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What causes red spots around the eyes after vomiting, and what should be done?

Nov 19, 2025 Source: Cainiu Health
Dr. Wang Lei
Introduction
In general, the appearance of red spots around the eyes after vomiting may be caused by periorbital capillary rupture, local skin irritation, allergic purpura, eczema, seborrheic dermatitis, or similar conditions. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a reputable hospital. Daily care should include maintaining cleanliness around the eyes and promptly cleaning up vomit. A light diet avoiding spicy and irritating foods is also advised.

Generally, the appearance of red spots around the eyes after vomiting may be caused by periorbital capillary rupture, local skin irritation, allergic purpura, eczema, seborrheic dermatitis, or other reasons. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a qualified hospital. Specific causes are analyzed as follows:

1. Periorbital Capillary Rupture

During vomiting, abdominal pressure rises sharply, transmitting to the head and face, which can cause fragile capillaries around the eyes to rupture and form pinpoint red spots. Discontinue severe vomiting, rest in bed, apply a cold towel gently to the eye area, and avoid rubbing the eyes forcefully.

2. Local Skin Irritation

Residual vomit around the eyes may irritate the skin, or excessive wiping force may damage the skin barrier, leading to redness. Clean the eye area promptly with lukewarm water, gently pat dry with a soft towel, and avoid using irritating skincare products.

3. Allergic Purpura

This condition involves immune system dysfunction causing small blood vessel inflammation; vomiting may trigger symptoms such as red spots around the eyes accompanied by purpura on the lower limbs. Under medical guidance, patients may take vitamin C tablets, rutin tablets, or prednisone acetate tablets, and should avoid known allergens.

4. Eczema

The skin around the eyes is naturally thin and vulnerable. Sweat or secretions may trigger inflammatory reactions, and vomiting can exacerbate local irritation, resulting in redness and oozing. Under medical supervision, hydrocortisone butyrate cream, tacrolimus ointment, or loratadine syrup may be used, while keeping the eye area dry.

5. Seborrheic Dermatitis

Excessive sebum production in the periorbital area combined with Malassezia infection can lead to inflammation. Delayed cleaning after vomiting may worsen symptoms, causing light red patches. Under medical guidance, ketoconazole cream, miconazole clobetasol cream, or levocetirizine hydrochloride tablets may be used, along with reducing intake of high-fat foods.

In daily life, maintain cleanliness around the eyes and promptly clean up vomit residues; eat a light diet avoiding spicy and irritating foods; maintain regular sleep patterns to strengthen overall health. If redness persists or is accompanied by abdominal pain or joint pain, seek immediate medical attention to identify the underlying cause.

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