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Infant got nose and gum bleeding post a fall. What can be done for quick relief?

My 14-month old fell from her brother s toddler be (they were rough-housing), and got a nosebleed (which quickly stopped). Her gums are also bleeding (inbetween the top two teeth ), and is still sort of bleeding, but not gushing. I think she may have just busted her lip inside at that partof her gums. She can t tell me if something is hurting, which us the worst part.
Asked On : Wed, 23 Jan 2013
Answers:  3 Views:  25
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Pediatrician 's  Response
Thanks for your query,
I advise you to apply firm pressure over bleeding area in mouth,give her cold water to drink,give some ice cream.
For nose bleed apply ice pack over nose,and pinch it for 5 minutes,
Give paracetamol for pain relief and watch her activity,if there is any sign of irritability,lethargy,re bleeding.vomiting then you should take her to ER.

Wishing your baby good health
God bless
Answered: Wed, 23 Jan 2013
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Pediatrician Dr. Sudha Shree Venkataraman's  Response

After a fall- if head had hit the ground and there is a nose bleed following that- its a must that you see a doctor - as this indicates fracture of the skull base.
If there was no head injury, there is a chance for nasal bone fracture.

For the gum bleed- you might take a clean cloth- soak it in ice cold water and keep it on the injured area- compressed for few min. If it does not stop even after that she might need a suture.

So I would suggest you to see a doctor and get the issues settled.
Wish your daughter a speedy recovery.
Answered: Wed, 23 Jan 2013
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Pediatrician Dr. Diana Divakar's  Response
Hi Mrs.Carolin,
Thank you for choosing to post your queries and for giving us this opportunity to clarify your doubts.
Well, I would first of all like to know a few things like :
1) What height did your daughter fall from? Was it a trivial fall or a significant fall?
2) Did she hurt her head, be unconscious or dazed or was suddenly quiet after the fall?
3) Has she ever bled in a similar fashion before following trivial trauma?
4) Has she ever bled or had unexpected bumps following vaccination?
5) Is there any bleeding tendency in the family?

I would like to assure you, that if the answers to the above questions are in negative, then it is not very sinister. All that you might have to do for the current event, is apply pressure at the site of the bleed till it stops bleeding. It should be okay. You might have to give her some pain killers for a day since she will definitely have some pain and inflammation at the site of bleeding, even is she cannot say it. By the way, even if children cannot tell their problems verbally, they are very expressive. You need to be observant to their communication. They might be very irritable, refuse to eat, cranky,etc. That'll be their style of saying "mamma, something hurts"!!

I hope I have been successful in answering all your doubts with an assurance that I will be always available for any further doubts. Take care and stay healthy.
Answered: Wed, 23 Jan 2013
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