Nosebleeds are very common throughout childhood. They often begin unexpectedly, even during sleep. They are usually caused by dryness of the nasal lining plus the normal rubbing and picking that all children do when the nose becomes blocked. Vigorous nose blowing can also cause bleeding. All of these behaviors are increased in children with nasal allergies.
How Do I Stop A Nosebleed?
Have your child sit up and lean forward so as not to swallow the blood. Have a basin available. Have your child spit out any blood that drains into the throat. Use salt water nose drops (Ocean, Ayr) to loosen large clots that might interfere with applying pressure to the nose to stop the bleeding. Swallowed blood is irritating to the stomach and may cause your child to vomit.
Apply pressure to the soft part of your child's nose. Tell your child to breathe through the mouth and pinch the soft parts of the nose (just above the openings of the nose) against the center wall for 10 minutes. Do not release the pressure until 10 minutes are up. If the bleeding continues, you may not be pressing on the right spot.
If the nosebleed does not stop, use salt water nose drops and squeeze again. Use a Q-tip and coat the cotton tip with Vaseline. Insert the Q-tip into the nose only as far as the cotton tip and coat the inside lining of the nose. Squeeze the soft part of the nose again for 10 minutes. If bleeding persists, continue the pressure and call our office.
How Do I Prevent Further Nosebleeds?
The following steps can help lessen nosebleeds:
Avoid these common mistakes
Call our office immediately if:
Call during regular hours if:
Adapted from Barton D. Schmitt, MD