Nosebleeds In Children

In children and adolescents, nosebleeds can occur even without an accident or identifiable cause. Nosebleeds often occur in the course of strong growth spurts, e.g. during puberty. However, it can also be the result of a fall, blow, or illness.
If your child has stuck a foreign body, such as a pea, a peanut, a pearl, or a small button in the nose, the nasal mucosa may now be injured and bleeding. However, you should not remove this foreign body yourself. The ENT doctor has special instruments for the removal of foreign bodies.

Here Are The Most Important Things To Look For When Your Child Has A Nosebleed

  • You should definitely stay calm and reassure your child, your child should bend his head slightly forward. Do not put the head in the neck! The blood may run down the throat and your child may choke on it or it may cause nausea and vomiting.
  • Keep your child’s head straight and cool the nose with wet tissues.
  • You should definitely not put absorbent cotton, gauze, or anything like that in your child’s nose. When removing the absorbent cotton, they can tear the wound open again that way. Besides, it is always better if the blood can flow outside.
  • Put a cold damp cloth on the back of your child’s neck. The cold will cause the blood vessels to constrict.
  • To make the bleeding subside faster, you or your child should squeeze the upper part of the nostrils. After 10 min. the bleeding should have stopped.
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Attention: You should not touch a broken nose!

  • If the bleeding is very heavy, you can put your child on the stomach, the head should be on folded arms with the forehead.

If the bleeding can not be stopped or there are other injuries, drive to the nearest pediatrician/hospital or dial 911.

Causes Of Nosebleeds

When a fine vessel in the highly perfused nasal mucosa is injured, nosebleeds occur. In the so-called locus Kießelbachi, the front part of the nose, several of the small blood vessels meet at once, for this reason, 90% of the bleedings occur here. However, bleeding in the front part of the nose is almost always harmless.
The causes of nosebleeds are local, they are located in the area of the nose or the paranasal sinuses, or they are systemic, for example as a symptom of a disease, as a concomitant of taking medication, or a physical development phase.

Local Causes Of Nosebleeds

All it often takes to cause the very delicate vessels of the nose to rupture is vigorous nose blowing or nose picking. If the nasal mucosa is pre-damaged, nosebleeds are highly favored. Pre-damage, such as a dry and irritated mucous membrane, can be caused by overheated rooms in winter, air conditioning in summer or allergies such as hay fever.
Decongestants such as nasal sprays can also cause irritation and nosebleeds, so for the sake of the nasal mucosa, they should only be used for a short time. If the nasal mucosa is very badly damaged, bleeding can also occur apparently without any reason.

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Nosebleeds can also be triggered by external factors such as a blow or a fall. In this case, the nosebleed is independent of whether the nasal bone is broken or there is no fracture.
Small cracks in the nasal septum or accumulation of pus, are changes in the nasal septum and can lead to heavy or even weak bleeding. In rare cases, repeated nosebleeds must be clarified to determine whether a benign or malignant tumor in the nasal cavity or paranasal sinus is the cause.

Systemic Causes Of Nosebleeds

Sometimes nosebleeds can also occur as accompanying symptoms or as a forewarning of a more serious illness. For this reason, you should take your child to the ENT doctor if nosebleeds are frequent and unexplained.
Systemic triggers for nosebleeds include, above all, vascular and circulatory diseases such as high blood pressure and arteriosclerosis, and kidney diseases. However, febrile infections such as influenza or measles also lead to increased blood flow to the mucous membranes and thus more frequent nosebleeds.

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This Is How You Can Prevent Nosebleeds In Your Child

  • You can keep the mucous membranes moist with special sprays, ointments, or rinses.
  • In the apartment, the humidity can be increased with a humidifier.
  • It may take 2 weeks for the wound to heal. So you should make sure that your child does not pick his or her nose or blowhard, especially during this time.

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