Does the child have nasal bleeding? When they should worry and what to do. ENT doctor: “When the child flows from his nose, he should not lie on his back with his hands up. Such measures can aggravate the situation.”

An episode of nasal bleeding may seem scary for a parent. But such episodes are common, especially if the air in a room is dry. Most of the time, these nasal bleeding is not a serious problem and end up no longer a problem in adolescence. However, there are situations – even if rare – in which nasal bleeding are the signs of serious diseases that need to be investigated. Dr. Armand Agache, ENT primary physician, explains what it is.

The medical term for nasal bleeding is epistaxis. Most of the episodes of this kind in children take place in the anterior part of the nose, near the nostrils, following the breaking of a blood vessel or more, from the level of the nasal mucosa, according to Johns Hopkins Medicine.

“Most nasal bleeding in children, practically, for anatomical reasons. At the nose, at about a centimeter of the nasal vestibule, on both sides of the nasal septum there is an extremely well -vascularized area. It is called the Kiesselbach vascular stain that we all have. Bleeding, ”explains Dr. Armand Agache, ENT primary physician.

Obviously, being positioned near the entrance to the nose, the area is also very exposed, adds the specialist: “and it can happen to hit a little at the nose and to appear bleeding. We are not talking about the fingers entered where you should not.”

The most common reasons why nasal bleeding occurs in children are dry air, nasal hollowing, nose too hard, nose injury, colds, allergies, objects inserted into the nose and medicines. In many situations, however, no cause is identified for nasal bleeding.

Alert if it happens frequently

Other nasal bleeding in children may occur in an inflammatory context, points out the ENT doctor. A sinusitis, for example. “There may be causes related to vascular, hematological, hepatic, cardiovascular or endocrine diseases. So there are many other situations. When the child comes to an ENT consultation and a minor cause of nasal bleeding, then, of course, the child should be investigated seriously, together with the pediatric doctor, with the laboratory,” Armand Agache.

The frequency with which the episodes of nasal bleeding are repeated is an alarm criterion. “If a child has nasal bleeding every few days or even a few times a month, but they are insignificant, they stop quickly, then it is not a problem. Because it is clear that in the middle it is a matter related to a certain event or behavior of the child. But when the situation becomes frequent and the amount of blood is high – for example, there is a great time – for example, for example,

right Mayo Clinicshould be asked for emergency aid if nasal bleeding involves a greater amount of blood; It takes more than 30 minutes; They appear dizziness or if they are the result of an accident.

How to manage a bleeding episode

When the child flows from his nose, he should not lie on his back with his hands up, draws the ENT doctor to the correct behavior in such situations. “Not only are such measures help, but they can really aggravate the situation. Because when someone bleeds and is lying, obviously, it will begin to have blood in the oral cavity and that will disturb it. It will start to cough, to icked and, practically, the pressure in the cephalic area, which aggravates the bleeding.”

What to do is place the child with his nose down and let the blood flow a little. After which a wool buffer full of vasoconstrictor or even anticoagulant should be inserted into the nose, the doctor recommends. Eventually, you can also intervene with some drops of nose – in the nostril in which it bleeds – and can be kept with the finger on top, without exerting such a big pressure that we move the nose from place. “So, a compression with your finger on the nostril from which blood flows. Sometimes, it can be intended with resorbable sponges, but that already means that the patient knows what it is,” Dr. Armand Agache details.

Important episodes in children who have other pathologies

If the bleeding does not calm down, then, naturally, you should go to the ENT doctor. He can examine his nasal pits, suck clots and blood and put a special buffer. “Sometimes, there is also a need for drug treatment, administration of hemostatic drugs, coagulants. In certain situations, it may be necessary to caterify by chemical methods with silver nitrate area from which they bleed. In situations where the bleeding is abundant and, in the first phase, the headquarters of the epistaxis cannot be discovered, or in the case, or in the case. Serious, the patient should be taken to the operating room and with the help of direct visualization endoscopy, hemostasis is practiced or, if necessary, also vascular ligatures, ”says the ENT doctor.

However, emphasizes the specialist, serious cases are extremely rare in children: “Of course they exist because there are children who have other pathologies. If, for example, the liver does not produce the necessary coagulation factors and deficiencies of the hemostasis process can occur. And those children will have problems. Complex ”, concludes the ENT doctor.