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Valeria Marcangeli
Live Q&A Chat Session by Paediatrician Dr. Valeria
If your daughter feels pain in her eyes when her hair is being combed tightly or pulled, it can be due to a few possible reasons — some of them benign, but others worth watching:Possible Causes:1. Scalp Nerve Sensitivity (Referred Pain) • The scalp and forehead share nerve pathways with the area around the eyes (especially via the trigeminal nerve). • So, pulling or tugging on the scalp, especially when combing tightly, can sometimes cause discomfort that feels like it’s in the eyes or around them. • This is more likely if her hair is tangled and needs hard pulling. 2. Tight Hairstyles • Styles like ponytails or braids that are done too tight can put strain on the scalp and cause pain not just on the head but sometimes a feeling of pressure or pulling in the face or eyes. 3. Sinus Pressure or Eye Strain • If she has any underlying sinus issues, allergies, or has been experiencing eye fatigue (e.g., from screen use), even small external pressure like hair combing may feel uncomfortable near the eyes. 4. Scalp Tenderness or Skin Condition • Conditions like seborrheic dermatitis, eczema, or even mild inflammation can make the scalp tender to touch and lead to discomfort spreading to nearby areas.What You Can Do:• Be gentle while combing, use detangling spray if needed. • Try wide-toothed combs or combing in sections to avoid strong pulling. • Observe if there are any redness, rashes, dandruff, or sensitivity in the scalp. • Check if she has any recent eye strain, headaches, or allergies.When to Consult a Doctor:• If the pain persists, worsens, or is accompanied by eye redness, vision changes, headaches, or sensitivity to light. • If she starts avoiding hair combing due to pain, or if it seems to involve neurological sensitivity.
March 26, 2025Live Q&A Chat Session by Paediatrician Dr. Valeria
Possible Causes of Ear Pain with Fever in Children:1. Middle Ear Infection (Otitis Media) • Very common in children under 7. • Often follows a cold or upper respiratory infection. • Can cause sharp or throbbing pain, fever, irritability, and trouble sleeping. • May affect both ears. 2. Earwax Blockage or Outer Ear Infection (Otitis Externa) • Less commonly causes fever, but can still cause pain and discomfort, especially when lying down or touching the ear. 3. Referred Pain • Sometimes throat infections or enlarged tonsils/adenoids can cause pain felt in the ears. • This can happen without any ear problem directly.What You Can Do Now:• Keep track of when the pain occurs (day vs night, after colds, etc.). • Check for other symptoms: nasal congestion, sore throat, cough, fluid/discharge from the ear. • You can use paracetamol or ibuprofen (in age-appropriate doses) to relieve pain and fever — but only as a temporary measure.You Should See a Pediatrician If:• The pain keeps recurring, especially with fever. • Your child becomes very irritable, drowsy, or refuses to eat. • There is fluid or pus coming from the ear. • It affects hearing, balance, or is accompanied by vomiting. • If pain lasts more than 1–2 days, even without fever.
March 26, 2025
