Center for Ear, Nose, Throat and Allergies Indiana

Nose bleeds

Some children seem prone to nose bleeds. Most commonly, direct trauma or nose picking is the culprit in small children. Sometimes it can be contributed to by excessive dryness, or by blood vessels that are very close to the surface of the skin inside the nose. Very rarely, it can be due to a growth in the nose or can be a sign of a blood clotting disorder such as hemophilia or Von Willibrand's disease.
What can be done to prevent nosebleeds? The use of nasal moisturizers, such as saline spray, saline gel, or bacitracin ointment may help. Additionally, the use of a vaporizer next to the bed can be useful. If allergies are causing the nose to itch (which leads to nose picking/scratching) allergy medicines may help.

What can be done to stop a nose bleed once it starts? First, gently blow any blood clots out of the nose, then use a decongestant nasal spray containing oxymetazoline (such as Afrin or 4-Way Spray). Then hold firm pressure /pinch together the soft, lower portion of the nose for at least five minutes constantly.

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