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|Does this describe your child's symptoms?|
Types of Nose Injuries
|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 MINOR NOSE INJURY|
- Nosebleed: To stop a nose bleed, squeeze the soft parts of the nose against the center wall for 10 minutes to apply pressure to the bleeding point.
- Skin Bleeding: For superficial cuts or scrapes, apply direct pressure for 10 minutes with a sterile gauze to stop any bleeding.
- Cleansing: Then wash the area with soap and water for 5 minutes. If a large area, apply an antibiotic ointment and cover with a Band-Aid for 1 day.
- Pain Medicine: Give acetaminophen (e.g., Tylenol) or ibuprofen as needed for pain relief.
- Concerns About Missing a Minor Nasal Fracture:
- A swollen nose usually is not broken
- If it is broken, standard practice is to delay correction until the swelling is gone
- The swelling interferes with diagnosis and treatment
- It's hard to diagnose a broken nose because of nasal swelling (most swollen noses have no fracture).
- X-rays are often not helpful because injuries to the cartilage do not show up (most of the nose is cartilage).
- Looking at the nose after the swelling is gone (day 5 to 7) is the best way to tell if it is really fractured. It will look crooked or different than it used to. Delayed correction also helps the surgeon better see what he is changing.
- In summary, it's safe to delay the treatment of a mild nasal fracture.
- Call Your Doctor If:
- Pain becomes severe
- Nasal passage becomes blocked
- Shape of the nose has not returned to normal after 5 days
- Signs of infection occur (a yellow discharge, increasing tenderness or fever)
- 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: 6/24/2008
Content Set: Pediatric HouseCalls Online
Copyright 1994-2009 Barton D. Schmitt, M.D.