Headache with red marks or bruising appearing between the eyebrows after pinching—what could be causing this, and what should I do?

Generally, headaches accompanied by bruising or red marks between the eyebrows may result from excessive pressure, mental stress, tension-type headaches, sinusitis, hypertension, and other causes. Depending on the specific situation, improvements can be made through daily self-care, medication, or other treatments. Detailed analysis is as follows:

1. Excessive Pressure

The skin between the eyebrows is thin and rich in capillaries. Applying strong pressure during a headache can easily rupture blood vessels, leading to bruising. Discontinue pressing this area; apply a cold towel to reduce swelling initially, then switch to a warm compress after 48 hours to help resolve the bruise.

2. Mental Stress and High Stress Levels

Chronic mental strain keeps the nervous system overactive, causing abnormal blood vessel constriction that triggers headaches. Pressing the area during emotional excitement increases the likelihood of bruising. Maintain a regular sleep schedule, avoid staying up late, and use deep breathing or meditation to relax the mind and body. Engage in light physical activities such as walking to relieve stress.

3. Tension-Type Headache

Prolonged muscle tension in the head and neck pulls on nerves, causing a dull, bilateral headache. Pressing between the eyebrows may worsen discomfort and lead to bruising. Under medical guidance, medications such as acetaminophen tablets, ibuprofen sustained-release capsules, or naproxen tablets may be taken. Combining treatment with head massage can help relax muscles.

4. Sinusitis

Inflammation and infection of the nasal mucosa cause mucus buildup and blockage in the sinuses, resulting in facial pressure and pain. Inflamed areas become sensitive, making bruising more likely when pressed. Follow a doctor’s advice to take amoxicillin-clavulanate potassium tablets, cefuroxime axetil tablets, or mometasone furoate nasal spray, and rinse the nasal cavity with saline solution.

5. Hypertension

Sudden increases in blood pressure cause cerebral blood vessels to dilate, leading to a throbbing headache. With reduced vascular elasticity, pressing between the eyebrows may cause blood vessels to rupture and bleed. Under medical supervision, take medications such as amlodipine besylate tablets, valsartan capsules, or irbesartan tablets. Monitor blood pressure regularly and maintain a low-sodium diet.

In daily life, learn to manage emotions and avoid excessive pressure on facial skin. Maintain a regular routine and healthy diet to reduce triggers for headaches. If headaches occur frequently or blood pressure remains consistently high, seek timely medical evaluation to identify the underlying cause and receive appropriate treatment.