What causes dark circles under the eyes in children? Is it a serious situation? What should you do? Is it necessary to see a doctor? What should be done to pass? You can find the answers to all these questions and much more below.

What are under eye bruises in children?

Under-eye bruises are the appearance of dark spots or discoloration under the eyes. They are not typically painful, bothersome, or associated with other symptoms, but discoloration may reflect the appearance of age, fatigue, or illness. Dark circles under the eyes are primarily found in adults, but can occur in children as well. This look has also been described as ‘raccoon eyes’.

Dark circles can occur when the skin under your eyes becomes thinner because when the skin thins, it exposes blood vessels that cause dark discoloration. Fatigue and aging are the most common causes of dark circles in adults. But allergies, anemia, stuffy nose, eczema, lifestyle factors and uneven pigmentation can also contribute to the presence of dark circles. Eye irritation, a history of sun exposure, loss of skin elasticity, and genetic factors can also cause dark circles. Accidental or non-accidental (violent) trauma can cause dark circles to appear as a result of superficial or deep bleeding.

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Dark circles under the eyes are unusual in children, but are most likely caused by allergies and congestion. Especially frequent nasal and sinus congestion can cause visible discoloration of the veins under the eyes. The skin color resulting from the increase in blood flow is purple or blue rather than a darker skin tone. Anemia caused by iron deficiency is a possible cause of dark circles under the eyes in children, but it is not as common as nasal congestion. The most worrisome condition that causes dark circles around the eyes in children is neuroblastoma , a malignant tumor arising from the immature cells of the sympathetic nervous system .

If your child continues to experience dark circles under their eyes, it is recommended that you seek medical attention immediately. This may be due to a respiratory infection, anemia or dehydration. A medical evaluation can help you rule out serious causes, identify the underlying cause, and begin treatment if needed. Even if bruises under the eyes are due to nasal congestion, there are still treatment options, so physician control is important.

Dark circles under the eyes in children: Causes

Allergies and nasal congestion are usually caused by dark circles under the eyes in children. Because these two conditions can thin the skin around the eyes, exposing blood vessels. Congestion is swelling in the tissues lining the inside of the nose. The blockage widens blood vessels, increasing blood flow to the area. In this case, the upper layer of the skin, the epidermis, will appear in a bluish-purple hue.

Allergies are a common cause of congestion. Common childhood allergies include foods (including strawberries, peanuts, shellfish, and dairy), pet hair or dandruff, pollen or ragweed, and chemicals. Other common causes of congestion are the flu, colds, and sinus infections.

Allergic/inflammatory causes of dark circles under the eyes in children

Dark circles under the eyes in children can also be caused by allergies or irritation as a result of:

  • some foods
  • Cosmetics, paints or detergents
  • Enlarged adenoids that will increase congestion
  • Industrial chemicals such as those found in elastic, latex or rubber
  • Metallurgical substances such as iron, copper or wire
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Infectious causes of dark circles under the eyes in children

Dark circles under the eyes in children can be caused by infections including:

  • Conjunctivitis (inflammation of the eye surface)
  • Other bacterial or viral infections
  • Rhinitis (swelling of the nasal passages)
  • Sinusitis (inflammation or infection of the sinuses)
  • bacterial throat infection

Other causes of dark circles under the eyes in children

Dark circles under the eyes, especially in children, can be caused by other factors, including:

  • Anemia due to iron deficiency
  • Facial structure that can overemphasize the color of the skin under the eyes
  • Rubbing or touching the eyes frequently
  • Genetic predisposition
  • Hyperpigmentation of the epidermis and dermis (conditions that trigger skin discoloration)
  • Noroblastom
  • Phenol sulfotransferase deficiency (a rare disorder in which the body is unable to break down and process toxins)
  • lack of sleep
  • Trauma or injury (including child abuse)

Serious or life-threatening causes of dark circles under the eyes in children

In some cases, dark circles under the eyes in children can be a sign of a serious or life-threatening condition that needs immediate evaluation in an emergency setting. These include:

  • Anaphylaxis (life-threatening allergic reaction)
  • Dehydration (severe and life-threatening loss of body fluids and electrolytes if left untreated)

Questions to diagnose the cause of dark circles in children

To diagnose the condition, the pediatrician will ask you a few questions about dark circles under a child’s eyes, including:

  • Got a cold or flu?
  • Has he started any new drugs recently?
  • Any known allergies?
  • Has your child been getting enough sleep lately?
  • Do you have dark circles in your family?

Dark circles under the eyes in children: Symptoms

Dark circles under the eyes may accompany other symptoms that vary depending on the underlying disease, disorder or condition.

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Allergy symptoms that may occur with dark circles

Other symptoms that affect the eyes, throat, and sinuses may be accompanied by dark circles, including:

  • Conjunctivitis (inflammation of the eye surface)
  • Evening fingers
  • difficulty breathing
  • hard of hearing
  • eye discharge
  • Headache
  • runny nose
  • nasal congestion
  • Throat ache

Other symptoms that may occur with dark circles

Dark circles under the eyes in children may accompany symptoms related to other body systems, including:

  • Diarrhea
  • burnout
  • Eczema (skin irritation)
  • Nausea and/or vomiting

Symptoms that may indicate a serious condition

In some cases, bruises under the eyes in children may occur along with other symptoms that may indicate a serious condition that should be evaluated immediately in an emergency setting. If your child has other serious symptoms besides dark circles, including:

  • blurred vision
  • Cough with clear, yellow, light brown, or green sputum
  • Persistent or prolonged cough
  • Nasal congestion with facial swelling
  • White patches in the throat or tonsils

Dark circles under the eyes in children: Treatment

Treatment of dark circles under the eyes in children largely depends on the cause. There are many treatment options for nasal congestion, from avoiding any known allergic cause to over-the-counter decongestants and antihistamines. Sometimes treatment is not necessary. If the problem is caused by a nutritional deficiency, supplements are a possible solution. However, it is not safe to give iron supplements to a child without the advice of a pediatrician. Blood tests can diagnose certain nutritional deficiencies so that the right treatment can be found. In non-emergency situations, dietary changes are preferred over supplements.

Dark circles under the eyes in children: Possible complications

Although the appearance of dark circles under the eyes is not a serious symptom in itself, sometimes the cause can be serious. Once the underlying cause has been diagnosed, it is important to follow the treatment plan your doctor has designed specifically for your child to reduce the risk of potential complications, including:

  • Anaphylaxis (life-threatening allergic reaction)
  • Developmental delays and developmental failure
  • Hearing loss
  • Spread of infection
  • vision loss

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