Nosebleed

Is this your child's symptom?

  • Bleeding from 1 or both nostrils

  • Not caused by an injury​

 

Causes of Nosebleeds

Nosebleeds are common because of the rich blood supply of the nose. Common causes include:

  • Spontaneous Nosebleed. Most nosebleeds start up without a known cause.

  • Rubbing. Rubbing or picking the nose is the most common known cause. It's hard to not touch or rub the nose.

  • Blowing. Blowing the nose too hard can cause a nose bleed.

  • Suctioning. Suctioning the nose can sometimes cause bleeding. This can happen if the suction tip is put in too far.

  • Sinus Infections. The main symptoms are lots of dry snot and a blocked nose. This leads to extra nose blowing and picking. The sinus infection is more often viral than bacterial.

  • Nose Allergies. The main symptom is a very itchy nose. This leads to extra rubbing and blowing.

  • Dry Air. Dryness of the nasal lining makes it more likely to bleed. In the winter, forced air heating often can dry out the nose.

  • Allergy Medicines. These help the nasal symptoms, but also dry out the nose.

  • Ibuprofen and Aspirin. These medicines increase the bleeding tendency. Aspirin is not used in children.

  • Bleeding Disorder (Serious). This means the blood platelets or clotting factors are missing or not working right. A bleeding disorder should be suspected if the nosebleed can't be stopped. Excessive bleeding from the gums or with minor cuts is also a clue. Bleeding disorders are a rare cause of frequent nosebleeds.

WHEN TO CALL FOR NOSEBLEED

Call 911 Now

  • Passed out (fainted) or too weak to stand

  • You think your child has a life-threatening emergency

Call Doctor Now or Go to ER

  • Nosebleed that won't stop after 10 minutes of squeezing the nose correctly

  • Large amount of blood has been lost

  • New skin bruises or bleeding gums not caused by an injury also present

  • High-risk child (such as with low platelets or other bleeding disorder)

  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • You think your child needs to be seen, but the problem is not urgent

 

Call Doctor During Office Hours

  • Age under 1 year old

  • New onset nosebleeds happen 3 or more times in a week

  • Hard-to-stop nosebleeds are a frequent problem

  • Easy bleeding is present in other family members

  • You have other questions or concerns

Self Care at Home

  • Mild nosebleed

Care Advice for Nosebleed

 

  1. What You Should Know About Nosebleeds:

    • Nosebleeds are common.

    • You should be able to stop the bleeding if you use the correct technique.

    • Here is some care advice that should help.

  2. Squeeze the Lower Nose:

    • Gently squeeze the soft parts of the lower nose together. Gently press them against the center wall for 10 minutes. This puts constant pressure on the bleeding point.

    • Use the thumb and index finger in a pinching manner.

    • If the bleeding continues, move your point of pressure.

    • Have your child sit up and breathe through the mouth during this procedure.

    • If rebleeds, use the same technique again.

  3. Put Gauze Into the Nose:

    • If pressure alone fails, use a piece of gauze. Wet it with a few drops of water. Another option is to put a little petroleum jelly (such as Vaseline) on it.

    • Insert the wet gauze into the side that is bleeding. Press again for 10 minutes. Reason it works: the gauze puts more pressure on the bleeding spot.

    • Special nose drops: if your child has lots of nose bleeds, buy some decongestant nose drops. An example is Afrin. No prescription is needed. Put 3 drops on the gauze and press. The nose drops also shrink the blood vessels in the nose.

    • Caution: don't use decongestant nose drops if your child is under 1 year of age.

    • If you don't have gauze, use a piece of paper towel.

    • Repeat the process of gently squeezing the lower soft parts of the nose. Do this for 10 minutes.

  4. Prevent Recurrent Nosebleeds:

    • If the air in your home is dry, use a humidifier to keep the nose from drying out.

    • Use a little petroleum jelly (such as Vaseline). Apply to the center wall of the nose. Do this twice a day to promote healing.

    • For nose blowing, blow gently.

    • For nose suctioning, don't put the suction tip very far inside. Also, move it gently.

    • Do not use aspirin and ibuprofen. Reason: Increases bleeding tendency.

  5. What to Expect:

    • Over 99% of nosebleeds will stop if you press on the right spot.

    • It may take 10 minutes of direct pressure.

    • After swallowing blood from a nosebleed, your child may vomit a little blood.

    • Your child may also pass a dark stool tomorrow from swallowed blood.

  6. Call Your Doctor If:

    • Can't stop bleeding with 10 minutes of direct pressure done correctly

    • You think your child needs to be seen

    • Your child becomes worse

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: This information is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

 

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