Nosebleed Section

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Nosebleeds are common in kids.  Here’s what you need for home care.

A dry nose—from not drinking enough, indoor heating, or dry winter air—makes nosebleeds worse. Antihistamines will also dry the nose.

Add a runny nose from a cold or allergies, and the wear and tear on the tender lining of the nose is just too much. And that’s before kids pick at dried or crusted mucus in the nose.

If your child has a nosebleed, pinch the nose just below the bony ridge of the nose. Most nosebleeds are from damage to the small blood vessels in the lower part of the nose. You can often look inside with a flashlight and see the damage on either side of the nasal septum (the bony ridge that separates the nose into two nostrils). Do not put tissue or other objects in the nose.

Nosebleeds that stop within 20 minutes of applying pressure are generally okay. If there is trauma to the nose or the bleeding doesn’t stop, get medical help since this may indicate that the larger blood vessels in the upper part of the nose are damaged.

Prevent nosebleeds by making sure your child drinks a lot of fluid. If the lips are chapped, the nose may be too inside. Run a cool mist humidifier at home (pediatricians don’t recommend steam vaporizers because of the risk of children burning themselves).

Keep the nose clean and moisturized with saline spray or saline nasal gel. Blow gently. It’s also okay to sniff instead of blow to clear the nose.

Children can get 6 to 12 viral infections a year—a lot—and as they grow up, they get fewer and fewer so nosebleeds associated with colds usually go away.

Listen to the RadioMD interview with Dr. Asta about Winter Cold Woes here.

About Lisa M. Asta, MD

Lisa M. Asta, M.D. is board-certified by the American Board of Pediatrics and is a Fellow of the American Academy of Pediatrics, for which she is also a Media Representative (she has been interviewed for “Kids Health” on Health Radio, and quoted in Parenting Magazine, USA Today, and the New York Times, among other publications). She is a Clinical Professor of Pediatrics at the University of California at San Francisco and past pediatric chair at John Muir Medical Center in Walnut Creek. She graduated from Temple University School of Medicine and the Johns Hopkins University. Dr. Asta is also a writer whose fiction has appeared in Inkwell, Philadelphia Stories, Schuylkill, and Zeniada. Her essays have appeared in the Journal of the American Medical Association, Hippocrates, the San Jose Mercury News, and The New Physician Magazine. She is an occasional contributor to KQED public radio’s Perspectives series, and has written articles for Bay Area Parent, Valley Parent, Parents’ Press, and Parents Express, as well as online at WebMD.com, Rx.com, and MyLifePath.com. She wrote a chapter in The Field Guide to the Normal Newborn, ed. Gary Emmet, M.D. BabyCenter.com currently has two how-to videos for parents in production which feature Dr. Asta. For more on Dr. Asta’s writing, visit www.LMAsta.com
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One Response to Nosebleed Section

  1. Pingback: Stranger Things 3? | Casa Verde Pediatrics, Inc. Blog

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