Common ENT Problems

Nosebleeds in Children

Nosebleeds in children is a very common malady and can occur on one or both sides. This typically occurs in children between the ages of 4 and 10. Oftentimes, the underlying problem is chronic nasal mucus usually caused by enlarged adenoids, which cause the problem with swelling, mucus production, and nasal drainage. 99% of all nosebleeds in children occur on the nasal septum within less than half an inch from the opening in the nostril. Typically conservative management with the form of topical moisturizers like Vaseline or KY jelly is enough to stop most nosebleeds. There are specific guidelines for children who have acute nosebleeds in that usually some Vaseline on a cotton ball and a pinched nose for 20 minutes usually stops the nosebleed. For children with recurrent nosebleeds, say longer than 90 days that do not respond to conservative management oftentimes nasal cautery is necessary. If a child has symptoms of enlarged adenoids with nasal obstruction, congestion, and runny nose oftentimes an adenoidectomy is performed at the same time as the nasal cautery. This is often performed under anesthesia in an outpatient surgical facility and takes usually less than 15 minutes. Parents may accompany children into the operating room for such a procedure for anesthetic induction. Postoperatively, the child has minimal pain. This procedure nasal cautery and/or adenoidectomy are usually over 95% effective in spotting all future nosebleeds. The professionals at the Pediatric Ear, Nose, & Throat Clinic have been taking care of children with nosebleeds for over 25 years. If your child has chronic nosebleeds and has not responded to conservative management, please contact the professionals at 1-800-526-0998 Pediatric Ear, Nose, & Throat Clinic.