Nosebleed
What causes nosebleeds?
Nosebleeds are usually caused by dryness of the nasal lining
and the normal rubbing and picking that all children do when
their noses are blocked or itchy. Vigorous nose blowing can
also cause bleeding. Children who have nasal allergies are
more likely to have nosebleeds because they rub and blow
their noses more. Nosebleeds are very common throughout
childhood.
How can I help stop the bleeding?
- Have your child sit up, lean forward, and spit out any
blood. Have a basin available so he can spit out any
blood that drains into his throat. Swallowed blood is
irritating to the stomach. Don't be surprised if it is
vomited up.
- Have your child blow his nose to free any large clots.
Then tightly pinch the soft part of the nose between your
thumb and forefinger for 10 minutes. Have your child
breathe through his mouth. Don't release the pressure
until 10 minutes are up. If the bleeding continues, you
may not be pressing on the right spot.
- If bleeding continues, insert a gauze covered with
decongestant nosedrops (for example, Neo-Synephrine) or
petroleum jelly (Vaseline) into the nostril. Squeeze
again for 10 minutes. Leave the gauze in for another
10 minutes before you remove it. If bleeding continues,
call your child's health care provider but continue the
pressure in the meantime.
Common mistakes in treating nosebleed
- A cold washcloth applied to the forehead, bridge of the
nose, back of the neck, or under the upper lip does not
help stop nosebleeds.
- Pressing on the bony part of the nose does not help stop
nosebleeds.
How can I help prevent nosebleeds?
- A small amount of petroleum jelly applied twice a day to
the center wall inside the nose (the septum) often helps
relieve dryness and irritation.
- Increasing the humidity in the room at night by using a
humidifier may also be helpful.
- Get your child into the habit of putting 2 or 3 drops of
warm water in each nostril before blowing a stuffy nose.
- Avoid aspirin. One aspirin can increase the tendency of
the body to bleed easily for up to a week and can make
nosebleeds last much longer.
- If your child has nasal allergies, treating allergic
symptoms with antihistamines will help break the
itching-bleeding cycle.
When should I call my child's health care provider?
Call IMMEDIATELY if:
- The bleeding does not stop after 20 minutes of direct
pressure on the nose.
Call during office hours if:
- Nosebleeds are a frequent problem even after petroleum
jelly and humidification are used.
- You have other concerns or questions.
Written by B.D. Schmitt, M.D., author of "Your Child's Health," Bantam Books.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
Copyright © 2006 McKesson Corporation and/or one of its subsidiaries. All Rights Reserved.