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Nosebleed  
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Symptom
Description
Should I
Call?
Care at
Home
Does this describe your child's symptoms?

Click image for
more info
First Aid - Nosebleed
First Aid - Nosebleed

Definition
  • Bleeding from 1 or both nostrils

Causes

  • Usually caused by dryness of the nasal lining or vigorous nose blowing

If not, see these topics
  • Follows injury, see NOSE INJURY

Should I
Call?
Care at
Home
When to Call Your Doctor

Call 911 Now (your child may need an ambulance) If
  • Fainted or too weak to stand
Call Your Doctor Now (night or day) If
  • You think your child has a serious injury
  • Bleeding does not stop after 10 minutes of direct pressure applied correctly and tried twice
  • Bleeding recurs 3 or more times in 24 hours despite direct pressure
  • Skin bruises or bleeding gums not caused by an injury are also present
  • Large amount of blood has been lost
Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
  • You think your child needs to be seen
Call Your Doctor During Weekday Office Hours If
  • You have other questions or concerns
  • Age under 1 year old
  • Hard-to-stop nosebleeds are a recurrent problem
  • Easy bleeding present in other family members
Parent Care at Home If
  • Mild nosebleed and you don't think your child needs to be seen
Symptom
Description
Care at
Home
HOME CARE ADVICE FOR NOSEBLEED

  1. Apply Pressure:  
    • Gently squeeze the soft parts of the lower nose against the center wall for 10 minutes.  This should apply continuous pressure to the bleeding point.  
    • Use the thumb and and index finger in a pinching manner. If the bleeding continues, move your point of pressure.
    • Have your child sit up and breathe through the mouth during this procedure.
  2. Insert Gauze:
    • If pressure alone fails, insert a gauze wet with a few decongestant nose drops (e.g., nonprescription Afrin). (Reason: The gauze helps to apply pressure and nose drops shrink the blood vessels).
    • If not available or less than one year old, use petroleum jelly applied to gauze.
    • Repeat the process of gently squeezing the nose for 10 minutes.
  3. Prevent Recurrent Nosebleeds:
    • If the air in your home is dry, use a humidifier to keep the nose from drying out.
    • Apply petroleum jelly to the center wall of the nose twice a day to promote healing.
    • For noseblowing, blow gently.
    • For nose suctioning, don't put the suction tip very far inside. Also, move it gently.
  4. Expected Course: Over 99% of nosebleeds will stop following 10 minutes of direct pressure if the parent is pressing on the right spot. After swallowing blood from a nosebleed, your child may vomit a little blood or pass a dark stool tomorrow.
  5. Call Your Doctor If:
    • Unable to stop bleeding with 20 minutes of direct pressure
    • Your child becomes worse

And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.
Symptom
Description
Should I
Call?

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Author and Senior Reviewer: Barton D. Schmitt, M.D.

Last Reviewed: 1/19/2009

Last Revised: 8/5/2007

Content Set: Pediatric HouseCalls Online

Copyright 1994-2009 Barton D. Schmitt, M.D.

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