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| Epistaxis/Nose bleeds |
Nose bleeds(epistaxis) are common in childhood .
Though it is frightening it is easily manageable
Most common
site of bleeding is an area in the anterior part of nasal septum where many
blood vessels are meeting.
The mucosa in that area is thin and easily accessible
for children for inserting fingers and nose picking
Causes:
Trauma –
either fall or hit by others
Nose
picking-most common cause
Dry air
Inflammation
Sinusitis/allergic
rhinitis
Management:
Mostly bleeding
will stop spontaneously in few minutes.
Donot panic
on seeing the bleed.
Calm the
child
Compress the
Nares and ask the child to breathe through mouth
Ask the
child to lean forward so that the blood will not enter back in to the throat
If bleeding
is profuse apply Oxymetazoline drops
Consult an
ENT surgeon who will pack the nose and will arrest the bleeding
Saline nasal
drops may be applied to prevent dryness
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