Symptoms | Nosebleeds in children

Symptoms

Nosebleeds can either occur completely on their own or be associated with other symptoms. For example, if it is a very heavy bleeding in which the child loses a lot of blood, there may be an accompanying deterioration in the general condition. Very rarely, however, the blood loss is so high that there is a marked anaemia.

Nosebleeds and accompanying headaches can be a sign of infection or high blood pressure. Nosebleeds and the parallel coagulation of blood in the nose almost always lead to an impairment of breathing through the nose, which means that children breathe in and out through the mouth after heavy nosebleeds. It is important to treat the mucous membranes of the nose with a nasal ointment to moisturize them. Especially small children become restless and start to scream when they have a nosebleed, which further complicates rapid treatment by parents or the doctor.

Diagnosis

The diagnosis of a nosebleed in children is a gaze diagnosis, since blood usually flows uncontrolled from the anterior turbinates. After the immediate initial measures have been taken, the bleeding usually stops. In the event of a single occurrence of nosebleeds, no further measures would be taken.

However, if nosebleeds occur repeatedly in small children, the exact cause should be investigated. For this purpose, the front nasal concha and the nasal passage is mirrored by the paediatrician or ENT specialist and viewed with a bright light. In this way, he can, for example, look at and assess porous blood vessels (e.g. Locus Kiesselbachi).

Furthermore, if there is a recurring nosebleed, the child’s blood pressure should be measured in order not to overlook high blood pressure as a cause. Furthermore, a blood test should also be carried out, which can give indications of a platelet disorder or leukemia, which also often leads to a nosebleed that is difficult to stop or recurs. Normally, a nosebleed does not need to be clarified or diagnosed by medical examinations.

However, if parents take their child to an ear, nose and throat specialist, for example, he or she can identify possible sources of bleeding using various methods. The examination can be unpleasant for children, which is why local anaesthetic nasal sprays are often used. Additional examinations are only rarely necessary.

Possible procedures may include middle and posterior rhinoscopy, ultrasound, nasal endoscopy, CT or MRI. If an underlying disease is suspected, your pediatrician will also initiate further examinations, such as blood sampling. Although nosebleeds are quite common, many parents and children do not know what to do at first.

Unfortunately, there are still some fundamentally wrong ideas about how to stop nosebleeds. So what should you do? Furthermore, there is the possibility to insert hemostatic absorbent cotton into the nasal conchae.

This coated absorbent cotton additionally accelerates blood clotting. It is important to make sure that the absorbent cotton is not pushed too deep into the nose so that it can be pulled out again later!If these measures do not help to stop the nose bleeding either, a pediatrician should be consulted urgently, who will examine the nose more thoroughly. Homeopathy for nosebleeds

  • Keep calm – even if it looks dramatic, nosebleeds are almost always harmless!

    Calm and comfort your excited child

  • Bend your child’s head slightly forward, possibly over a drain. Also ensure that the upper body is in an upright position. The child should never place his or her head in the neck if there is a nosebleed.

    This used to be a common method, but is now outdated, as it causes the blood to flow into the throat and stomach, which causes nausea a short time later.

  • Any blood in the mouth should be spat out to prevent nausea and vomiting
  • Press the nostrils firmly together with thumb and forefinger for 10-15 minutes
  • Cold compresses or compresses on the neck can have a supportive effect

Recurrent or particularly severe nosebleeds in children may require causal therapy. Once the source of the bleeding has been identified, there are various ways to stop it.

  • Nasal OintmentLight forms, can already be treated with generous application of nasal ointment.

    With the help of absorbent cotton, the nourishing ointment can be easily inserted into the nose. Dry nasal mucosa is soothed and heals faster.

  • Slight forms, can already be treated with generous application of nasal ointment. With the help of absorbent cotton, the nourishing ointment can be easily inserted into the nose.

    Dry nasal mucosa is soothed and heals faster.

  • Slight forms, can already be treated with generous application of nasal ointment. With the help of absorbent cotton, the nourishing ointment can be easily inserted into the nose. Dry nasal mucosa is soothed and heals faster.
  • SclerotherapyTo prevent recurrent bleeding, affected blood vessels in the nasal mucosa can be “closed”.

    Under local anesthesia, either electricity (“electrocoagulation”) or chemical substances can be applied quickly and effectively. For children, the procedure is unpleasant, but not painful. Nowadays, doctors mostly use electrocoagulation.

  • To prevent recurrent bleeding, affected blood vessels in the nasal mucosa can be “closed”.

    Under local anesthesia, either electricity (“electrocoagulation”) or chemical substances can be applied quickly and effectively.

  • The procedure is unpleasant for children, but not painful. Nowadays, doctors mostly use electrocoagulation.
  • LaserModern procedure to prevent nosebleeds is the laser therapy. Currently, it is mainly used in severe cases or unsuccessful attempts at sclerotherapy.
  • The most modern method of preventing nosebleeds is laser therapy.

    Currently, it is mainly used in severe cases or unsuccessful attempts at sclerotherapy.

  • To prevent recurrent bleeding, affected blood vessels in the nasal mucosa can be “closed”. Under local anesthesia, either electricity (“electrocoagulation”) or chemical substances can be applied quickly and effectively.
  • The procedure is unpleasant for children, but not painful. Nowadays, doctors mostly use electrocoagulation.
  • The most modern method of preventing nosebleeds is laser therapy.

    Currently, it is mainly used in severe cases or unsuccessful attempts at sclerotherapy.

As a rule, children with nosebleeds do not need medical attention. Certain situations, in rare cases, may nevertheless require it: symptoms of major blood loss, such as weakness, paleness or loss of consciousness Recurrent nosebleeds Simultaneous symptoms of a lack of platelets, such as very quickly developing “bruises” or heavy bleeding from small injuries Nosebleed when the nasal bone is broken (swelling and hematomas in the face?)

  • Symptoms of major blood loss, such as weakness, paleness or loss of consciousness
  • Recurrent nosebleeds
  • Simultaneous symptoms of a platelet deficiency, such as very quickly developing “bruises” or heavy bleeding from small injuries
  • Nosebleed with fracture of the nasal bone (swelling and hematomas in the face? )