Problem: A boy of 2 and 1/2 years old suddenly develops nasal bleeding while we were giving round in the ward. Mother became worried.
Comment: Nasal bleeding, the medical term is epistaxis, may occur in children from simple to grave causes. In most cases, the little’s area close to the anterior nears in case of children is more vascular which may changes with the environment and give rise to bleeding. Some children are more vulranable than others. Bleeding may may occur from other areas of the nose depending on the cause. The causes include dryness of the nose, nasal congestion, pricking or trauma to the nose, nasal polyp, hypertension etc.
In our case the small child was suffering from renal hypertension.
Whatever the cause, the immediate stoppage of the bleeding is important. Compress the side of the nose from which the bleeding is coming out, put ice or ice cube over the nose, pour ice water inside the nose. Keep finger compression or ice cold compression until it is stopped.
Consult a doctor who will differentiate whether there is any underlying grave pathology or a simple reason is working.
The doctor may prescribe nasal decongestants, antihistamines, polypectomy, nasal cautery, treatment of hypertension or of any other disease.
Badrud Doza
About Me
- badrud doza
- Professional degrees: MBBS, DCH, FCPS ; Present position: Consultant and Incharge, Special Care Unit, Chittagong Maa O Shishu Hospital(Mother and Child Hospital), Agrabad, Chittagong, Bangladesh; Family: have a wife and two children. Dr.Russel, Dr. Fahim, Dr. Saiful and Dr. Shoma are my junior collegues who occassionally support me to prepare the case notes.
1 comment:
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