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Bleeding in nose
Hello Dr. 5 years old child girl have bleeding in nose since 2 days please give treatment and suggestion
Hi, bleeding from nose is common in children majorly during summer months , incase of bleeding pinch the nose for 5 min and ask child to lean forward and breathe through mouth , bleeding subsides in 5 to 10 min, can use ice pack around nose ,use xylomist nasal drops 2 drops in each nostril thrice daily ( max. Upto 5 days). Visit ENT specialist for further evaluation
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Hi, I am Dr Atul Kumar Nimawat MS ENT.
A 5-year-old child presenting with anterior nasal bleeding is most likely experiencing epistaxis due to common causes such as digital trauma (nose picking), mucosal dryness, upper respiratory tract infections, allergic rhinitis, or local irritation. Less commonly, underlying coagulopathies or vascular malformations may also contribute.
Next Steps
1. Initial Assessment
• Check airway, breathing, circulation.
• Brief history and gentle nasal examination.
2. First-Line Management
• Sit child upright, lean forward.
• Pinch nostrils for 5–10 minutes.
• Apply cold compress over nose/neck.
• Nasal decongestant drops (e.g., oxymetazoline).
3. Local Measures
• Identify bleeding point (Little’s area).
• Cauterize with silver nitrate if needed.
4. Nasal Packing
• Anterior nasal packing if bleeding persists.
5. Treat Underlying Cause
• Manage dryness, infections, or allergies.
• Avoid nasal trauma.
6. Investigations (if indicated)
• CBC, PT/INR, bleeding profile.
7. Follow-Up and Prevention
• Educate on nasal care and hygiene.
• Use saline drops or lubricating ointment if dry nose.
Health Tips
Visit nearest ENT OPD for better management
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Plz visit the ENT clinic for proper evaluation of the nose and use otrivin pediatric nasal drops - 3 drops thrice daily in both the nostrils for 5 days and give syp montair lc kid at night time for 5 days
Next Steps
plz avoid touching the nose repeatedly
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