My child gets a lot of nosebleeds What should we do?
Your child is practically specific to have at least one nosebleed– and probably lots of– during these early years. Some preschoolers have several a week. This is neither abnormal nor unsafe, but it can be extremely frightening. If blood streams below the back of the nose into the mouth and throat, your child might swallow a great deal of it, which in turn might cause vomiting.
Causes of nosebleeds
There are lots of causes of nosebleeds, most of which aren’t serious. Beginning with the most common, they include:
- Colds and allergic reactions: A cold or allergic reaction causes swelling and irritation inside the nose and might result in spontaneous bleeding.
- Trauma: A child can get a nosebleed from picking his nose, or putting something into it, or simply blowing it too hard. A nosebleed also can occur if he is hit in the nose by a ball or other item or falls and strikes his nose.
- Low humidity or irritating fumes: If your house is extremely dry, or if you live in a dry environment, the lining of your child’s nose might dry, making it most likely to bleed. If he is frequently exposed to hazardous fumes (thankfully, an unusual incident), they may cause nosebleeds, too.
- Physiological issues: Any abnormal structure inside the nose can cause crusting and bleeding.
- Abnormal growths: Any abnormal tissue growing in the nose may cause bleeding. Although most of these growths (normally polyps) are benign (not malignant), they still ought to be dealt with quickly.
- Abnormal blood clot: Anything that hinders blood clotting can cause nosebleeds. Medications, even common ones like aspirin, can change the blood-clotting system just enough to cause bleeding. Blood diseases, such as hemophilia, likewise can provoke nosebleeds.
- Chronic illness: Any child with a long-term disease, or who might need extra oxygen or other medication that can dry or affect the lining of the nose, is most likely to have nosebleeds.
There are many mistaken beliefs and folktales about how to treat nosebleeds. Here’s a list of dos and do n’ts.
- Remain calm. A nosebleed can be frightening, but is hardly ever severe.
- Keep your child in a sitting or standing position. Tilt his head slightly forward. Have him carefully blow his nose if he is old enough.
- Pinch the lower half of your child’s nose (the pulp) in between your thumb and finger and hold it securely for a full 10 minutes. If your child is old enough, he can do this himself. Do not launch the nose during this time to see if it is still bleeding.
- Release the pressure after 10 minutes and wait, keeping your child quiet. If the bleeding hasn’t stopped, repeat this action. If after 10 more minutes of pressure the bleeding hasn’t stopped, call your pediatrician or go to the closest emergency department.
Do not …
- Panic. You’ll just frighten your child.
- Have him lie down or tilt back his head.
- Things tissues, gauze, or any other product into your child’s nose to stop the bleeding.
Likewise call your pediatrician if:
- You think your child may have lost excessive blood. (But bear in mind that the blood coming from the nose constantly looks like a lot.)
- The bleeding is coming only from your child’s mouth, or he’s coughing or vomiting blood or brown product that looks like coffee grounds.
- Your child is unusually pale or sweaty, or is not responsive. Call your pediatrician instantly in this case, and arrange to take your child to the emergency room.
- He has a lot of nosebleeds, together with a chronically stuffy nose. This may imply he has a small, quickly broken blood vessel in the nose or on the surface area of the lining of the nose, or a growth in the nasal passages.
If a blood vessel is triggering the issue, the doctor may touch that point with a chemical compound (silver nitrate) to stop the bleeding.
If your child gets a great deal of nosebleeds, ask your pediatrician about utilizing saltwater (saline) nose drops every day. Doing so might be especially useful if you live in a really dry environment, or when the heating system is on. In addition, a humidifier or vaporizer will assist keep your home’s humidity at a level high enough to avoid nasal drying. Likewise tell your child not to select his nose.