There is blood from the nose of a child

There are a lot of blood vessels in the nasal cavity. Epistaxis (epistaxis) from one nostril or from both is much more common in children than in adults. It can be at any age (both in one-year-old and in children of preschool and primary school age up to 10 years) and less often in adolescents. Thus, almost every child knows first hand what nosebleeds are.

Why is this happening? We list the main reasons:

  1. nose injuries;
  2. ENT diseases;
  3. pathology of internal organs and systems;
  4. frequent tamponade of the nasal cavity;
  5. external factors.

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Nose injury

Toddlers love to play with small items. Parents can not always keep track of them, and a child will easily put a small toy (for example, a part of the designer) in his nose. This is typical for children 3-4 years old. As a result, the baby injures the nasal mucosa, and bleeding begins. A similar injury can be obtained with a simple picking in the nose with a finger. If possible, we must wean the child from such habits.

ENT diseases

For the diagnosis, it matters at what time of day the blood is released from the nose, it happens periodically or happened once. Most often, bleeding occurs at night, in the morning, or with rhinitis.

If the parents are sure that the crumbs did not have nose injuries, then bleeding may be triggered:

  • prolonged or uncontrolled treatment with vasoconstrictor drops;
  • strong drying of the mucous membrane of the baby’s nose – this is especially true in the heating season, when the air in the apartment is overdried;
  • allergic to dust, household chemicals, pets, etc .;
  • increased intracranial pressure.

In the morning

If the baby has bleeding in the morning, they may be due to the following factors:

  • in a dream, the child lay on his side or stomach all night, which could put pressure on the blood vessels and cause bleeding;
  • the presence of polyps in the nose also leads to blood loss in the morning hours;
  • as in the case of night phenomena, the cause of the morning may be too dry indoor air;
  • increased emotional and physical stress (typical for school age from 8 to 11 years), lack of sleep for a good rest, and many others. other

Blood can flow from the nose due to overexcitation and excitement.

Blood rhinitis

With a single nosebleed, no specific treatment is required, since a relapse is unlikely, and parents have nothing to worry about. It will be enough to comply with basic preventive measures. Systematic bleeding, as well as those caused by severe injuries, kidney disease, and blood clotting, are subject to treatment. If relapses occur, then the doctor prescribes the appropriate treatment.

Medicines

Among folk recipes there are many effective remedies. Their additional advantages are affordability, environmental friendliness and budget. Among these funds, there are both local and those that are taken orally:

  • tea with sea buckthorn, plantain, chamomile improves blood clotting well;
  • A piece of aloe leaf, eaten on an empty stomach, can help with frequent bleeding;
  • To quickly stop the bleeding, you can moisten a cotton swab in the juice of fresh nettle or plantain and insert it into a sore nostril.

For nosebleeds, the child is advised to drink chamomile teas.

These recommendations may be helpful, but parents don’t need to get involved in self-medication, especially if the cause of the bleeding is not clearly established. Before using traditional medicine, it is also necessary to consult a doctor.

Nasal bleeding in children often occurs without any apparent reason, such increased bleeding is associated with profuse innervation and blood supply to the nasal mucosa. Many small capillaries can “burst” at the slightest strain, and stopping the flow of blood is not so simple. Single nosebleeds should not cause anxiety in parents, even if they cannot pinpoint its cause, frequent nosebleeds are another matter.

In infants

The greatest alertness and anxiety in parents is caused by nosebleeds in children up to a year old. But you should not always panic right away – most often the blood from the nose of babies comes from too dry and hot air in the room. Many parents, afraid to catch a baby, do not ventilate the room or place additional heaters in it.

If the bleeding is heavy, often recurring, it is necessary to examine the child to exclude blood diseases – reduced coagulation, anemia, hemophilia; disorders in the development of the vascular system of the nasal mucosa or the presence of formations in the nasal passages. Sometimes nosebleeds in young children arise due to the extra zeal of the parents, who clean and rinse the baby’s nose 1-2 times daily.

In children 2-10 years old

Most often, nosebleeds occur at this age, this is due to abundant blood supply to the mucous membrane, weak vessels and increased motor activity of babies. Epistaxis may occur due to

  • injuries – coordination of movements in children at this age is not yet quite perfect, so frequent falls, bumps and injuries are inevitable. Moreover, for the occurrence of bleeding, it is enough to bump yourself with a toy or “dig deeper” with your finger in the nose;
  • overheating – prolonged exposure to the sun without a hat can cause heat or sunstroke, which is often accompanied by bleeding. At the same time, the child becomes lethargic, capricious, complains of a headache, refuses to eat, nausea and vomiting are possible;
  • increased motor activity – blood from the nose can go after a day of running around, playing games and screaming, especially with a sharp change in situation, a trip on vacation or with changes in blood pressure. Such bleeding more often occurs in the evening hours and is accompanied by whims and crying;
  • foreign body in the nose – non-stopping or constantly recurring bleeding can be caused by damage to the mucous membrane of the foreign body. Young children, usually up to 3-4 years old, love to explore the world in all possible ways and often put various small objects in their nose: from beads to pieces of toys. If such an object is not detected in time, it can cause constant bleeding or chronic inflammation;
  • hypertension – a temporary increase in blood pressure can be caused by physical exertion, and exposure to the sun or visiting a bath, but such bleeding, as a rule, does not recur and easily stops. But constantly occurring bleeding can be caused by diseases of the internal organs. Hypertension is found in diseases of the liver, k blood. And what is your child?
  • Likbez on analysis

“Blood issues are the most difficult questions in the world,” stated the character in the novel Master and Margarita. Hematologists, of course, are ready to agree with him, but parents often ignore dangerous symptoms associated with, for example, children’s bleeding, they say, it will pass by itself.

Is it worth fearing non-healing scratches, how to decipher the tests, what do parents need to know about the blood of their bloodstream? About this and not only the project “How to maintain the health of a schoolboy” said the candidate of medical sciences, hematologist-hemostasiologist of the “Blood Clinic” Olga SANEEVA.

Why can the nose bleed from a child

The problem of nosebleeds in children is not uncommon. And, believe me, this is not the norm, as it is generally accepted for some reason. Unfortunately, many parents write off everything for the transition period and prefer to think that with age everything will disappear. Or, in general, they independently make the diagnosis “vessels are located close to the surface of the nasal mucosa”.

There can be many reasons for bleeding, for example, an insufficient quantity or quality of platelets, the cells responsible for the integrity of the blood vessel wall. The quality of platelets may improve with age (then the problem will be solved itself), or the situation is corrected by a hematologist. Only a specialist can decide whether the body can cope on its own.

An unpleasant phenomenon in medicine is called “epistaxis”. Most often there is anterior nasal bleeding, less often the doctors face the posterior. But it is this that causes maximum attention. The main symptom is the appearance of drops of bright red blood or a trickle of it, flowing either outward or on the back wall of the pharynx.

If the disease manifests itself often, the consequences can be a significant drop in the blood pressure, a rather rapid pulse, a palpable weakness. Although there may be a threat of life in some cases, but lethal outcomes are extremely rare.

Do not be a doctor to understand: an unpleasant situation happens because of the violation of the integrity of the blood vessels located in the tissues of the nasal cavity. It remains to understand why this is happening.

Enlarged lymph nodes – an alarm

Periodically, in all children, the lymph nodes increase. Most often, this is the body’s natural immune defense, the so-called reactive lymphadenopathy. If the child often catches a cold, acute respiratory infections occur with fever, the lymph nodes can also grow, acting as a barrier preventing the penetration of infection into the lower respiratory tract. And in this case, it is necessary to do an ultrasound of the lymph nodes, and also take a swab from the throat and nose for microflora and sensitivity to antibiotics.

Causes of nosebleeds in children

Adolescents

  • hormonal changes – girls are more likely to suffer from this, an increase in the level of female sex hormones causes swelling and friability of the nasal mucosa due to which nosebleeds can occur several times a week for no apparent reason. Such bleeding disappears on its own, as the hormonal background stabilizes;
  • periods of increased growth – during a period of rapid growth, vessels may “not keep up” due to which they become thinner and brittle. This is often observed in children aged 12-13 years, who for several months “extort” 10-20 cm and experience problems with joints and blood vessels;
  • vegetovascular dystonia – a violation of the regulation of the sympathetic and parasympathetic nervous system often makes itself felt for the first time during puberty. Teenagers complain of dizziness, sweating, palpitations or heart rate, headaches, weakness and nosebleeds.
  • the most important thing with nosebleeds is not to panic to the parents themselves and to calm the child as much as possible;
  • you can not throw your head back with nosebleeds – the blood will flow inside and can enter the respiratory tract, at best it will fall into the esophagus and the patient may vomit blood;
  • check the presence of foreign bodies in the nose – if they are there, do not try to pull them out yourself, this can cause additional damage to blood vessels and excessive bleeding, which can only be stopped with medical help;
  • with bleeding, you need to put the child on a chair or on his knees and tilt his head slightly forward so that blood can freely drain from the nasal cavity;
  • ice or a cold compress can be applied to the nose – in extreme cases, just a cotton swab moistened with cold water or a handkerchief;
  • with heavy bleeding, cotton or gauze swabs with hydrogen peroxide can be placed in the nasal passages.

If bleeding from the nose does not stop within 10-15 minutes, you must urgently deliver the child to the hospital. There, if necessary, the patient will undergo anterior nasal tamponade or use tampons moistened with aminocaproic acid or other drugs that stop bleeding. Also in the nasal cavity I can put a hemostatic sponge, which contains substances that promote blood coagulation. In complex cases, coagulation (cauterization) of the vessels of the nasal cavity or intravenous administration of hemostatic drugs is carried out.

With regular nosebleeds in a child, the following examinations should be performed:

  • in ENT – to exclude the presence of foreign bodies, polyps and other formations in the nasal cavity, curvature of the nasal septum, chronic atrophic rhinitis and other diseases;
  • at the therapist – a full examination of the internal organs – ultrasound of the heart, kidneys, liver;
  • at the hematologist – to exclude hereditary diseases and pathologies of the blood system; It is also necessary to do a detailed blood test, determine the time and coagulation factors, and check intracranial pressure and blood pressure. If your child has not revealed any pathologies during the examination, and nosebleeds continue to occur regularly, it is recommended that:
  • take drugs that strengthen the vascular wall – for example, ascorutin;
  • take vitamins C or multivitamin preparations;
  • to spend more time in the fresh air and engage in physical exercises;
  • establish a strict regime of the day – goes to bed at the same time, and sleep should be at least 8 hours a day. This is especially important for adolescents who spend a lot of time at computers and constantly experience a lack of sleep;
  • protect the child’s head from direct sunlight;
  • monitor the hydration of the mucous membrane – it is imperative to moisten the air in the room where the child sleeps or wakes up most of the time, and also use saline or liquid paraffin gel to moisturize;
  • drink a decoction of viburnum – it has pronounced hemostatic properties. For its preparation, 10 g of viburnum bark is poured 1 tbsp. boiling water, insist 15-20 minutes and give the child 1 dess. L. – 1 tbsp. l 3 times a day, a course of treatment 10-14 days;
  • take a decoction of nettle – has the same properties, it is prepared at the rate of 2 tbsp. l dry nettle at 1 tbsp. boiling water, insist 10-15 minutes, then filter and give the patient 1 hr. L.-1 tbsp. l 3 times a day before meals, the course of treatment is 2-3 weeks, then you need to take a break for 2 weeks and repeat the course.
  • infusion of yarrow and yarrow – is considered a very effective hemostatic agent. Prepare an infusion of 3 tbsp. l yarrow and 0,5 tsp. Bukovica officinalis on 3 tbsp. boiling water. Take the drug in 1/3 Art. 3 times a day before meals for 7-10 days. If a child has nosebleeds for more than 6 months, consultation with all of the above doctors is mandatory, since such prolonged bleeding is characteristic of serious diseases of the blood or internal organs.

Epistaxis is the result of damage to the capillaries, which are a huge number in the nasal cavity. Young children can simply “pick up” the surface of the mucosa, which leads to the flow of blood.

But not always the causes of this phenomenon can be harmless. Sometimes frequent nosebleeds indicate a serious pathology, therefore it is impossible to ignore this symptom (especially if the baby is too small).

Dry air contains a lot of dust and harmful elements that, when inhaled, settle on the mucous membranes of the membranes and form growths (crusts). In addition, reduced air humidity negatively affects the condition of the mucosa, leading to its depletion. This process is called atrophy of the mucous membranes. If a child, picking his nose, picks up a dried out growth, a wound is formed, and capillary bleeding occurs.

Pressure problems can also cause your nose to bleed. In this case, the bleeding is only beneficial for the child, as it prevents more serious consequences, for example, hemorrhage in the brain. Bleeding is usually preceded by headache, weakness, worsening of well-being.

  • Hematopoietic system diseases.

Coagulation disorders (coagulopathy) are another serious cause of nosebleeds. In this case, gums and other areas with mucous membranes will also bleed.

A poor and monotonous diet with a low content of beneficial elements (minerals and vitamins) can lead to various deviations and diseases. A lack of vitamin C negatively affects the state of blood vessels – they become brittle, and their walls are depleted, which increases the likelihood of damage.

Especially often, children receive sun and heat strokes in the summer during walks. To avoid them, you must follow the rules for children in the sun during the summer. Walking at a high solstice (from 12 to 17 hours) for children under 6 years of age is strictly prohibited.

  • Infectious and respiratory diseases.

Colds, as well as diseases caused mainly by viruses, lead to the formation of edema of the nasal mucosa and increase pressure in the capillaries, which cannot withstand the increased load and burst.

Inflammation of the nasal sinuses (sinusitis, sinusitis, frontal sinusitis), as well as adenoids, contribute to filling the mucous membranes with blood.

  • Fluctuations in barometric pressure.

During an air flight or traveling through the mountains, a child may have nosebleeds. The reason will be increased rarefaction of air in unusual conditions for the child.

  • Pathology of the heart and blood vessels.

Pressure surges in vessels located in the neck and head region lead to fragility of the vascular walls and the onset of bleeding.

  • Anatomical features of the structure.

Some children have very narrow nasal passages, so any effect in the nasal cavity leads to injury to the mucous membrane and the appearance of bleeding.

Some parents are too zealous in the treatment of the common cold and use vasoconstrictor drugs designed to eliminate edema and restore normal breathing.

Such drugs can not be used for more than 3 days, since they not only lose their effectiveness (getting used to it), but also dry the mucous membrane, making it thin and susceptible to mechanical stress.

If a child has nosebleeds, the cause may be a bruise. During the fall, children often hit their head and face, so you should carefully examine the surface and nasal cavity for lacerations. If any are found, the baby should be taken to the children’s hospital.

In newborns and infants, frequent nosebleeds are usually the result of anatomical features.

The nasal passages are still too narrow, and the capillaries are weak, so they often burst under any strain or exposure to an irritating factor. For example, with a long and strong cry, the baby may have blood from the nose.

If the house is hot, and the humidity does not meet the required standards, nosebleeds can also be repeated with enviable intervals.

The causes of nosebleeds in adolescents are the same as for other children. But some features can still be highlighted. For example, during puberty (especially in girls), the likelihood of bleeding increases by 2 times. Increased workload at school, rare walks also adversely affect the state of blood vessels, including nasal capillaries.

Walking is necessary for children of any age. Teenagers are no exception. Children over 12 years old should be on the street for at least 3-4 hours in good weather, and at least 2 hours if the temperature is low or there is little wind. [/ Advise]

algorithm

Rules for providing first (emergency) care for nosebleeds in a child:

  • To reassure the child and persuade him to spit out blood.

If the child is too small and does not know how to spit, carefully tilt his head down and try to unclench his jaws with his hands. In cases where the baby is resisting too actively, the action should be stopped.

  • To the nose attach a napkin made of clean, dense tissue and press it for 8-10 minutes.

If there is no wipe, or the bleeding is quite intense, you can take a towel.

  • Apply a cold compress to the nose.

You can use frozen vegetables from the freezer, after wrapping them with a towel or a thin diaper.

  • If after 10-15 minutes, the blood does not stop, call an ambulance.

In the video, Dr. Komarovsky describes to parents the main mistakes that they make when stopping to stop the bleeding.

How to stop bleeding in a baby?

The technology for stopping bleeding in infants is not much different from the rules applicable to older children and adolescents.

  • First you need to calm the baby.

If the baby is very scared, this can cause an increase in blood pressure and increased bleeding. The baby must not be allowed to cry. Breasts do not know how to spit blood that has accumulated in the oral cavity, therefore, with an attack of heavy crying, there is a chance of blood clots entering the throat and respiratory tract.

  • If the baby already knows how to sit, it should be seated on its lap and tilt the head slightly forward.

If the blood comes from a newborn or a one-year-old baby, you should take it with your arms upside down, but you need to support the head with one hand so that it is constantly raised.

  • Then proceed according to the algorithm: attach a napkin or cloth and apply cold to the bridge of the nose.

What can not be done?

It is forbidden to throw the child’s head back, as he may choke on blood. For the same reason, cotton swabs (put them in the nostril) should not be used in infants, since they cannot breathe through the mouth, and blood can enter the respiratory tract.

By the way, it is not recommended for teenagers to plug nostrils with tampons, since during extraction they can again injure the mucous membrane, which will lead to repeated bleeding.

Going to the hospital for frequent bleeding

Despite the fact that blood from the nose is most often not a sign of pathology, in some cases the doctor will still have to show the baby.

The baby needs urgent medical care when:

  • blood comes from both nostrils;
  • stop bleeding independently fails (within 15 minutes);
  • blood comes from the nose and from other organs (for example, bleeding from the vaginal tract is observed at the same time);
  • blood went after taking any drug (may indicate the beginning of an anaphylactic reaction);
  • blood flows in a fountain.

Important! These conditions are the reason for the urgent hospitalization of the child and a thorough examination.

If blood flows from the nose regularly (with a frequency of more than 1 time in 10-14 days), you should take tests, find out why bleeding is disturbing and get expert advice. You can start by visiting a pediatrician or otolaryngologist, who, after reading the results of laboratory tests, will prescribe additional studies and examination of specialized specialists, for example:

  • cardiologist;
  • pediatric oncologist;
  • hematologist.

Walks and checks in the morning as a preventive measure

In order for the vessels to be strong and flexible, it is important to ensure sufficient intake of vitamins and minerals (zinc, potassium, sodium, vitamins C, A, E). For this, the child’s diet should contain all the main groups of products recommended for feeding children of a specific age category.

Without fail, fruits and vegetables (seasonal), meat and fish, eggs, liver, nuts, dairy products, greens and cereals should be present on the table.

Regular ventilation and humidification of the air in the room where the child spends most of the time will help to avoid thinning of the mucous membrane.

  1. Indoor air is very important. First, ventilate the child’s room at least twice a day. Secondly, avoid overdried and hot air. Do not put your baby’s sleeping place near heating places. Thirdly, an air humidifier should be used if you live on the upper floors of an apartment building (starting from the fourth and higher), especially on the sunny side, especially in the cold season when the heating is on.
  2. Avoid personal injury. Secure the room in which the child is most of the time. Furniture without corners or with protection, carpets on the floor should not cling to the baby’s legs, and all objects that the baby can pull onto his head should be removed. The child should in no case be left unattended by an adult.
  3. Work on strengthening immunity. Start small – dedicate daily walks for about an hour, just walk in the fresh air. It is not necessary to “feed” your baby with immunostimulating drugs, you can apply decoctions of rose hips and hawthorn, give tea with lemon or ginger.
  4. If your baby is allergic, it is worth protecting him from allergens. Double wet room cleaning, replacement of bedding (pillow and blanket made of synthetic fabrics, as well as a mattress, not a feather bed). Unfortunately, pets can cause allergic rhinitis.
  5. Do not overload the child. A correct and rational day is the key to the successful development of your crumbs. Children should wake up and go to bed at the same time. We get up on weekdays and weekends, for example, at seven in the morning, and go to bed no later than nine in the evening. Leave mobile and emotional games for the daytime.
  6. If the child is sick, be sure to treat him. Do not rush to send him to kindergarten or school immediately after normalizing the temperature. Give your baby at least seven days. During this time, the cold will pass, and the immune system will begin to work.

“Thick” and “liquid” blood. And what is your child?

If the peers of the baby are jumping in the yard, putting some piece of plantain on the scratched knee, and your child can not stop the blood; if the scrubs after mosquito bites bleed for a long time, and strange bruises appear on the arms and legs – this is an occasion to consult a doctor as soon as possible. It is advisable to take a general blood test before taking it, with a determination of the level of platelets, the duration of bleeding and the clotting time. After this, a consultation with a hematologist is required.

It is also necessary to conduct a genetic study on mutations in hemostatic genes. You can also conduct a special study – thrombodynamics, to exclude increased thrombosis. The doctor will determine the required list of tests, the main thing is that you tell him about your suspicions.

Common causes of blood flow from the nose in a child

2. To an unpleasant phenomenon often lead to malfunctioning of the cardiovascular system. Usually, these are diseases such as atherosclerosis, symptomatic hypertension. No less problems are caused by malformations, in which there is a sharp increase in indications of blood pressure.

3. Infectious diseases, accompanied by an increase in body temperature, can also lead to the fact that blood will begin to flow from the nose in the child.

4. In a risk group, adolescents often fall in connection with the peculiarities of their body’s development at this age and the possible hormonal imbalance.

5. If older children dive too deep, participate in mountain expeditions, then with a sudden and significant drop in external pressure, nosebleeds occur.

6. Strong physical overexertion in most cases can cause blood from the nose in the child.

7. Significant forces of allergic reactions to irritant factors provocateurs – another cause of vascular damage, similar to chronic colds, when the mucous membrane swells, the child often sneezes.

Likbez on analysis

The normal platelet count for a child is from 150 to 000. It can increase against a background of high temperature, due to blood clotting. That is why it is necessary that the temperature-sensitive child drank as much as possible.

An increase in platelet count may be related to their quality; this often happens in children. This goes away with age, but in some cases a doctor’s intervention is required.

Insidious hemoglobin

An increase in hemoglobin is a standard situation for a teenager. In adolescence, all body systems are activated, including hematopoietic. Therefore, an increase in hemoglobin level is a normal physiological process and it is not worth panicking.

An examination for helminths is definitely necessary, because all absorption of iron occurs in the intestine, and parasites disrupt this process. Try to add more protein-rich foods to your kids ’menu and ask your local pediatrician what course of drugs to improve your intestinal absorption that he can recommend for your child. With a decrease in serum iron and ferritin, you should contact a hematologist to prevent the development of anemia.

Not all blood counts in the tests should immediately force the parents to run to the hematologist. For example, an elevated level of eosinophils in the blood is the main sign of an allergy from the blood. Their number depends on the severity of allergic manifestations, therefore, in this case, you need to contact not a hematologist, but an allergist.

If your parents have problems, for example, you have a history of thrombosis, you should definitely be examined yourself: exclude thrombophilia, follow the changes in the hemostatic system.

symptoms and diseases

about children from 7 to 10 years old

Symptoms of bleeding and blood loss

The most obvious symptom is the blood from the nose of the child, coming out. If this process is going on inside, the fluid drains into the oropharynx, where it is found when pharyngoscopy is performed.

– the appearance of dizziness in a patient who saw a scarlet color (especially impressionable children);

– there is a noise in the ears;

– There are complaints about the heartbeat;

– the patient feels a significant weakness.

The average severity of blood loss is characterized by severe dizziness. He is accompanied by shortness of breath, lowering blood pressure. There may be acrocyanosis (cyanosis of the skin), tachycardia (an increase in the number of cardiac contractions).

When the blood from the nose in a child is strongly flowing, then there may be a severe loss leading to hemorrhagic shock. It manifests itself in the slowing down of the baby, it can lose consciousness. When examined by a doctor, the main symptoms are a strong decrease in blood pressure, a pronounced tachycardia. The patient has a threadlike pulse.

How to stop the blood from the nose in a child

First of all, it is necessary to observe complete calmness by the adult himself, so as not to frighten the child, thereby aggravating the situation. We must not forget that the mere fact that the blood flows from the nose of a child can completely take him out of balance and the symptom will increase.

During an attack, you need to call a doctor, and place the patient on a flat bed. If it is impossible to lie down, then in a sitting position, throw your head back a little, inserting cotton swabs manually twisted into each nostril. Without them, doctors categorically object to the thrown back head – blood will drain into the oral cavity, or even into the esophagus.

In the event that you do not have a first aid kit at hand, you can ask the victim to sit down, bending forward, using two fingers to squeeze the nostrils (if he is unable to do it himself) and keep them for several minutes to stop the blood from the nose in the child. You can also use this with clean gauze or a not very rigid cloth, so as not to damage the wings of the nose from the outside. Usually this is enough to make it all go away.

1. Coagulation. Cauterization of a damaged blood vessel is performed using special instruments based on the use of a laser, chemicals such as silver nitrate or a variety of acids, ultrasound and electric current.

2. Tamponade. Using a cotton swab that has absorbed the carotene or chloroacetic acid, the nasal membrane is burned. Due to this, the blood from the nose in the child completely stops flowing.

3. Hemostatic sponge. In such devices placed in the nasal cavity, there are substances that can enhance the ability of the blood to clot.

4. Transfusion of plasma. Freshly frozen plasma overflows in severe cases, when the blood can not be stopped by any other means.

5. Intravenous administration of drugs. Another way to cope with heavy bleeding is to inject into the body via the vein aminocaproic acid. Also used are haemodesis and rheopolyglucin.

Stop the blood from the nose can be quite simple steps. Of course, the cause of the pathology plays a significant role. If the blood flow does not stop for more than 15-25 minutes, then you need to urgently call an ambulance. Also, the intervention of specialists is mandatory if there was a head injury, vomiting is present, the child loses consciousness or suffers from poor blood coagulation (hemophilia).

At home, it is important to provide first aid to the baby in a timely manner. It should be not only physical, but also psychological.

Thus, the injured part is pinched and the blood stops

Children themselves are very afraid of sudden bleeding, so you must immediately reassure the child. Uncomplicated actions will help ease the condition of the crumbs:

  1. Set the baby on a chair and tilt his head forward.
  2. Pinch your nostrils and apply ice to your nose. After 6-7 minutes, cotton swabs soaked in vasoconstrictor drugs (Vibrocil, Naphthyzine) can be carefully inserted into the nasal passages.
  3. After 5 minutes, carefully remove the flagella and lubricate the mucosa with petroleum jelly or neomycin ointment, which accelerate healing and soothe inflammation.

Many parents, trying to help a child, unknowingly can harm him. Incorrect first aid measures are fraught with increased bleeding and the occurrence of other unpleasant symptoms. In order not to make mistakes and not to aggravate the situation, you need to know what things absolutely can not be done:

  1. During bleeding, lay the baby in bed and raise his legs. This will increase blood loss.
  2. Tilting your head back, because in this case there is a violation of the outflow of blood through the cervical veins and the allocation of blood increases. In addition, she sore throat, causing cramping and vomiting.
  3. Immediately after stopping the blood, give the child drinks and food, especially when hot. High temperature causes vasodilation and the resumption of bleeding.

The tactics of first aid for bleeding from the nose in adults and children are the same. The only difference is that the responsibility for all manipulations in assisting the child lies with the adult (parent or medical staff).

First, you need to reassure the child, so you can consistently provide help and, in addition, lower blood pressure, if before that it was raised. The child should breathe calmly – inhale through the nose, exhale through the mouth or mouth.

The second (they often make a mistake) – the head is not thrown back, on the contrary, it must be slightly lowered forward – so you will monitor the amount of blood flowing out, the child will not swallow it, in addition, you can control the process of stopping the bleeding. It should be cold in the bridge of the nose and warm in the legs. All actions are done quickly!

Third, you need to squeeze the nostril from the side of damage (if the side cannot be determined, then press both for 10 minutes), because an average blood clotting time in a healthy person is 6-8 minutes. Place a swab moistened with 3% hydrogen peroxide in the nasal passage – so that its edge protrudes from the nostrils, this is important. (Carefully remove the dried swab so as not to tear off the resulting blood clot by slightly moistening with peroxide.)

If you are not sure that you can handle it, then it is better to call qualified help right away. It is also necessary to act if the cause of the bleeding is a foreign body in the nose: do not try to extract it yourself and do not make the child blow his nose.

If there is no effect of actions according to the algorithm within 15-20 minutes, you need to see a doctor. Seemingly harmless nosebleeds can lead to complications: lowering blood pressure, impaired consciousness, the development of anemia.

After successfully stopping the bleeding, limit the child’s activity, make sure that he does not injure the place of bleeding (a dried up blood clot will cause some discomfort), do not give hot drinks.

Dealing with the causes of nosebleeds is necessary only after first aid.

There are many reasons that can lead to the development of nosebleeds: from simple ones, for example, overstrain, drops in atmospheric pressure, to symptoms of serious diseases (disorders in the coagulation system, blood diseases, liver, drug overdose, endocrine diseases).

Most often, the debut of nosebleeds in children is associated with a dysfunction of platelets – blood cells responsible for stopping defects in the vascular wall. A change in their number (thrombocytopenia, diagnosed by a general blood test) or quality (thrombocytopathy) can be signaled in addition to nosebleeds by microbleeding on the skin and mucous membranes.

Do not forget about foreign bodies in the nasal passages – a common cause of nosebleeds in young children. The right tactics in these cases, even with minimal suspicion, will be the above-described actions to stop bleeding and immediately contact the ENT. No need to try to clear the nasal passages yourself!

A number of drugs contribute to a change in the state of the blood and can manifest nosebleeds: all non-steroidal anti-inflammatory drugs (often used as antipyretics) and most painkillers. Therefore, with the uncontrolled use of antipyretic drugs against a background of a viral infection, nosebleeds will be perhaps the most harmless complication. Be careful – do not self-medicate!

Even one episode of nosebleeds is an occasion to see a doctor and undergo a minimum examination, and if necessary, with the involvement of narrow specialists (ENT, hematologist, infectious disease specialist, hepatologist, cardiologist, neurologist, endocrinologist).

With repeated nosebleeds, parents need to master the first aid tactics, as well as plan preventive measures together with the doctor to strengthen the vascular wall.

What to do if your child suddenly starts bleeding from his nose?

What is the right thing to do, and what can you do yourself?

Initially, you do not need to panic, it is scary not only for you, but also for your baby.

Take the baby in your arms. If the teenager is bleeding, he can sit on his own, leaning his back on the back of a chair or sofa. Tilt your head forward.

Do not throw the child’s head back! You need to know when the blood stops and how much blood your baby will lose. Also, options for laying the child on his back are not suitable.

If the blood went on the street, it is better to take the child into the shade or in a cool place.

Talk to the baby. He is scared, he does not understand what happened to him and why his blood went. Try to explain that nothing terribly happened.

You can play the game: inhale the air with your nose, and exhale with your mouth. Such breathing will help to calm the baby and under the influence of the air flow the blood coagulates faster and stops flowing.

Place a cold object in the nose area.

If you took something out of the freezer, ALWAYS wrap it in a cloth (towel, napkins). Otherwise, your baby will also receive local frostbite!

Keep a cold object for no more than 5 minutes.

If after a cold compress the blood does not want to stop for fifteen minutes, contact an ambulance.

Walks and checks in the morning as a preventive measure

In order for the vessels to be strong and flexible, it is important to ensure sufficient intake of vitamins and minerals (zinc, potassium, sodium, vitamins C, A, E). For this, the child’s diet should contain all the main groups of products recommended for feeding children of a specific age category.

Without fail, fruits and vegetables (seasonal), meat and fish, eggs, liver, nuts, dairy products, greens and cereals should be present on the table.

Regular ventilation and humidification of the air in the room where the child spends most of the time will help to avoid thinning of the mucous membrane.

– Children from three to twelve years of age are prescribed sex tablets once a day;

– for teenagers over twelve, it’s enough to drink one tablet – 2-3 times a day, the course lasts for four weeks.

To prevent repeated relapses it is required to undergo examination by specialists.

1. The doctor examines the nasal cavity to see if there are any different types of neoplasms, polyps or foreign bodies that got there during the game.

2. A general blood test is performed. It is necessary for a clear definition of the number of platelets (red blood cells). The norm for a child are the indicators 180x400x10x9 per liter.

3. A blood test is performed on its clotting system. This includes determining the number of active platelets, flow velocity, clotting factors.

In a family where there are often situations when there is blood from the nose, the child should always have a first aid kit with the necessary set of drugs and preparations. Its composition is formed according to the advice of the attending physician.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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