Patient: 5 year old child recently had two nosebleeds at night in bed. Is this related to the recent trauma to the child’s nose (which has bled)? He also had nosebleeds in his sleep before the trauma.
The first hospital in Quanzhou City, otorhinolaryngology Lin Weinian: children’s nasal bleeding is a common disease, common causes 1, rhinitis, nasal itching often rub the nose and cause nasal mucosa erosion bleeding, 2, nasal crust often pick the nose, can also cause nasal mucosa erosion, 3, nasal foreign body, the disease will have nasal odor, 4, nasal tumors such as: hemangioma, the disease bleeding.
5, the local manifestations of other systemic diseases. The first of these is the most common, the fifth most dangerous, plus come in a dry climate, dry nasal mucosa is more likely to bleed, as for the night bleeding, this is a feature of the human body, the night vagus nerve excitement, vasodilation and caused by, pain and other human sensations are also more sensitive at night. It is recommended to go to the hospital for a checkup. You can check the blood routine, exclude the fifth, specialist examination of the nose, to see if there is nasal mucosa erosion. If so, you can apply some localized ointment of gentamycin and give some rhinitis medication if you have rhinitis.
Patient: My son has recently been examined for sinusitis and has been drinking Chinese medicine. My son seems to have nosebleeds 2-3 times a year during this season, is it weather related? What do I need to pay attention to or eat to prevent it during the week? I’m afraid it’s related to the fact that my child’s nose was traumatized and bled due to a recent car accident.
The first hospital in Quanzhou City, otolaryngology Lin Weinian: Yes, because the inflammation itself and nasal discomfort and rubbing the nose, can cause nasal mucosa erosion and thus bleeding, coupled with the relationship of the season, should be unrelated to trauma or trauma only aggravated the damage to the nasal mucosa, treatment of the original disease – sinusitis is the most important, single consumption of Chinese medicine is not enough, or to the regular specialist physician is better, usually about 2 times to solve.
Patient: My son was recently examined by brain CT after a car accident, and bilateral mucosal thickening of maxillary sinus was detected. Presenting symptoms: nasal congestion, no cold, and sputum in the lungs. Diagnostic opinion: paranasal sinusitis. When you say about 2 times to solve, do you take western medicine or do surgical treatment?
Lin Weinian, Department of Otolaryngology, Quanzhou First Hospital: It means taking medicine, it is recommended to take paracetamol 2mg, cefaclor 0.125, nasal origin and orifice granules half pack all 3 times.