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Nosebleed In Children

WHAT YOU NEED TO KNOW:

A nosebleed, or epistaxis, occurs when one or more of the blood vessels in your child's nose break. He may have dark or bright red blood from one or both nostrils. A nosebleed is most commonly caused by a foreign object stuck in your child's nose, or from your child picking his nose.

DISCHARGE INSTRUCTIONS:

Return to the emergency department if:

  • Your child's nose is still bleeding after 20 minutes, even after you pinch it.
  • Your child has trouble breathing or talking.
  • Your child has a foul-smelling discharge coming out of his nose.
  • Your child says he is dizzy or weak, or has trouble standing up.

Contact your child's healthcare provider if:

  • Your child has a fever and is vomiting.
  • Your child has pain in and around his nose.
  • You have questions or concerns about your child's condition or care.

First aid:

  • Have your child sit up and lean forward. This will help prevent him from swallowing blood. Have him spit blood and saliva into a bowl.
  • Apply pressure to your child's nose. Use 2 fingers to pinch his nose shut for 10 to 15 minutes. This will help stop the bleeding. Encourage him to breathe through his mouth.
  • Apply ice on the bridge of your child's nose to decrease swelling and bleeding. Use a cold pack or put crushed ice in a plastic bag. Cover it with a towel to protect your child's skin.
  • Gently pack your child's nose with a cotton ball, tissue, tampon, or gauze bandage to stop the bleeding.

Medicines:

  • Medicines may be applied to a small piece of cotton and placed in your child's nose. Medicine may also be sprayed in or applied directly to your child's nose.
  • Give your child's medicine as directed. Call your child's healthcare provider if you think the medicine is not working as expected. Tell him if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.

Prevent another nosebleed:

  • Keep your child's nose moist. Put a small amount of petroleum jelly inside your child's nostrils as needed. Use a saline (saltwater) nasal spray. Do not put anything else inside your child's nose unless his healthcare provider says it is okay.
  • Use a cool mist humidifier to increase air moisture in your home. This will help your child's nose stay moist.
  • Remind your child to not pick or blow his nose too hard. Keep your child's nails trimmed short to decrease trauma from nose picking. He can irritate or damage his nose if he picks it. Blowing his nose too hard may cause the bleeding to start again.
  • Have your child wear appropriate, protective gear when he plays sports. This will help protect his nose from trauma.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

© 2015 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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