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Suggest Treatment For Nose Bleeds And Migraine In A 7 Year Old

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Posted on Tue, 1 Sep 2015
Question: My 7 year old daughter has been having nose bleeds the last week and they are 2-4 times a day and it is a gushing nose bleed we, she has also been having migraines to the point she vomits at least 2 times a week. We have been using allergy medication Tylenol humidifier and moisturizing drops in her nose.
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Answered by Dr. Dr. Pradeep Kumar Jain (52 minutes later)
Brief Answer:
I won't get worried if there is no dizziness or fainting attack

Detailed Answer:
Hello

Thanks for the query

Nose bleed is a very common complaint in this age group.
Common causes are dry and cold climate leading to dryness of nasal mucosa,nose picking or allergic rhinitis.
In few cases exact cause could not be found.
In children it is mostly benign, self limiting condition and does not causes heavy blood loss or any serious problem.
I won't get worried if there is no dizziness,sweating or fainting attack due to excess blood loss.
There is a chance of recurrence so I would like to give you few tips to control the bleed.
Avoid dry environment (like using heat blower)
Avoid nose pick as it is a very common cause in this age.
If there is nasal bleed don't get panic.Sit with slight leaning forward to avoid swallowing of blood.Pinch the nose for 5-10 minutes.
Once bleeding stops avoid blowing,sneezing or picking of crust.
Continue allergy medication,humidifier and nasal moisturiser to prevent further episode.

You have mentioned that your daughter is suffering from migraine.If she is taking any NSAID like ibuprofen avoid it as it may precipitate the bleed by platelet dysfunction. Use tylenol (acetaminophen ) as it is a safer medicine.
Consult your physician if bleeding continues or there is any dizziness or fainting episode.

Take all these precaution and don't worry as it is self limiting condition in most of the cases.

I hope this helps.
Please let me know if you have any more doubts.
Regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2073 Questions

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Suggest Treatment For Nose Bleeds And Migraine In A 7 Year Old

Brief Answer: I won't get worried if there is no dizziness or fainting attack Detailed Answer: Hello Thanks for the query Nose bleed is a very common complaint in this age group. Common causes are dry and cold climate leading to dryness of nasal mucosa,nose picking or allergic rhinitis. In few cases exact cause could not be found. In children it is mostly benign, self limiting condition and does not causes heavy blood loss or any serious problem. I won't get worried if there is no dizziness,sweating or fainting attack due to excess blood loss. There is a chance of recurrence so I would like to give you few tips to control the bleed. Avoid dry environment (like using heat blower) Avoid nose pick as it is a very common cause in this age. If there is nasal bleed don't get panic.Sit with slight leaning forward to avoid swallowing of blood.Pinch the nose for 5-10 minutes. Once bleeding stops avoid blowing,sneezing or picking of crust. Continue allergy medication,humidifier and nasal moisturiser to prevent further episode. You have mentioned that your daughter is suffering from migraine.If she is taking any NSAID like ibuprofen avoid it as it may precipitate the bleed by platelet dysfunction. Use tylenol (acetaminophen ) as it is a safer medicine. Consult your physician if bleeding continues or there is any dizziness or fainting episode. Take all these precaution and don't worry as it is self limiting condition in most of the cases. I hope this helps. Please let me know if you have any more doubts. Regards