Children try to explore the world with great curiosity. These exciting discoveries can cause them frequent injuries. Especially when it comes to sensitive noses… When the increase in air temperatures is included in the curiosity of children, nosebleeds are quite common in the summer months. Expressing that the first aid of families is very important in children with nosebleeds, Otorhinolaryngology Specialist from Avrasya Hospital Op. Dr. Koray Cengiz tells what needs to be known about the subject.
Nosebleeds can have many causes.
Anterior nosebleeds are just at the entrance of the nasal cavity, and the capillaries in the midline gather in a special area within the mucous membrane. The most common nosebleeds in children are those belonging to this region. Most bleeding is unilateral due to the cracking of a capillary there. Bleeding is generally short-lived, but is minor bleeding. Possible causes of nosebleeds are as follows;
- blow to the nose
- nose fractures
- Facial and skull fractures
- Upper respiratory tract infections
Put the fuss aside!
The first thing to do in nosebleeds is to remain calm. Acting in an anxious and anxious way can make you forget what you really need to do. It is possible to list the things to do in case of nose bleeding as follows;
- The head is slightly tilted forward and the two nose wings are pressed with two fingers.
- After three to four minutes, the nose is cleaned using cold water in the sink with a light blowing.
- Clots formed in the nose are removed.
- It is kept by applying pressure to the nose again and if the bleeding continues, a doctor is consulted.
At what stage should a doctor be consulted?
Except for mild nosebleeds, it occurs in severe bleeding in the posterior nasal wing in children. Therefore, it should not be assumed that every bleeding experienced is simple. Some may be difficult to control and have serious bleeding. Apart from head traumas and facial injuries, it can actually be seen in middle-aged and elderly people and those with blood pressure problems.
In children, bleeding may occur due to clotting problems. Finger pressure applied to the front of the nose does not stop the bleeding, as they originate from the posterior upper regions inside our nose. Bleeding into the mouth and throat continues. Bleeding in this area definitely requires the intervention of an otolaryngologist.
Simple capillary bleeding does not require much testing. In excessive bleeding, blood count will be sufficient for bleeding and coagulation factors. Intranasal examination is the best method. Apart from blood tests, radiological examinations can also be performed, especially if the patient has a history of trauma, a systemic disease is investigated.
Burning is preferred in nosebleeds that need to be treated.
The most commonly preferred method in nosebleeds that need to be treated is burning the nasal vessels. In this method, firstly, pressure is created in the nose with the finger, and bleeding from both wings is controlled. In capillary bleeding, it is sufficient to burn the nasal veins with a silver nitrate stick. Sometimes intranasal tampons can be used to control bleeding. These tampons have a soft spongy structure that no longer hurts and is breathable at the same time.
The burning is over in a few minutes. Tampons can be kept for 2-3 days, in advanced and severe cases up to 7 days. In these cases, treatment should be supported with antibiotics. The patient is advised to avoid blowing and applying pressure to the nose.