A bloody nose! Oh yeah, what now?

Children often have a bloody nose. Fortunately, most nosebleeds are completely harmless, but it looks very intense and also causes a lot of discomfort! What can you do with a bloody nose, and when should you go to the doctor with your child?

Spontaneous bloody noses

Spontaneous blood noses occur frequently in children under the age of 10. Often the bleeding is in one nostril and your child also tastes the taste of blood, because the throat and nasal cavity are connected to each other. Usually the bleeding is the result of a broken vein in the nasal mucosa, and because these are still very vulnerable in young children, it is not surprising that they have a nose bleed more often.
Spontaneous bloody noses are more common in winter, because the nasal mucous membranes dry out or ignite due to colds. But also in the months that fewer people have a cold, a dehydrated and irritated nasal mucus is often the cause. The crusts that go with this become loose by scratching, fiddling, sneezing or sneezing and then the underlying mucous membrane may bleed. A spontaneous nosebleed as a result of a damaged vein looks scary, but fortunately it usually does not hurt!


Another cause of nose bleeding in children is trauma: a blow to the nose, falling, bumping ... there are plenty of situations in the active life of children that can cause damage to the nasal mucosa. Even then, a bloody nose is usually nothing to worry about unless the bleeding does not stop or the child has other complaints.

What can you do?

Let your child sit quietly, with the head slightly bent forward, and muzzle the nose once to remove scabs and clots.
Then squeeze the nose well with thumb and forefinger on the nostrils, on the soft part just below the hard part of the nose (nose bone). Do this for 10 minutes.
Keep quietly talking to your child or sing a song to provide distraction
Has the bleeding stopped after 10 minutes? Repeat these steps once more
Often it helps to put a plug of cotton wool in the nose

If the bleeding is stopped, your child will not be able to blow the nose or nose in the nose for a while, because the clot will then release too soon. Keep your child calm, because exercise causes the blood pressure to rise so that the nose can bleed again. Make sure that your child bends over his head while pushing the nose and not backwards - the blood may then flow into the throat and make him feel nauseous. Also lying is not wise; in sitting position, blood pressure in the head is the lowest.

When to the doctor?

If the bleeding continues after two ten minutes of pressing, it is wise to contact the doctor. Even if your child often has a nosebleed, which does not appear to be caused by nose or hard sneezing. Sometimes a spontaneous nose is not innocent, but the result of an underlying condition. Does your child use blood thinners and does he often have a bloody nose? Always contact the doctor.

When to call 1-1-2?

Fortunately, a bloody nose is rarely a reason to call 1-1-2. But the bleeding can of course be the result of a serious accident, in which the risk of brain injury arises. Also call 1-1-2 if you notice symptoms of shock in the child: paleness, sweating and a sick or sick feeling may be the signal that the pressure in the blood vessels has become too low.
Of course there are always unpleasant exceptions, but most nosebleeds in children are no cause for concern. Make sure that your child does not pick up too much in the nose and if necessary raise the humidity in the house to prevent a large part of the bloody noses!

Video: Epistaxis Device for Nose Bleeds. Auburn Medical Group

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