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How to manage frequent nosebleeds post-head injury?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My son fell when he was three years old, and his head was hit by a sharp stone inward. He underwent a CT scan right after and was discharged after few days, but as years pass by, he experiences frequent nose bleed even while sleeping. He is now seven years old. I am worried. Is nose bleeding a long-term effect of the incident, which happened four years ago, or something else? I hope I can get some answers to this. Thank you.

Answered by Dr. Bruce Eric Hudkins

Education:

Doctor of Medicine

Professional Bio:

Dr. Bruce Eric Hudkins is a practicing Otolaryngologist (ENT) in Tulsa, Oklahoma. He graduated in 1992 from OU College of Medicine and then completed his residency in ENT at Rush Presbyterian St. Luke's College of Medicine in Chicago, matriculating in 1997. He received board certification from the American Board of Otolaryngology. He has 31 years of clinical experience and currently practicing at ENT Specialists of Tulsa, Oklahoma, United States, and is involved in the training of residents in Otolaryngology at OSU Medical Center.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

It is not uncommon for children this age to get nosebleeds, along with the elderly. The children usually grow out of it by age 15 or so. It is likely that he might have a deviated septum from the trauma that might need to be addressed in the distant future. For now, I would advise you to use NoBleed. It is a cream that you apply with the tip of the finger (do not use the tips to apply -this will only stir up the bleeding) to the inside of the nasal septum and then "pinch it back" by pinching the nostrils this gently squeezes the cream back. Do this twice a day for a month, then once a day for a month, then once a week. The frequency of the nosebleeds should slowly go down to none. If this persists despite this treatment, then see an ENT for cautery. One tube should do the trick, and it is cheaper than the Estrogen cream that can also work in this situation. Also, make sure his fingernails are trimmed very close over the next 3 to 4 months.

Medically reviewed by Dr. Sneha Kannan
Published At January 16, 2024
Reviewed At April 18, 2024

Education:

Doctor of Medicine

Professional Bio:

Dr. Bruce Eric Hudkins is a practicing Otolaryngologist (ENT) in Tulsa, Oklahoma. He graduated in 1992 from OU College of Medicine and then completed his residency in ENT at Rush Presbyterian St. Luke's College of Medicine in Chicago, matriculating in 1997. He received board certification from the American Board of Otolaryngology. He has 31 years of clinical experience and currently practicing at ENT Specialists of Tulsa, Oklahoma, United States, and is involved in the training of residents in Otolaryngology at OSU Medical Center.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Doctor of Medicine

Professional Bio:

Dr. Bruce Eric Hudkins is a practicing Otolaryngologist (ENT) in Tulsa, Oklahoma. He graduated in 1992 from OU College of Medicine and then completed his residency in ENT at Rush Presbyterian St. Luke's College of Medicine in Chicago, matriculating in 1997. He received board certification from the American Board of Otolaryngology. He has 31 years of clinical experience and currently practicing at ENT Specialists of Tulsa, Oklahoma, United States, and is involved in the training of residents in Otolaryngology at OSU Medical Center.

This doctor is not available for online consultations on the platform anymore.

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