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First Aid - Nosebleed
|When to Call Your Doctor|
|Call 911 Now (your child may need an ambulance) If|
|Call Your Doctor Now (night or day) If|
|Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If|
|Call Your Doctor During Weekday Office Hours If|
|Parent Care at Home If|
|HOME CARE ADVICE FOR NOSEBLEED|
- Apply Pressure: Â
- Gently squeeze the soft parts of the lower nose against the center wall for 10 minutes. Â This should apply continuous pressure to the bleeding point. Â
- 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.
- Insert Gauze:
- If pressure alone fails, insert a gauze wet with a few decongestant nose drops (e.g., nonprescription Afrin).Â (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.
- 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.
- 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.
- 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.
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.