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Child has nose bleed. History of broken nose. Due to previous injury?

My son is 10 years old. Three months ago he broke his nose at school. His nose healed straight so no surgery has been required. This week he has had a number of large nose bleeds from the right nostril although it does eventually end up running from both sides. The bleeds happen for no reason but have happened more at bed time when he is lying down. Could something be damaged in his nose from the break or is the start of the bleeding to distant from the original injury and unrelated?
Tue, 15 Jan 2013
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Pediatrician 's  Response
Thank you for your query.
Do not panic.
Generally nose bleeds are common in children who prick their nose often.
If he doesn't have this habit and his nose bleeds without any reason then he might need some investigations taking into account his history of nose trauma.
He needs a blood tests,specially platelet counts and probably an ENT examination of the nostrils.
take him for a ENT specialist if he bleeds any more.Check his blood pressure too.
Hope this answers your query.If you have any other queries kindly direct them to me.Wishing your child a speedy recovery.Have a nice day.
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Pediatrician Dr. Synthyia Bhagat's  Response
Thanks for your query.
Epistaxis needs to be evaluated,so i advise to to take him to ENT surgeon for evaluation and management.
In the meantime put paraffin drops in both nostrils, 2 to 3 times.nose picking is a common cause of nose bleeds so i will advise not to do any scratching on inner side of nostrils.

Your son will be fine.
God bless
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