Periorbital cellulitis - please help!

[Iflippinghateplaydoh]

Ds (3yo) went to bed Friday night with a very slightly swollen eye.
Saturday morning-completely swollen. No pain just wouldn't open.
Out of hours gp gave eyedrops for conjunctivitis whilst telling me "I'm not sure that it is conjunctivitis"
Today (Sunday) ds wakes up crying. His eye is purple, swollen, closed over and he is saying his head is hurting and temp of 40. Call 111. Sent to out of hours who immediately sends us to a&e. All rushed through very fast and within 20 mins we are up on a ward he has numbing cream on his hand ready for iv antibiotics. Doctor goes off and speaks to consultant and between them decide they think it is periorbital cellulitis and not orbital and give oral antibiotics 3x a day for 10 days. We were under strict instructions return straight to the ward if we have any concerns that things are worsening or not improving fast enough just call ahead first.
We left hospital at 1pm and ds has slept since then. He won't eat (hasn't since tea yesterday) and just keeps crying saying his head is hurting. He's had 2 doses of antibiotics and his temperature has been 38.3 at lowest all day despite regular Calpol and Nurofen.
I am worried so I called the ward and she completely shot me down, saying that I've allowed no time for medicine to kick in yet. I'm also worried about the diagnosis being wrong as everything I've read (I know, I know) says that periorbital comes from a cut or a bite etc but ds had absolutely no signs of anything like that. He's had a cough and a snotty nose for a couple of days prior.
Would you go back tomorrow or should I allow longer for the meds to work? The eye DOES look less swollen tonight as in he is able to open a couple of mm, but it's the lethargy, temperature (currently 39) and the lack of appetite that are making me worry.

So much better tonight!

The upset tummy is probably due to the antibiotics. It might be an idea to get him a probiotic drink.

Aw bless him, it does look better. Hope he continues to make good progress.
He’s a very cute little boy. :)

Oh I feel so sorry for him. I’ve had periorbital cellulitis twice, both caused by a blocked tear duct, and it looked and felt like someone had taken a baseball bat to the side of my face. Hope he continues to improve. The antibiotics are horrible and that’s what will be upsetting his stomach.

My little one had a very similar eye a couple of years ago. He was well in himself at the time. It was never diagnosed officially as periorbitsl cellulitis as far as I know (DH took him.......) basically we went to gp who phoned eye dept at hospital. Appt for next day.
Gp treated with Coamiclav and eye drops.
The swelling went down quickly and after a few hours it was similar to your 2nd picture.

We had a 4 week open discharge i think. Basically got told if any change and swelling got worse to return to hospital straight away.
And if it was out of hours / weekend don’t even bother with local A&E.

We are Midlands also and City Hospital in B’ham have a very good Eye Dept. It’s where we would have went if needed.
Thankfully he made a very good recovery.

Hope your boy is recovering well. I can PM you some pics if it helps to show you the eyes.

We also had been at gP’s a few times. 1st it was treated as Conjuctivitis even though she wasn’t sure that’s what it was. Both eyes were puffy though but no discharge.
Next day slightly worse and different GP gave Piriton.
Next day severely swollen.

He had puffy eyes a few months later and the out of hours dr could not believe that he had not been admitted when i showed him the pic. We ended up with another dose of coamiclav that time too.