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Should i be concerned about bleeding nose caused by a fall? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:My 3 year old fell in the bath tub Saturday night and his head hit the side if top side of the tub, it sounded pretty bad. He cried for a min and it wasn't a knot but it was red.he hit right behind his ear part. He has acted normal but tonight ( Tuesday) his nose has mild started bleeding. Should I take him to er or can it wait for the doctor in the morning?
Doctor:How bad is the bleed?
Doctor:Is it few spots or a profuse kind of bleed?
User:It's mild, few spots it's not like bleeding out of his nose I didn't notice it til I was cleaning his nose and saw the spot I cleaned it and more blood came but it's not running out of his nose if that makes since
User:It's only on one side
Doctor:Has it stopped bleeding now?
User:It does stop until I wipe it again
Doctor:Let me brief you now.
Doctor:Your son has mild anterior epistaxis. This is not related to the injury he had a few days ago.
User:Do you think that it's associated with the fall? I thought after the 48 hours was up everything would be fine.
User:O ok
User:What is that?
Doctor:It isn't related to the fall.
Doctor:Anterior epistaxis means nasal bleeding through the nostrils.
Doctor:The most common reason for such kind of bleeding in children is nose picking.
User:So it's nothing serious? I can wait to see his regular doctor in the morning?
Doctor:Perhaps your son sustained injury previously which you aggravated while cleaning it.
Doctor:I am not concerned since its stopped bleeding now.
Doctor:Do not try to forcefully clean it.
User:He did hit his nose on a truck today while playing
Doctor:This injury most likely caused the bleeding.
Doctor:If you see any clotted blood in his nostrils, clean it gently with a wet tissue or cloth.
Doctor:Do not probe into his nostril.
Doctor:Minor injuries will heal spontaneously.
Doctor:You need not rush him to the ER now.
Doctor:Unless off course if it starts to bleed again.
Doctor:You can watch over the bleeding and take a call to see his doctor tomorrow.
Doctor:Rest assured this has nothing to do with head injury.
Doctor:He will be alright soon.
Doctor:Hope I have addressed your concerns.
Doctor:Do you have any questions to me?
User:Ok thanks, can I ask another question since I paid for this.
Doctor:Sure, proceed with your question/
User:It doesn't have anything to do with the nose though
Doctor:I shall try to help with the best of may abilities. Please go ahead with your query.
User:Sleep problems, he fights his sleep so bad that he will not fall asleep til midnight and he wakes up at 9 am is that enough sleep for a 3 year old or what can I do to break this?
User:He was been like this since he was 1
Doctor:If he is active and playful throughout the day despite insufficient sleep, you need not be concerned.
Doctor:However it is better to change his habit.
Doctor:I do not mean you need to drug him to make him sleep.
User:Very he runs all day long
Doctor:Encourage him with gentle and kind words to go to bed early.
User:Non stop he does get a hour nap should I stop it
Doctor:Give his dinner a couple of hours before sleep.
Doctor:Make sure he doesn't have any toys and games in his bed.
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