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Nasal bleeding in children with many causes worries parents. Acıbadem Bakırköy Hospital Otorhinolaryngology Specialist Naser Dadaşzade says that if there is a small but large amount of nosebleeds during the day, a doctor should be consulted.
What are the causes of nosebleeds in children?
? Bleeding caused by insertion of finger or foreign body into the nose
? Upper respiratory tract infections (sinusitis, influenza infections)
? Allergic rhinitis (may cause bleeding by irritating the intranasal mucosa)
? Hypertension (rarely seen in children)
? Excessive bleeding may occur during exercise.
? Trauma, fall and multiplication
? Blood diseases, blood platelets, leukemia, coagulation hormone deficiency
? Nasal veins problems, masses
How many times a day bleeding intensity should be consulted to the doctor?
It is important that nosebleeds occur when there is no infection or cause. Infections need treatment. It is not urgent if you have frequent but little bleeding; but small but intense bleeding may require intervention.
What tests are required when bleeding occurs?
Testing for the first time of simple capillary bleeding may not be necessary. In case of excessive bleeding, bleeding and clotting factors, blood count is sufficient.
What is done for diagnosis other than blood tests?
Intra-nasal examination is the best method. Radiological examinations other than blood tests may help, especially if there is a history of trauma. Sometimes a systemic disease is investigated if there is bruising of the limbs in the family or patient's history.
What are the options for bleeding treatment?
Bleeding from two wings can be controlled by first creating pressure on the nose with the finger. Cauterization of capillary bleeding (burning with silver nitrate stick or using electrocautery in advanced stages) is sufficient. Sometimes intranasal tampons can be used for bleeding control. These pads are soft spongy pads that can no longer hurt and can be breathed at the same time.
How long is the treatment?
Treatment depends on the cause. Incineration ends in a few minutes. Buffer is also not a time-consuming treatment. Buffers can be kept for 2-3 days and in severe cases for up to 7 days. In these cases, antibiotic support is essential. The patient is advised to avoid blowing and applying pressure to the nose (during sneezing).
What should I do in terms of first aid when bleeding occurs?
? The first thing to do is to be calm.
? If you panic, many things you might not be able to think of.
? The head is slightly tilted forward and the two nose wings are pressed with two fingers.
? After three to four minutes, the nose is cleaned with gentle cleaning using cold water in the sink.
? Clots formed in the nose are removed. (Clots remaining in the nose will continue to bleed.)
? If the bleeding continues, press the nose again and consult a doctor.