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Intermittent nose bleeding in a 10 year old child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   Hi , doctor :- My ten year old child has nose bleeding for the last three months : we have tried twice cauterization , and also embolsiation . CSf test negative. Bleeding disorder tests normal . MRI and CT scans normal : But she is still bleeding intermittently We are distressed She cant go to school .. What can b the cause ???
Doctor :   Plz wait
Doctor :   There are different reasons for nose bleeding'
Doctor :   But all tests are normal
Doctor :   so I think the bleeding is idiopathic
Doctor :   meaning no specific reason
User :   yeah doctor : We have consulted two ent surgeons . is it possible without reason ?
Doctor :   Yes
Doctor :   When all tests are normal
Doctor :   Many children have intermittent bleeding
Doctor :   still there is no reason
User :   have u come across such a case : Also intitally she did have a fall which trigerred the thing but thereafter we tried all things .can it be pscychological ??
Doctor :   Yes
Doctor :   I have come across many cases of nose bleeding
Doctor :   and found nothing abnomral in nose
Doctor :   But it is not Psychological
User :   finally how did it stop : bcoz we are worried that she will miss her year at school and there is a pscycholoical trauma . Will hypnotherepy help ?? What do u suggest ???
Doctor :   Dry nasal mucosa, pollutants, cold weather, infections make it worse
Doctor :   As the child grows they usually get over the problem
Doctor :   Regarding school performance, as long as the bleeding is less and stopped after a while you can wait and see 30 min and send you kid to school with proper instruction to teacher
User :   hmm what do u suggest Doctor ?? Its just we have arrived at dead end . school is a major worry also : anythign at all we can try ??
Doctor :   When even they bleeding they should pinch the nose
Doctor :   constantly for min 5 min
Doctor :   Ask your child to breath with mouth
Doctor :   Discuss with school teachers and educate them what to do when she has nose bleeding
User :   thanks doctor .. Am tired of showing ENT surgeons ... Will hope for the best
Doctor :   You welcome
Doctor :   Be assured when advanced tests are normal
Doctor :   Stopping bleeding when happens is imp
User :   thanks once again doctor:-)Take care ..Wish u a great new year ahead ..
Doctor :   Tell ur kid that she will get rid of the problem as she/he grows
Doctor :   Hypnotherapy etc does not work
Doctor :   Thank you for consulting
User :   thanks

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