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February 10, 2012

Subconjunctival Hemorrhage

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What is a subconjunctival hemorrhage?

The conjunctiva is a clear tissue that covers the white of the eye (the sclera) and lines the inside of both eyelids. A subconjunctival hemorrhage is blood that is located between the conjunctiva and the underlying sclera.

What causes a subconjunctival hemorrhage?

The conjunctiva contains nerves and many small blood vessels. These blood vessels are usually barely visible but become larger and more visible if the eye is inflamed. These blood vessels are somewhat fragile and their walls may break easily, resulting in a subconjunctival hemorrhage (bleeding under the conjunctiva). A subconjunctival hemorrhage appears as a bright red or dark red patch on the sclera. Most subconjunctival hemorrhages are spontaneous without an obvious cause for the bleeding from normal conjunctival blood vessels. Since most subconjunctival hemorrhages are painless, a person may discover a subconjunctival hemorrhage only by looking in the mirror. Many spontaneous subconjunctival hemorrhages are first noticed by another person seeing a red spot on the white of your eye. Rarely there may be an abnormally large or angulated blood vessel as the source of the hemorrhage.

The following can occasionally result in a spontaneous subconjunctival hemorrhage:

  • Sneezing


  • Coughing


  • Straining/vomiting


  • Increasing the pressure in the veins of the head, as in weight lifting


  • Eye rubbing or inserting contact lenses


  • Certain infections of the outside of the eye (conjunctivitis) where a virus or a bacteria weaken the walls of small blood vessels under the conjunctiva


  • Medical disorder causing bleeding or inhibiting normal clotting.

Subconjunctival hemorrhage can also be non-spontaneous and result from a severe eye infection, trauma to the head or eye or after eye or eyelid surgery.



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Symptom Checker: Your Guide to Symptoms & Signs: Pinpoint Your Pain


Subconjunctival Hemorrhage

Introduction to nausea and vomiting

Nausea and vomiting are symptoms of an underlying disease and not a specific illness. Nausea is the sensation that the stomach wants to empty itself, while vomiting (emesis) or throwing up, is the act of forcible emptying of the stomach.

Vomiting is a violent act in which the stomach has to overcome the pressures that are normally in place to keep food and secretions within the stomach. The stomach almost turns itself inside out - forcing itself into the lower portion of the esophagus (the tube that connects the mouth to the stomach) during a vomiting episode.

What causes nausea or vomiting?

There are numerous causes of nausea and vomiting. These symptoms may be due to the following:

  • acute gastritis
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