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Welcome, eCureMe.com medical contents search April 30, 2013
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Epistaxis

more about Epistaxis


Nosebleeds



  • Bleeding from the nose
  • It is common in childhood.

  • Bleeding from one nostril or occasionally from both
  • Child may vomit blood or blood may appear in stool when child swallows  blood from a nosebleed.

  • Picking nose
  • Foreign body in nose
  • Vigorous nose blowing
  • Broken nose
  • Barotrauma
  • It can be associated with Upper Respiratory Infection, Sinusitis, Allergic Rhinitis, adenoid hypertrophy, or polyps.
  • Chemical irritants
  • Congenital vascular abnormalities such as telangiectasias, varicosities
  • Thrombocytopenia
  • Deficiency of clotting factors
  • Hypertension
  • Renal failure

  • Most stop without treatment.
  • Keep the head tilted forward.
  • Compress the soft portion of the nose.
  • Apply ice on the bridge of the nose
  • Local application of Neosynephrine
  • Nasal packing if bleeding persists
  • Cautery with silver nitrate
  • Blood transfusion when severe bleeding

  • Otolaryngologic evaluation is necessary if your child has bilateral nose bleeding.




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