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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Severe Nose Bleeds?

My son was born 7 weeks premature with a grade 3 IVH. The bleeding stopped soon after but led to hydrocephalus. He is now 20 months. He does not have a shunt. His neurologist didn t wanna put one in because he said there is no pressure at this time. He s been getting nosebleeds for quite sometime now and they keep getting worse. Could this be related to the hydrocephalus in any way.
Fri, 19 Sep 2014
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Pediatrician,  's  Response
Thank you for asking on HealthCareMagic. Newborn brains are in the process of development especially in preterms. The inner lining of the brain is very thin. As the development of the brain progresses, a substance called myelin is formed and acts as an insulator of the nerve fibres and helps them in functioning. But in preterms sometime bleeding may occur below the thin lining and as there is resorption of the blood, the blood debris often block the drainage of the CSF leading to hydrocephalus. A shunt creates a bypass tract for the CSF preventing the hydrocephalus from progressing.

The nose bleeds are probably unrelated. Whether he has a nasal pathology like nassl poly needs to be investigated.

Hope that helps. Feel free to revert back in case of further queries if any.
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What Can Cause Severe Nose Bleeds?

Thank you for asking on HealthCareMagic. Newborn brains are in the process of development especially in preterms. The inner lining of the brain is very thin. As the development of the brain progresses, a substance called myelin is formed and acts as an insulator of the nerve fibres and helps them in functioning. But in preterms sometime bleeding may occur below the thin lining and as there is resorption of the blood, the blood debris often block the drainage of the CSF leading to hydrocephalus. A shunt creates a bypass tract for the CSF preventing the hydrocephalus from progressing. The nose bleeds are probably unrelated. Whether he has a nasal pathology like nassl poly needs to be investigated. Hope that helps. Feel free to revert back in case of further queries if any.