What is the treatment for ruptured facial blood vessels around the eyes after vomiting, also known as periorbital petechiae or subconjunctival hemorrhage?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: March 9, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

Popped blood vessels around the eyes after vomiting, known as periorbital petechiae or subconjunctival hemorrhage, typically heal on their own within 1-2 weeks without specific treatment. The most recent and highest quality study 1 suggests that these conditions are often self-limiting and may not require aggressive treatment. To manage symptoms, apply cold compresses for 10 minutes several times daily during the first 24-48 hours to reduce swelling and discomfort. It is also essential to:

  • Avoid rubbing your eyes
  • Avoid strenuous activities
  • Avoid blood thinners like aspirin
  • Avoid hot showers for a few days
  • Stay hydrated
  • Consider taking vitamin C supplements to support blood vessel healing

These broken vessels occur because forceful vomiting increases pressure in facial blood vessels, causing them to rupture. While usually harmless, it is crucial to see a doctor if you experience:

  • Vision changes
  • Severe pain
  • If the broken vessels don't improve within two weeks

To prevent this in the future, treat nausea early and avoid straining during vomiting by keeping your head positioned forward. Studies have shown that antiemetics like ondansetron can be effective in reducing vomiting related to acute gastroenteritis in children and adolescents 2, and may also be useful in managing nausea and vomiting associated with other conditions 3. However, the primary focus should be on preventing further strain and allowing the blood vessels to heal naturally.

Related Questions

What is the best choice between Gravol (Dimenhydrinate) and Ondansetron for managing vomiting with a little soft bowel movement?
What is the best course of action for a patient undergoing FOLFOX (Folinic Acid, Fluorouracil, Oxaliplatin) chemotherapy regimen for rectal adenocarcinoma, who is experiencing nausea, vomiting, and a rash, and has been prescribed ondansetron (Zofran) and prochlorperazine (Compazine)?
Can a 16-year-old take 8 mg of Zofran (ondansetron) for nausea?
What additional enzyme finding would be useful for diagnosing a 39-year-old male with nausea, vomiting, and moderate scleral icterus, who takes 4-10 extra strength Tylenol (acetaminophen) per day and consumes 3-4 rum drinks per day?
What is the management and treatment approach for a patient with severe gastritis and hyperemesis (vomiting) after a diclofenac (Non-Steroidal Anti-Inflammatory Drug (NSAID)) injection?
What is the treatment for ruptured microvascular blood vessels?
What causes ruptured microvascular (small blood vessel) blood vessels around the eyes after vomiting?
What causes ruptured facial blood vessels around the eyes after vomiting, also known as periorbital petechiae or subconjunctival hemorrhage?
What is the efficacy of abrupt cessation (cold turkey) treatment for substance withdrawal?
Is epistaxis (nosebleed) and hemoptysis (coughing up blood) likely during endotracheal intubation?
What is the likelihood of a patient requiring intubation after sedation, presenting with epistaxis (nosebleed) and hemoptysis (coughing up blood)?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.