistula between the nasal cavity and the maxillary sinus.A person has several of them: these are the maxillary sinuses (maxillary), which are located in the thickness of the upper jaw; latticed, located behind the bridge of the nose; sphenoidal, located at the base of the skull, and frontal sinuses. Each of them opens into the nasal passages. Through the openings (fistulas) of these sinuses, air is exchanged and mucus is secreted. The mucous membrane of the paranasal sinuses passes into the nasal cavity. Therefore, any inflammatory process in the nasal cavity, in which mucosal edema occurs, causes an inflammatory process in the sinuses.It happens in the following sequence: swelling of the mucous membrane – closure of the anastomosis – accumulation of mucus in the sinus cavity. It puts pressure on the sinus wall, which causes pain. In the sinus, the production of mucus continues, which, due to a violation of the outflow, stagnates and gradually the process becomes inflammatory. This exudate is a breeding ground for the introduction of new and development of bacteria and viruses already present in the body. In the process of life, they produce toxins that are carried with the bloodstream throughout the body and cause general malaise.
Gradually, the mucus turns into pus of a viscous consistency, so it is poorly evacuated from the sinus, even when the fistulas are open, it can fill the entire sinus. If treatment is not started in a timely manner, purulent contents can break through into the surrounding structures. For example, in the eyes: a gradually increasing swelling of the eyelids appears, they turn red, there may even be a protrusion of the eyeball forward (exophthalmos).
There are many reasons for the occurrence of sinusitis. But the main one is an infection: bacteria or viruses enter the maxillary sinus through the nasal cavity (mouth, pharynx) or through the blood and cause an inflammatory process.Conditions that disturb nasal breathing predispose to the development of sinusitis: congenital disorders in the development of the anatomical structures of the nasal cavity, curvature of the nasal septum, vasomotor rhinitis, hypertrophic rhinitis (enlargement of the turbinates), in children – adenoids, hay fever.
Immunity disorders and untimely or incorrect treatment of ARVI, rhinitis create almost a 100% guarantee of the development of this disease.
A bacterium called “staphylococcus” can live in the nasopharynx for a long time and not manifest itself in any way, but in unfavorable conditions, for example, with a cold, it causes inflammation in the sinuses.
But most often sinusitis is provoked by ARVI, influenza, parainfluenza, infections that penetrate from diseased teeth (odontogenic sinusitis), allergies (allergic sinusitis) … Almost all viruses that affect the upper respiratory tract (causative agents of ARVI) can cause sinusitis, since the epithelium of the paranasal sinuses is very similar to the epithelium of the respiratory tract and viruses infect this part of the respiratory tract. Fortunately, viral infections such as influenza, parainfluenza, adenovirus provoke only acute forms of sinusitis, they cannot cause chronic sinusitis.Despite the fact that the main role in the development of chronic sinusitis is played by bacteria (streptococci, staphylococci), as well as protozoa – chlamydia and mycoplasma (often cause sinusitis in children), it is important to treat viral diseases with high quality, otherwise the viral infection may be replaced by a bacterial one.
Diseases of ENT organs are no less common cause of sinusitis than infections. Acute and chronic rhinitis can lead to the development of sinusitis due to blockage of the outlet of the maxillary sinus (connects the maxillary sinus cavity with the nasal cavity) through which drainage and cleansing of the sinus is carried out.Chronic tonsillitis can serve as a source of infection, which is brought into the maxillary sinus when you blow your nose. Chronic pharyngitis, as well as chronic tonsillitis, can play the role of a source of infection in the development of sinusitis. Curvature of the nasal septum can cause sinusitis due to pathological narrowing of the new course and impaired drainage and ventilation of the maxillary sinus.
The doctor can already assume that the patient suffers from sinusitis by the symptomatology.However, it is not always possible to accurately localize the affected sinus. To clarify the diagnosis, to identify the main focus of the inflammatory process, radiography or a more informative diagnostic method is prescribed – computed tomography (CT) of the paranasal sinuses.
Even theoretically, sinusitis, unlike acute rhinitis, will not go away on its own, and self-medication can end very badly. Therefore, at the first suspicion of sinusitis, an otolaryngologist should be urgently consulted.
The basis of treatment is the fight against swelling of the nasal mucosa. This means that you need to ensure a good drainage of the discharge from the sinus.
Prescribed drugs for local therapy – drops (vasoconstrictor), sprays, inhalers that can eliminate swelling of the mucous membrane. They should be used like this: lie on your side, drip vasoconstrictor drops into the nostril that is closer to the pillow, so that the medicine gets on the side wall of the nose, and lie down without moving for 5 minutes. Then you need to turn over to the other side and do the same with the other nostril.After another 5 minutes, blow your nose. Then you need to instill antibacterial, anti-inflammatory or pain-relieving drops prescribed by your doctor.
The treatment uses antibacterial drugs, antihistamines. A method of rinsing the nose with antiseptic (furacillin) solutions is often prescribed. Many are familiar with the method of moving fluid known as “cuckoo”. The patient lies on his back on a couch. The doctor asks the patient to say: “Ku-ku-ku-ku” to overlap the message of the nasopharynx with the oropharynx.At this time, the drug solution is slowly infused into one nostril, while it is sucked out from the other nostril using a vacuum device. Negative pressure promotes the evacuation of pus from the sinuses, and the medicinal solution, moving intensively through the nasal cavity, flushes the sinuses. Additionally, physiotherapy is prescribed: UFO, UHF.
Many, just hearing the diagnosis “sinusitis” or “sinusitis” fall into panic and are afraid to make a puncture of the maxillary sinus. It is believed that if you do this once, you will have to prick it endlessly.But without indications, doctors do not prescribe a sinus puncture. In some situations, you simply cannot do without it. For example, if the anastomosis cannot be opened by other methods and pus does not come out of the sinus, there is a risk of it breaking into the surrounding tissues. During the puncture process, pus is pumped out, the sinus cavity is washed, and then antibiotics and anti-inflammatory drugs are injected into it. Of course, the procedure is not the most pleasant one, but it is very effective. And a relapse (repeated inflammation of the sinuses), if it occurs, is either due to the fact that the treatment of sinusitis has not been completed, or other factors predispose to its development.For example, sinusitis, occurring against the background of curvature of the nasal septum, is characterized by a long course and treatment, as well as frequent relapses. But this problem can be solved with surgery to restore the nasal septum.
Prevention of sinusitis is to get rid of the factors that provoke conditions that disrupt nasal breathing: curvature of the nasal septum, vasomotor rhinitis, hypertrophic rhinitis (enlargement of the turbinates), polyps, bacterial carriers.In children, these are adenoids or allergic diseases.
It is necessary to treat the chewing teeth of the upper jaw in a timely manner – in 10 percent of cases of sinusitis, inflammation developing at the tops of the teeth is to blame.
Be sure to take a responsible attitude to the treatment of influenza, SARS, rhinitis and support the body’s immune defenses.
© Dr. Peter
Acute severe pain in the eye
Iridocyclitis – inflammation of the anterior segment of the choroid of the eyeball (iris, ciliary body).Iridocyclitis is included in the group of diseases of the vascular tract of the eye – uveitis, which, according to the localization of the process, are divided into anterior uveitis (iritis, iridocyclitis, cyclitis, keratouveitis), peripheral uveitis, posterior uveitis (chorioretinitis, neurochorioretinitis, endophthalmitis), panuveitis, ).
Anterior uveitis may start from the iris (iritis) or from the ciliary body (cyclitis). Due to the close anatomical connection, as well as the general blood supply and innervation of these departments, the inflammatory disease soon passes from the iris to the ciliary body and vice versa – iridocyclitis develops.A dense network of wide vessels of the uveal tract with slow blood flow creates favorable conditions for the settling of microorganisms, toxins and immune complexes in it. Any infection that develops in the body can cause iridocyclitis. Often the cause of inflammation is a focal infection in the oral cavity, tonsils, paranasal sinuses, gall bladder, etc.
Infectious-allergic iridocyclitis occurs against the background of chronic sensitization of the body to an internal bacterial infection or bacterial toxins.Allergic non-infectious iridocyclitis develops with drug and food allergies, the administration of serums and vaccines, as well as after blood transfusions. Autoimmune inflammation can develop in systemic diseases of the body: rheumatism, rheumatoid arthritis, childhood chronic polyarthritis (Still’s disease), psoriasis, sarcoidosis, etc. Iridocyclitis can manifest itself as symptoms as part of complex syndromes: ophthalmo-stomatological-genital (Behcet’s disease), ophthalmic urethro-synovial (Reiter’s disease), uveo-encephalitis – (Vogt-Koyanagi-Harada syndrome), ankylosing spondyloarthritis (ankylosing spondylitis), etc.Exogenous causes of the development of iridocyclitis can be contusions, burns, trauma, which are often accompanied by the introduction of infection.
In anterior uveitis, the predominant etiological factors are herpes viruses, adenoviruses, enteroviruses, tuberculous and streptococcal sensitization, as well as HLA-associated iridocyclitis. However, in about 50% of cases, the etiology cannot be established. In such cases, the term “idiopathic uveitis” is used. By the nature of the exudate, there are serous, fibrinous, purulent and hemorrhagic iridocyclitis, according to the morphological picture – granulomatous (with tuberculosis, toxoplasmosis, sarcoidosis, etc.) and nongranulomatous (with infectious-allergic and toxic-allergic uveitis).
In most cases, iridocyclitis begins acutely. With infectious diseases, as a rule, one eye is affected, with systemic diseases, both. One of the first subjective signs is pain in the eye, sometimes spreading along the trigeminal nerve. Characterized by an increase in pain at night, with a change in the degree of lighting and accommodation, as well as with palpation of the eyeball in the projection area of the ciliary body (ciliary soreness).The pain reaction is most pronounced in iridocyclitis of herpetic etiology and in secondary glaucoma. In addition, patients complain of eye redness, photophobia, lacrimation, difficulty opening the eyes (blepharospasm). Patients report some degree of visual impairment.
Objective examination reveals a slight swelling of the eyelids, narrowing of the palpebral fissure, lacrimation and photophobia. From the side of the eyeball, a pericorneal pink-cyanotic injection appears. Sometimes there is an injection of both superficial vessels of the conjunctiva and deep vessels in the pericorneal zone (mixed injection).The intensity of hyperemia of the mucous membrane of the eyeball indicates the severity of the inflammatory process. One of the main symptoms of iridocyclitis is the turbidity of the anterior chamber moisture due to the appearance of exudate. Depending on the severity of inflammation, the exudate can be serous, fibrinous, purulent and hemorrhagic. Serous exudate in the light of a slit lamp looks like a very fine, barely discernible suspension of protein. During the fibrinous process, a significant amount of a sticky protein substance is formed in the form of suspended fibrin filaments.With more intense inflammation, the moisture in the anterior chamber becomes cloudy due to the formation of many inflammatory cells. They usually descend in the form of a horizontal white-yellow level (the so-called hypopyon). Likewise, in the hemorrhagic form of iridocyclitis, the blood cells settle to the bottom of the chamber, forming a hyphema.
The characteristic signs of iridocyclitis are changes in the iris. The iris thickens due to vasodilation and inflammatory edema, which, in combination with a reflex spasm of the sphincter, leads to its narrowing and sluggish response to light.When compared with a healthy eye, one can notice a change in the color of the full-blooded iris and the shading of its pattern. With a fibrinous process, adhesions of the pupillary edge of the iris with the anterior lens capsule – posterior synechiae – are easily formed. These synechiae are separate or can form circular adhesions of the pupillary edge of the iris to the lens. Sometimes fibrinous exudate covers the entire area of the pupil, causing the pupil to become infected. In the presence of posterior synechiae, instillation of mydriatics into the conjunctival cavity leads to an uneven expansion of the pupil, and it acquires a bizarre, stellate shape.Circular posterior synechiae can lead to secondary glaucoma due to blockage of fluid flow into the anterior chamber and iris bombardment.
With repeated relapses of uveitis, postuveal complicated cataract may develop due to malnutrition of the lens. In adolescents and adults, opacity develops more often in the posterior regions of the lens (posterior capsular cup-shaped cataract). Severe and prolonged iridocyclitis, as a rule, cause diffuse opacities of the vitreous body. Significant formation of connective tissue cords in it can be complicated by traction retinal detachment.In some cases, edema of the macular region of the retina is detected. With anterior uveitis, intraocular pressure is often normal or low, less often increased. Hypotension is the result of a decrease in the secretion of aqueous humor due to changes in the structure and circulation of the ciliary body. An increase in intraocular pressure occurs due to blockage of the drainage system of the eye with inflammatory detritus.
Diagnosis of anterior uveitis is based on anamnesis data, ophthalmological examination, consultations of specialists (therapist, otolaryngologist, phthisiatrician, rheumatologist, infectious disease specialist, dentist, pediatrician, etc.).), the results of clinical laboratory and immunological studies. To establish the etiology of uveitis, the onset of the disease (acute or gradual), the involvement of one or both eyes in the process, the type of inflammation (acute or chronic), the type of inflammation (granulomatous or nongranulomatous) are important. Determination of age, gender and ethnicity provides significant assistance in diagnostics. Evaluation of the effectiveness of treatment is also important.
The following principles can be included in the basis of the treatment of acute iridocyclitis:
Maximum dilation of the pupil in order to rupture the posterior synechiae or prevent their formation, to ensure peace of the iris and ciliary body, reduce the formation of exudate, and create conditions for exudate to leave the posterior chamber of the eye in the front.Pupil dilation is achieved, on the one hand, due to paralysis of the sphincter of the pupil with M-anticholinergics (atropine, 1% eye drops, 4-6 times a day), on the other, by contraction of the pupil dilator by alpha-adrenergic agonists (irifrin, 2.5% eye drops , 1 drop 2 times a day). To achieve the maximum effect, mydriatics are injected under the conjunctiva 1 time per day (0.2 ml of atropine, 0.1% solution for injection + 0.2 ml of mezaton, 1% solution for injection).
Anti-inflammatory treatment. The most effective drugs are glucocorticosteroids (GCS), which are used mainly locally.For this, dexamethasone, 0.1% eye drops, are instilled at first 6-8, then 3-6 times a day. Maxidex, 0.1% eye ointment, or 0.5% hydrocortisone ointment is applied at night. If the instillations are ineffective, dexamethasone is administered under the conjunctiva 1 mg (0.25 ml) or parabulbarly 2 – 3 mg (0.5 – 0.75 ml) once a day for 5 – 10 days (dexamethasone 4 mg / ml, solution for injection). With moderately pronounced iridocyclitis, non-steroidal anti-inflammatory drugs are used topically in the form of instillations (diclofenac, 0.1% eye drops, 3-4 times a day).At the beginning of treatment, for a quick relief of the inflammatory process, diclofenac is prescribed intramuscularly at 75 mg once a day for 7-10 days, then they switch to oral administration at 25-50 mg 3 times / day or indomethacin is used internally at a dose of 25-50 mg 3 times / day after meals. In especially severe cases, systemic GCS therapy is prescribed. It should be emphasized that systemic therapy of GCS is indicated for severe bilateral non-infectious uveitis with severe visual impairment, as well as for systemic diseases with eye damage.
To reduce the risk of side effects, taking GCS is recommended in short courses or pulse therapy is used. As a pulse therapy, dexamethasone is administered intravenously by drip of 32-40 mg in 200 ml of saline 3 times a week every other day, then the dose is reduced to 16-20 mg every other day for a week, and the treatment is continued at the same dose 2 times a day. week. Along with parenteral administration, dexamethasone can be administered orally at 0.025-0.05 mg / kg 1-2 times / day in the first half of the day until the symptoms of inflammation of the anterior segment of the eye disappear completely, followed by gradual withdrawal within 2-2.5 months or oral prednisolone 0.25 – 0.5 mg / kg according to the same scheme.
Antimicrobial therapy is carried out depending on the causative agent of the disease, however, when the first signs of uveitis appear, it is not always possible to establish the cause of the disease. Even before the etiology of uveitis is determined, modern antibiotics of a fairly broad spectrum of action are prescribed, which have good permeability through the blood-ophthalmic barrier: from the group of aminoglycosides (tobramycin, amikacin, netilmicin or netromycin, gentamicin, etc.), fluoroquinolones (ciprofloxacin), as well as antibiotics of other groups.In case of anterior uveitis and keratouveitis of infectious genesis, their local use (forced instillations, administration under the conjunctiva or parabulbar) should be combined with oral or parenteral administration. In cases where iridocyclitis is associated with a concomitant inflammatory process in the body (chronic tonsillitis, sinusitis, otitis media, etc.), as well as with toxic-allergic uveitis of strepto- and staphylococcal etiology, the use of antibiotics is aimed at suppressing the focus of infection, and not at treating uveitis itself.In this regard, when treating these forms of uveitis, it is more expedient to prescribe antibiotics orally or parenterally.
For iridocyclitis, occurring with increased intraocular pressure (after excluding an acute attack of glaucoma), antihypertensive drugs are additionally prescribed: beta-blockers (arutimol or timolol, 0.25 – 0.5% eye drops, 2 times a day), carbonic anhydrase inhibitors (dorsolamide, 2% eye drops, 2 – 3 times a day; diacarb, by mouth, 250 mg 1 – 2 times a day), hyperosmotic agents (50% solution of glyceroascorbate by mouth once at the rate of: glycerin 1.5 g / kg, ascorbic acid 0.1 g / kg).
For rupture of posterior synechiae and resorption of exudate, fibrinolytic drugs are shown: urokinase (administered subconjunctivally, 0.5 ml once a day) or hemase (0.5 ml injected under the conjunctiva or parabulbar), or collalizin (administered 0.5 ml subconjunctivally), or lidase (0.5 ml is injected through the skin of the temple or in the form of electrophoresis). Detoxification therapy is used in severe cases: reambirin is injected intravenously, a 1.5% solution for infusions, 200 – 400 ml every other day, 3 – 5 injections.In acute iridocyclitis, hyposensitizing agents are also used: loratadine (for adults and children over 12 years old, by mouth, 10 mg once a day), claritin (for children 2-12 years old, 5 mg once a day), etc. The complex of treatment also includes diagnostics and therapy of the underlying disease causing inflammation of the vascular tract of the eye.
The forecast is favorable in most cases. With timely initiation of treatment, acute iridocyclitis can be stopped in 10 – 15 days, however, in stubborn cases, treatment can be longer – up to 6 weeks.More often, as the inflammatory process subsides, traces of the disease disappear: precipitates on the corneal endothelium, exudate in the anterior chamber and floating opacities in the vitreous body, normalize intraocular pressure, restore visual acuity (read also the clinical protocol for diagnosis and treatment “acute and subacute iridocyclitis”).
Pain in the temples, presses, pulsates – diagnostics and treatment in Kazan
More than 20 non-surgical techniques for the treatment of temporal pain
1.Against acute pain
The initial stage of treatment for any disease involves the fastest possible recovery of the patient from symptoms that affect the quality of life – interfere with normal sleep, work and rest. Therefore, first of all, the following procedures can be prescribed to the patient:
Intravenous drip, blockade
Can also be prescribed: pharmacopuncture, kinesio taping, kinesiotherapy, intramuscular injections, etc.
When choosing methods, the doctor must take into account the nature of the pain, possible contraindications, as well as many other individual indicators.
2. To improve blood circulation and relieve muscle spasms
When the patient is relieved of acute pain, it is necessary to eliminate its causes in stages. In case of blood flow disorders or the presence of deep muscle spasms, the following may be prescribed:
In addition to those listed, plasma therapy, ozone therapy, pharmacopuncture and some others can be used.
3. If pain is caused by diseases of the spine
Very often, the causes of headaches in the temples are diseases such as osteochondrosis of the spine, intervertebral disc herniation, protrusion, spondylosis, scoliosis, kyphosis …
And only after comprehensive treatment of these diseases, it is possible to save the patient from excruciating pain. The course of therapy may include procedures:
As well as kinesio taping, plasma therapy, massage, manual therapy, Yumeiho therapy, etc.
These procedures not only relieve inflammation in the spine, but also help restore the mobility of the spine and joints.
4. To maintain the nervous system
After or between procedures, patients can take freshly prepared teas.
Herbal preparations as part of a complex treatment have a beneficial effect on the nervous system – they soothe, relieve stress, relieve anxiety.
Herbal medicine, like other methods of treatment, may have certain contraindications.You also need to take them in the correct dosage. Therefore, herbal teas are prescribed by the attending physician.
Other causes of pain in the temples
Rare, irregular, rapidly disappearing pain in the temporal region may occur due to fatigue, stress, or prolonged stay in the same position (during sleep or while working).
What to do? If it is not possible to consult a doctor, then in isolated cases it is permissible to take pain relievers, which usually help you.
Repeated pain is a sign of disease. For example, they took an anesthetic, “let go”, but after a few hours it hurts again.