With the right self-care, most nosebleeds will stop on their own. When a child’s nose bleeds, ask him to sit up, lean forward and pinch the lower soft portion of the nostrils together for 5 to 10 minutes, and breathe through the mouth.
An ice pack can be placed across the nose-bridge and forehead or the cheek to allow for reflex constriction of the tiny blood vessels. The majority of nose bleeding stops during this time. If bleeding starts again, compression can be applied for another 10 minutes.
Sitting upright keeps the nose higher than the heart, and reduces the flow of blood to the bleeding site. Leaning forward prevents your child from swallowing blood that could result in vomiting and other uncomfortable symptoms.
You should seek emergency medical care if your child’s nosebleed:
If your child’s nose bleeds only once in a few months it is not likely to be of serious concern. However, if it is a regular occurrence i.e. 4 to 5 times a month, your child should be reviewed by a specialist to rule out rarer causes of nosebleeds.
The ENT surgeon can check the nose for growths or abnormal blood vessel formations. Another explanation for one-sided nosebleeds or odorous nasal discharge in a child is the presence of a foreign body. When examining children with frequent unexplained nosebleeds, ENT surgeons often discover beads, rubber erasers or toys lodged deep in the nose.
A humidifier can be used to reduce the drying caused by air-conditioning as it may not be practical to avoid sleeping in an air-conditioned room in Singapore’s warm equatorial climate.
Advise your child against frequent nose-picking to prevent trauma to the affected area.
If all these measures fail, consult an ENT surgeon who may cauterise (seal off ) the affected area with diathermy (a procedure using an electric current, usually done under general anaesthesia).
If the child refrains from nose-picking and other predisposing factors are removed, this procedure usually allows for 6 months to a year of relief from symptoms.
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