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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nose Bleeding In A Child?

My 7 yr old is allergic to everything and is taking claratin she has been getting nosr bleeds taken her to several doctors they say they can see scabbing up there run a vaporizer use ocean spray and put vasoline up there doing all that bleeding stopped for about3 weeks today they came back hard and strong more blood longer blerd time and bigger clots they seem to start just because she sneezed is this something i need to take her to emergency room tonight or is there something else we can do to stop this. I would like to stop allergy meds thinking her si uses are to dry but all the doctors say is that is the wrong thing to do any advice please
Thu, 20 Oct 2016
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General & Family Physician,  's  Response
Hi,

Thanks for posting in HCM.

I understand your concern.

Spontaneous nose bleeds could happen due to presence of fragile vessels inside the inner surface of the nose in an area called 'Little's area'.

This could have been caused due to inflammatory or allergic lesions of the nose leading to mucosal congestion. However, it could be a manifestation of underlying coagulation disorder due to defective clotting mechanism.

In acute bleeding phase when you have active bleeding, kindly pinch your nose bending forward for about 10 to 15 minutes and breath through the mouth.

Nose picking must be avoided, as it could result in mechanical damage to mucosa precipitating bleeding again and again.

Kindly get you bleeding time and clotting time investigation done in the blood.
With the report, kindly consult ENT specialist for clinical evaluation and management.

In case the fragile vessels are evident and bleeding does not subside with conservative management, it can be taken care of permanently by means of chemical or electro-cautery.

Hope the information provided would be helpful.
All the best.
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What Causes Nose Bleeding In A Child?

Hi, Thanks for posting in HCM. I understand your concern. Spontaneous nose bleeds could happen due to presence of fragile vessels inside the inner surface of the nose in an area called Little s area . This could have been caused due to inflammatory or allergic lesions of the nose leading to mucosal congestion. However, it could be a manifestation of underlying coagulation disorder due to defective clotting mechanism. In acute bleeding phase when you have active bleeding, kindly pinch your nose bending forward for about 10 to 15 minutes and breath through the mouth. Nose picking must be avoided, as it could result in mechanical damage to mucosa precipitating bleeding again and again. Kindly get you bleeding time and clotting time investigation done in the blood. With the report, kindly consult ENT specialist for clinical evaluation and management. In case the fragile vessels are evident and bleeding does not subside with conservative management, it can be taken care of permanently by means of chemical or electro-cautery. Hope the information provided would be helpful. All the best.