Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
179 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for frequent nose bleeds in children

Answered by
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8102 Questions

Posted on Sat, 10 Sep 2016 in Ear, Nose and Throat Problems
Question: we have an 11 year old girl who has extremely frequent and severe nose bleeds even in her sleep. She has trauma in her life before coming to us. What could cause it? Regular first aid does little so do ice packs.
Answered by Dr. Sumanth Amperayani 1 hour later
Brief Answer:
Her nasal mucosal vasculature is more and vulnerable

Detailed Answer:
Hi.... previous trauma alone cannot cause this.

Usually in the nasal mucosa there is congregation of small blood vessels called kisselbach's plexus, this is the usual cause for such bleeding.

When ever the child has the habit of nose picking or if there is crust formation in the nose then it might cause rupture of the blood vessels. The other possibility which can cause such rupture of blood vessel is high blood pressure.

Hematological disorders like low platelet count and coagulation disorders can also manifest with recurrent nose bleeds.

I suggest you get a CBC, PT and aPTT done as blood work up. Get a BP checked once for your kid.

If everything turns out to be normal, then we have to wait as it can get better as the age progresses.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Lab Tests ,  

Recent questions on  Aptt

doctor1 MD

i had a pacemaker installed in february . never any issue however i was paddle boarding and had to paddle hard against the wind to get home.... my...

doctor1 MD

How do i stop a nosebleed

doctor1 MD

I am 77 years old and in relatively good health but I am having terrible problems with bruises. What can be done to reduce these.

doctor1 MD

My Grandson 2 yrs 4 months old has the problem of nose bleeding . I had consulted Dr Arvind Shenoi. He had suggested certain blood tests. The...

doctor1 MD

I have a positive lupus anti coagulant, was diagnosed 4 years ago after my third M/C ... I have been on aspirin since then , I had an APTT...