Hello doctor,
My 4 year old son bumped his nose on his cousin, while in a swimming pool. It bled a lot, but I pinched his nose for a couple of minutes while he was sitting on my lap. The bleeding stopped immediately. Now, he is calm and watching television. Should I take him to a doctor immediately?
Hi,
Welcome to icliniq.com.
- Mechanical compression is the treatment of epistaxis, most of the bleeding stop by this method.
- If the bleeding does not stop, then we do a nasal packing. But in this case, as the bleeding stopped, there is no need of further treatment if there is no recurrence of bleeding.
- If the bleeding recurs, then apply pressure and sought medical attention immediately. Keep an adrenaline ampule, dilute it in 1 ml of saline, use it after soaking in cotton, apply in the nasal cavity if bleeding recurs.
For further queries consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician
Hi doctor,
Thank you for replying. How long is the observation period? Can he go play with friends, swimming, etc?
Hi,
Welcome back to icliniq.com.
- Yes, he can resume the normal activities if there is no recurrence of the bleed within the next 24 hours.
- Keep a close watch for next 24 hours, as we need to evaluate whether the trauma was minor or major. If there is a swelling over the nose, then an x-ray may be needed to rule out simultaneous bone trauma.
For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician
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