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Nosebleeds Among Children

First Aid and CPR courses for parents/carers of babies and children. Taught by experienced paediatric nurses and paramedics at your home in the Sydney area: http://www.cprkids.com.au Sarah Hunstead; Paediatric Nurse, Director of CPR KiDS and mother of 2 brings you CPR KiDS TV. Sarah presents an informative clip on baby and child safety.

Nosebleeds among children aged form 3 to 8 years is a frequent phenomenon, which, in most cases, is not harmful to the child's health. In this age, a rapidly growing body cannot cope with the volume of blood and vessels become brittle and nosebleeds may start suddenly, for no apparent reason. Typically, it is not difficult to stop such bleeding. In average blood stops for 10 - 20 minutes. But there are times when the bleeding cannot be stopped by parents and teachers on their own. The state of the sick child is dangerous and you have to call for medical assistance. The reasons for such bleeding can be very different, but the consequences are very serious.

Nosebleeds Among Children

Causes of nosebleeds among children

The most common cause of nosebleeds among children is damage of blood vessels, which are located on the nasal mucosa. Typically, vascular integrity may be disturbed by the influence of the following factors:

  • Bruise or injury of the nose.
  • Damage to the internal structures of the nasal cavity, for example, by a child picking his or her nose or some object stuck in it.
  • Too dry air in a room because of heaters.
  • Nasal bleeding after surgical procedures such as adenoidectomy.
  • Diseases of the nasal mucosa. For example, sinusitis, rhinitis.
  • Neoplastic processes in the nasal cavity.
  • Diseases of the heart and blood vessels, such as hypertension, heart disease.
  • Blood disease in which the blood coagulation process breaks, for example, hemophilia.
  • Lack of vitamin K and S.
  • Viral diseases especially influenza.
  • Liver diseases such as hepatitis.
  • Very high body temperature.
  • Heat stroke.
  • Excessive physical stress.
  • Fluctuations in atmospheric pressure.
  • Hormonal changes, such as the ones that occur in adolescence.

How to recognize the risk of bleeding and call ambulance

The most important point is that if the children have epistaxis, it is essential to understand that you will not be able to stop blood on your own and you need to seek for qualified help. Dangerous for children's health nosebleeds can be identified by the following signs:

  1. Despite all attempts to stop the bleeding, it does not stop for 20 minutes.
  2. After a head or nose injury, nosebleed is very intense or impurities in the blood have a clear liquid.
  3. The child has high blood pressure, diabetes or a bleeding disorder.
  4. The child is constantly taking medications that thin the blood, such as ibuprofen, heparin, aspirin.
  5. Along with bleeding there appear bloody vomit and blood foams.
  6. The child lost consciousness.

First aid for nosebleeds

If the child has nosebleeds that has began suddenly, make sure to proceed as follows:

  • Make sure the child is in the position so that his head is slightly above the body. Under any circumstances, do not put your child horizontally, as the bleeding will be more intense due to a rush of blood to the head. At the same time, the blood will flow down the back wall of the nasopharynx and the child can drown.
  • Child should sit in a semi reclining position with head slightly bent forward.
  • Never ask a child to blow his or her nose.
  • Put a cold wet towel or an ice pack on the nose bridge.
  • If there is a handy vasoconstrictor nose drops, you can drip the nose.
  • Pinch the nose with your fingers for 10 minutes.
  • If after ten minutes the bleeding continues, you can enter cotton swab moistened with 3% hydrogen peroxide into the nasal passages and pinch the nostrils in slightly above the tampons. Hold the nose for at least 15 minutes.

As a rule, these manipulations are enough to stop nosebleeds. Once the blood stops, it is essential to show the child to a doctor so that he has would be able to identify the cause of bleeding.

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