How to deal with nosebleeds in children?

The nose is prone to bleeding and its anatomical structure, there are many blood vessels in the mucosa on both sides of the nasal septum, especially in the lower part of the front where there are 4 branches of large blood vessels intertwined, forming a “bleeding zone”. What’s going on?

The main causes of nasal bleeding in children are: When the nasal mucosa is dry, capillary expansion, nasal inflammation or stimulation, nasal bleeding can easily occur, such as various rhinitis, sinusitis, nasal tuberculosis, nasal syphilis, nasal trauma, nasal septal deviation, nasal foreign body or nasal tumor. Poor climatic conditions, such as dry air, heat, low air pressure, cold, high room temperature, etc., can cause rhinorrhea.

Some children have the bad habit of picking their nostrils with their hands, and it is easy to bleed from the nose when the nasal mucosa is dry. Bad habits such as picky eating, partial eating and not eating green vegetables can also cause nosebleeds due to vitamin deficiency. External injuries are one of the main causes of nosebleeds in children. Children who are active and naughty and accidentally hit hard objects may have nosebleeds, and children should be taught not to dig their nostrils at will, which may cause damage to the nasal mucosa and lead to nosebleeds. Nasal mucous membrane erosion, nasal septum deviation, etc., which is the most common cause, it is recommended to go to the ENT department for examination to confirm the diagnosis.

Decreased platelets in the blood, it is recommended to check the blood count, which may be a complication of other diseases, and parents should not treat it as a trivial matter. Meanwhile, certain systemic diseases such as fever, hypertension, arteriosclerosis, leukemia, thrombocytopenic purpura, aplastic anemia, etc. can also cause nosebleeds.

Second, baby nosebleeds, parents should not panic too much, can take the following measures to deal with: 1, cold compress A small amount of blood dripping, parents can use an ice pack or wet towel cold compress forehead and neck, or gargle with cold water and ice water, so that vasoconstriction, reduce bleeding.

2, compression nasal method The specific operation is that parents use their thumb index finger to pinch both sides of the nose for about 10 to 15 minutes (if you determine which nostril bleeding can also be directly compressed bleeding nostril). Many parents first think of blocking with tissue paper, in fact, tissue paper pressure is usually not enough to achieve the effect of stopping bleeding, and tissue paper is not sterilized and can easily induce infection. While compressing the nostril, take a sitting position and tilt your head slightly forward and down so that you can spit out the blood from your mouth. Rather than having the child raise his or her head, as many parents do. Because when the child raises his head, the blood will be swallowed uncontrollably, stimulating the stomach and intestines causing nausea and vomiting, etc. Especially when the amount of bleeding is large, the possibility of accidental aspiration will also occur.

3. Prompt medical treatment If the nosebleed cannot be stopped after taking the above measures, or if the child’s bleeding is heavy and accompanied by pale face, cold sweat and rapid heart rate, he/she should be sent to hospital promptly. In addition, if your child has repeated nosebleeds, you should also go to the hospital for examination to see if there is rhinitis, nasal foreign body, nasal nasopharyngeal tumor or blood disease.

Third, after the occurrence of nosebleeds in babies, parents can do the following care measures after the relevant treatment: When a small amount of nasal bleeding occurs, you should take a sitting position, relax your whole body, press the outer wall of the bleeding nose with your fingers for 5 to 10 minutes (using the nasal wing to press the bleeding-prone area) and breathe through your mouth. The head should not be tilted back, and the blood in the mouth should be spit out. Apply cold towels to the forehead and sides of the neck to constrict the small blood vessels in the nose to stop the bleeding. If available, fill the nasal cavity with clean gauze, cotton, etc. If you can dip some ephedrine, epinephrine or Yunnan Baiyao, the effect is better.

Frequent nasal bleeding or heavy bleeding should promptly seek medical attention and undergo a general examination to rule out other diseases. In addition, stop your child from picking his nose, let him drink more water and eat more fresh vegetables and fruits rich in vitamin K, E and C, such as celery, marjoram, lotus root and oranges.