Child Nose Bleeding

Nose bleeding is one of the most common complaints in the ENT field.

Almost everyone has had a nosebleed at least once in their life. Usually due to simple causes and
Although it is a condition that is easily stopped, sometimes the cause is very serious and can be life-threatening.
bleeding may occur.

Why Does the Nose Bleed Often?
The nose contains very dense and superficial veins. Especially in the front of the partition that divides the nasal cavity into two.
This is a section where the veins coming to the nose join with each other and these veins are quite superficial.
Especially in children, this part can bleed even without any effect. on both sides of the nasal cavity
The meat called turbinate is very rich in veins and is the cause of some bleeding.

What are the Causes of Nose Bleeding?
Nosebleeds can be caused by both nasal causes (local causes) and problems outside the nose (general causes).
depending on the reasons).

Local Causes:

– Intranasal inflammations

– Sinusitis

– Blows to the nose

– Children’s nose picking

– Foreign bodies inserted into the nose

– Intranasal and sinus tumors

– Bone curvature in the nose (septum deviation)

– allergic rhinitis

General Reasons:

– hypertension

– Blood Diseases (Bleeding-coagulation disorders, leukemia, etc.)

– Intestinal Parasites

Which Tests Need To Be Done?
Especially in severe nosebleeds, the first thing to do is to prevent bleeding, regardless of the cause.
is to be stopped. After the bleeding is stopped, some research should be done on the cause.
The first thing to do in investigating the cause is the examination of the patient. With many inspections
The reason is understandable. Investigations that can be done according to the suspected cause are as follows:

– Measurement of blood pressure

– Filming of sinusitis (normal films or tomography)

– Intestinal parasite investigation

– Bleeding, Coagulation tests, Tests for blood diseases These tests are always available to every patient.
not applicable. According to the reason suspected by the doctor, some of them are done and the cause is tried to be found.

How Is It Treated?
Many nosebleeds stop spontaneously or with the patient holding the tip of the nose and applying cold.
However, bleeding that does not stop in this way requires doctor intervention. To stop the bleeding
Possible interventions are:

– Burning the vein: It is used for mild, recurrent bleeding. front of nose chamber
It is tried to prevent bleeding by applying chemical substances to the vascular network in the part of the body. both sides
There is a risk of perforation of the nasal chamber when applied or excessive use of chemicals.

– Putting a tampon: It is a frequently applied treatment method. Stiffness of the tip of the nose or cold
It is used in bleeding that cannot be stopped by application. Bleeding vessel placed in the nasal cavity
It stops the bleeding by putting pressure on it. Gauze with antibiotic creams as a tampon
It can be used as well as more comfortable with a tube in the middle that will allow the patient to breathe.
Tampons can also be used. Tampons are usually removed after 48 hours. Sometimes it stays longer
The problem can lead to infections. It should not be neglected to give antibiotics to the patient during the buffer period.
Sometimes the source of nosebleeds is the posterior parts of the nose and cannot be stopped with tampons placed from the front.
In this case, the so-called posterior (poster) tampon is inserted through the mouth and placed on the back of the nose.
buffer is used.

– Ligation of the veins: This is an operation and is severe enough to threaten the patient’s life and
It is used for bleeding that does not stop with tampon insertion. The vein, which is determined by the location of the bleeding, is sometimes

It is connected through the sinus and sometimes by opening the neck. During the interventions to the patient, the patient
Relaxation plays an important role. For this purpose, especially in elderly and hypertensive patients, diazema is applied to the patient.
or other sedatives may be required.

What Can I Do At Home When My Nose Bleeds?
Many times, the patient’s own methods can stop the bleeding. The first thing the patient should do
It is the bending of the head forward by holding the tip of the nose tightly. If the head is tilted backwards, blood will bleed from your nose.
the chance of going into the throat increases. Cold application on the nose is also beneficial. Even in the front of the patient’s nose
He can also put a gauze pad to act as a buffer. However, the patient’s own methods
Although it stops the bleeding, it should be examined by an ENT specialist at the appropriate time.

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