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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headaches, Bi-temporal And Occipital Pain With Eye Discharge?

A 4 1/2 year old boy. Complaining of headaches for the last 6 days. Usually complains of bi-temporal pain. Today was also complainif of pain in the back of the head in addition to usual complaint. Jumping made the back of the head pain worse. This evening noticed a slight sticky discharge on the corner of right eye closest to the nose. No other symptoms are reported. Was constipated for the first three days of head aches.
Sat, 31 Jan 2015
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General & Family Physician,  's  Response
Hi,
Welcome to the HCM
Brief answer ...it could be either orbital infection or increased intracranial pressure.
Detailed answer..
Since headache at this age to that extent with visual problem alarms signs of raised intracranial pressure ,which can be because of vessels problem or any mass in the brain or it could also be benign raised intracranial pressure where no cause is known.
As he is also getting discharge , orbital infection has to be ruled out, because it can spread to brain.
I would suggest get MRI brain done and discuss with a neurologist further.
Also get a swab test of discharge done ,as orbital infection may need antibiotic course accordingly for treatment.
Regards Dr.Maheshwari
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What Causes Headaches, Bi-temporal And Occipital Pain With Eye Discharge?

Hi, Welcome to the HCM Brief answer ...it could be either orbital infection or increased intracranial pressure. Detailed answer.. Since headache at this age to that extent with visual problem alarms signs of raised intracranial pressure ,which can be because of vessels problem or any mass in the brain or it could also be benign raised intracranial pressure where no cause is known. As he is also getting discharge , orbital infection has to be ruled out, because it can spread to brain. I would suggest get MRI brain done and discuss with a neurologist further. Also get a swab test of discharge done ,as orbital infection may need antibiotic course accordingly for treatment. Regards Dr.Maheshwari