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Epistaxis
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- Bleeding from the nose
- It is common in childhood.
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- 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.
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- 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
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- 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
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Otolaryngologic evaluation is necessary if your child has bilateral nose bleeding.
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