“Nose Bleeds in Kids: Causes, Treatment & When to Worry!”

Nose Bleeds in Kids (Epistaxis)

In children, what is a nosebleed?

A nosebleed occurs when a ruptured blood vessel causes bleeding from the tissues inside the nose (nasal mucous membranes). Epistaxis is the technical term for nosebleed. In youngsters, the majority of nosebleeds happen in the front (anterior) area of the nose, near the nostrils. A large number of minute blood capillaries can be found in this region of the nose. These are simple to break. These nosebleeds are often harmless.

In youngsters, nosebleeds are less common in the back of the nose, next to the throat (posterior), than they are in the front. They may be more severe and result in significant blood loss.

A nosebleed might seem frightening, but it is typically not a significant issue. Children frequently get nosebleeds. In dry climates, they occur more frequently. Additionally, they occur more frequently during the winter. At that point, the interior of the nose might dry out, crack, and crust due to the dry heat in houses and other structures. Most kids get over nosebleeds during their adolescence.

Why does a youngster get a nosebleed?

There are several potential causes of nosebleeds. Some of the more frequent causes are:

Air that is dry

Picking the nose

Using excessive force while blowing one’s nose

harm to the nose

Allergies and colds

Things in the nose

Drugs

There isn’t always a clear cause for a nosebleed.

Which youngsters are prone to nosebleeds?

Children may be more susceptible to nosebleeds if they:

Live in a dry environment.

Choose their nose

Allergic

Has a cold

What are the signs of a nosebleed in a youngster?

Blood dripping or running from the nose is the primary sign of a nosebleed. Blood originates from just one nostril in the front (anterior) of the nose’s mucous membrane. Higher up in the nasal cavity, bleeding might originate from either nostril. It could be painless. Alternatively, the discomfort may originate from a wound or a painful tissue area inside the nose.

A nosebleed may have symptoms similar to those of other medical ailments. Make sure your kid visits their healthcare practitioner to get a diagnosis.

What method is used to determine whether a kid has a nosebleed?

The healthcare professional will inquire about your child’s symptoms and medical background. They could also inquire about any current wounds or mishaps. They will conduct a physical checkup on your youngster.

What should you do if your kid has a nosebleed?

Comfort your child and maintain their composure. Encourage your youngster to take regular breaths via their mouth.

To prevent your child from swallowing the blood, have them sit or stand up and lean their head forward. This also prevents blood from accumulating in the throat. Place a towel or cloth beneath their nose to soak up any blood. Don’t let your kid lie down or tilt their head back. Have your kid spit out the blood if they seem to be gulping it down or if there is a lot of it in their mouth. Vomiting can result from swallowing blood.

Never let your youngster put their head in between their knees. This may exacerbate bleeding.

Never put tissues or gauze in your child’s nose.

Instruct your child to softly blow their nose. Next, use your thumb and forefinger to compress the bottom third of the nose (the soft portion, not the bridge). It might be difficult for younger kids to learn how to blow their nose softly.

Keep pressing your child’s nose shut for five to ten minutes. Do not stop pinching to see whether the bleeding has stopped.

Repeat the aforementioned procedure by pressing the nose for 5 to 10 minutes without checking if the bleeding has stopped.

Additionally, you can apply a cold compress to the nose’s bony bridge. Cover the cool compresses with a little towel. Avoid applying them directly to the skin.

For two or three days after the bleeding has stopped, instruct your kid not to rub, scratch, or blow their nose. The damaged blood vessel will be able to heal as a result of this.

If the bleeding persists, call your child’s doctor or go to the emergency room or urgent care facility.

Take your youngster to the emergency room or see a doctor if their nose continues to bleed. A provider might sometimes use heat or a chemical to seal a blood vessel. This process is known as cauterization. As an alternative, the nose may be packed by the provider. Both operations are performed swiftly. Discuss the dangers, advantages, and potential adverse effects of all therapies with your child’s healthcare team.

What measures can I take to reduce the likelihood of my kid getting a nosebleed?

You may aid in preventing frequent nosebleeds in your youngster by doing the following:

Treating nasal allergies can help break the cycle of itching, picking, scraping, and bleeding. If your child frequently experiences nosebleeds due to allergies, speak with their healthcare professional. Prior to administering any over-the-counter medication to your child, especially for the first time, speak with their healthcare provider.

If the air in your house is dry, use a cold mist humidifier in your child’s room at night. To prevent the growth of germs and mold, routinely clean the humidifier.

Instruct your youngster to avoid blowing their nose or picking at it. The most frequent cause of nosebleeds is picking one’s nose.

Instruct your youngster not to put anything into their nose that isn’t their own.

To hydrate the interior of your child’s nose, your healthcare professional may recommend using a nasal saline spray, gel, or ointment. The majority of the time, this occurs during the winter. Use these on your youngster while adhering to all instructions. This therapy also aids in the defense of the nasal mucous membranes.

Use a saltwater (saline) nose spray or drop as instructed by your child’s doctor.

Never smoke or permit others to smoke in your house or near your kid.

Do not ever administer aspirin to your kid or teenager. It has the potential to induce Reye syndrome, a rare but life-threatening illness.

Significant

The best method for treating your child’s nosebleed will depend on their age, the reason of the nosebleed, or both, as determined by their healthcare professional. Never hesitate to call your healthcare provider if your youngster has a nosebleed.

What to do next?

Suggestions for making the most of a trip to your child’s healthcare practitioner:

Understand why you’re coming and what you hope to achieve.

Make a list of questions you want answered before your visit.

Record the name of any new diagnosis, medications, therapies, or tests during the appointment. Additionally, make a note of any new instructions your provider gives you regarding your child.

Understand the rationale behind a new prescription or treatment, as well as how it will benefit your youngster. Additionally, be aware of the negative effects.

Inquire about alternative treatment options for your child’s illness.

Know the rationale behind a suggested test or procedure and the possible implications of the findings.

Understand what will happen if your youngster refuses the medication, test, or treatment.

Write down the date, time, and reason for any follow-up appointments your child may have.

Be aware of how to reach your child’s healthcare professional outside of business hours, on holidays, and on weekends. This is especially helpful if your kid gets sick and you have any concerns or need suggestions.

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Important details concerning childhood nosebleeds

A nosebleed is bleeding from tissues within the nose (nasal mucous membranes) caused by a ruptured blood vessel.

Although a nosebleed may seem frightening, it is typically not a major issue. Children often get nosebleeds. Dry regions have a higher incidence rate. Additionally, they are more frequent during the winter months. At this point, the interior of the nose may become dry, cracked, and crusted as a result of the dry heat in homes and structures.

There are a variety of potential causes for nosebleeds, including allergies, medications, trauma, nose picking, and dry air. There is often no apparent reason for a nosebleed.

Have your kid sit up and lean forward. Never let your kid lie down or tilt their head back. This is to keep them from ingesting blood. If your child swallows blood, they may throw up.

For 5 to 10 minutes, pinch the nostrils shut. Don’t release the pinch to see if the bleeding has ceased.

If the air in your house is dry, use a cool mist humidifier in your child’s bedroom during the night. Instruct your kid to refrain from blowing their nose or picking it. To keep the interior of your child’s nose wet, particularly during the winter, your healthcare professional may suggest using a nasal saline spray, gel, or ointment. When using these on your child, follow all instructions.

Initial treatment for nosebleeds

Although nosebleeds are not painful, the sight and taste of blood during one may cause your child to feel extremely upset and anxious.

As crying will worsen the bleeding, try to soothe and reassure your kid, then follow these first aid recommendations:

• Put your youngster in a cozy upright position and lean a bit forward.
• With your fingers, squeeze the lower, softer portion of the nose and press the nostrils together (if your youngster is older, they can do this). For ten minutes, maintain the squeeze.
• To see if the bleeding has stopped, don’t keep taking your fingers away. It takes time for the blood to clot. When your kid is bored, reading a book might be a nice way to divert them. Keep a clock
• close at hand to make sure 10 minutes have passed.

Release the nose after 10 minutes and see if the bleeding has stopped. Squeeze the nostrils for another 10 minutes if the nosebleed persists.

Try the following in addition to pressing the nostrils:

• When your youngster is sitting on your lap, place a cold towel or covered ice pack on the back of their neck if they can handle it.
• Give your youngster a cold beverage or icy pole to help them cool down and get rid of the flavor of blood.
• If blood has dripped from your child’s nose into their mouth, encourage them to spit it out. Your youngster may throw up if they swallow blood, which can exacerbate or prolong the nosebleed.

When to consult a doctor

If the bleeding persists after attempting first aid, take your youngster to your GP or the emergency room of the closest hospital. The doctor will use a light to examine your child’s nose in order to determine the source of the bleeding blood vessel.

Following that, the physician may:

• Use a cream or lotion with a particular medication to reduce blood flow to the interior of your child’s nose.
• Employ cautery, a specific chemical that either freezes or burns the blood vessel to stop the bleeding (a procedure known as cauterization).
• Apply a dressing to your child’s nose. While the packing is in the nose, the doctor may also prescribe antibiotics to prevent a bacterial illness. Some youngsters who require nasal packing may occasionally be hospitalized overnight.

Your doctor may prescribe an antibiotic ointment to be administered to the inside of your child’s nose up to four times a day for around a week to treat any minor infection that may be there, provided that nasal packing is not necessary.

If your child has a severe nosebleed, they might need a blood test to determine how much blood they have lost.

If your youngster exhibits any of the following symptoms, bring them to the doctor:

• experience nosebleeds often for weeks at a time
• have a family history of bleeding problems, have pale skin, or have nosebleeds and bruises all over the body.

Your youngster may be sent to an ENT (ear, nose, and throat) expert.

Home treatment

Following a nosebleed:

• If the nosebleed wasn’t bad (you could treat it yourself with first aid), give your youngster a few hours to rest. If it was a serious nosebleed that required medical intervention, give yourself 12–24 hours to rest. Reading a book or drawing are examples of peaceful activities.
• For at least 24 hours, refrain from giving your youngster hot meals or beverages, as well as hot baths or showers.
• For 24 hours, instruct your youngster not to pick or blow their nose (and for a week if they have had their nose cauterized).
• The gauze will need to stay in place for 24 to 48 hours if your child’s nose has been packed. To get the gauze out and have your kid examined, you’ll have to bring them to the doctor. Don’t attempt to unpack the product yourself. There is no need to return to the emergency room or GP if it falls out on its own and the bleeding doesn’t recur.

In order to assist minimize future nosebleeds:

• Use a petroleum-based gel or ointment (such as Vaseline) to the nostrils twice daily for a week if your child’s nose is dry and cracked. Using a finger or cotton tip, gently massage the interior of the nose to accomplish this. Since children under the age of four are unlikely to sit still or cooperate, and their noses may be harmed, do not utilize this approach on them.
• To help your child avoid straining if they are experiencing constipation, either increase their fluid intake and fiber intake, or request a stool softener from your doctor or pharmacist. See our reality sheet, Constipation.

Important things to keep in mind

• Children frequently experience nosebleeds, which are often brought on by harmless behavior.
• A nosebleed rarely causes your kid any pain.
• A nosebleed is treated with first aid.
• A doctor may use nasal packing, cauterization, or an ointment to stop the bleeding from serious nosebleeds.

More Common Questions

Is it common for nosebleeds to cause blood clots?

Yes. Blood clots are masses of blood that develop in response to a damaged blood vessel. Blood clotting stops excessive bleeding when a blood vessel is injured. The blood will begin to clot as you pinch your nose to halt a nosebleed. Usually, it stays there until you either remove it or blow your nose softly.

Why do I experience nosebleeds so often?

You may be experiencing frequent nosebleeds for a variety of causes. They have the potential to impact either or both nostrils. The most frequent reasons include:

To treat allergy symptoms or a cold/congestion, you use nasal sprays often.
You reside in an area where the air is dry.
You inhale drugs through your nose.

It may be necessary to temporarily discontinue or cease using sprays. If you use these goods, speak with your healthcare provider.

A persistent nosebleed might indicate a bleeding issue or other more severe underlying illnesses in uncommon instances. See a doctor if you often experience nosebleeds.

Prabha ENT Clinic letter

A nosebleed, also known as epistaxis, is a widespread but annoying medical problem. You will be able to resume your previous activities in a matter of seconds if you learn the procedure for how to swiftly stop a nosebleed. In the majority of cases, epistaxis is not dangerous. However, if you experience them often or have a bleeding condition, you should consult your healthcare provider.

Prabha ENT Clinic care

The major care providers at Cleveland Clinic are available to provide medical treatment for the rest of your life. We are here for you, whether you have high blood pressure, a sinus infection, or need preventative screening.

In brief

Young children frequently get nosebleeds, which are rarely a reason for alarm. The bleeding can usually be treated at home by applying constant, light pressure to the soft area of the child’s nose for approximately 10 minutes.

If the kid seems dizzy, weak, or if they pass out, bring them to the emergency room. Additionally, if the bleeding is severe, doesn’t stop after 20 minutes, or happens after a fall or head trauma, it’s imperative to get medical help right away.

The majority of nosebleeds in youngsters are caused by dry air, nose picking, nasal allergies, or other causes that irritate the fragile blood vessels at the front of the nose.

If a kid has frequent nosebleeds or has just begun taking a new drug, the parent should see a physician or pediatrician.

DISCLAIMER-Some patients go to net and directly take treatment from there which can lead to catastrophic consequences-Then- Many people ask then why to read all this text -the reason is that it helps you to understand the pathology better ,you can cooperate with treatment better ,your treating physician is already busy with his patients and he does not have sufficient time to explain you all the things right from ABCD ,so it is always better to have some knowledge of the disease /disorder you are suffering from.