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My Son Is 9 Yesrs Old - He Has Been

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Posted on Wed, 1 Jul 2020
Question: my son is 9 yesrs old - he has been gettign bloody noses for 10 days ish
sometiems 1/2 a day then maybe miss a day
i think total 8 bloody noses.
we saw a hematologist may 2019
sicne he was getting petechai
all looked good but slight issue with blood clotting . will attach results.
doctou think this could be related? or any other insight or what i should look into ? no fevers, slres, rashes
doctor
Answered by Dr. Lisa Baker (2 hours later)
Brief Answer:
Seems that a blood vessel, like a vein, is very close to nose

Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.

Usually this means that a blood vessel, like a vein, is very close to the surface in your son's nose. So , because the vessel is so superficial, it's easy for it to bleed. Then a scab is formed, and it is again easy for the scab to get dislodged and bleed again. So it is not uncommon to have several bloody noses in a short period of time. Especially with a cold or during allergy season when we're all itchy! A ENT doctor can cauterize or "seal" the area where the vein is close the the surface and this can help. It is done in the office with some anesthesia sprayed into the nose. I don't see the lab results, but I'm happy to review them. But, if you have been told the results are normal, then I would see ENT.

Regards
Dr Lisa
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Lisa Baker (6 hours later)
Hello,
Thank you for your response. I have attached his lab results. Please let me know your thoughts
doctor
Answered by Dr. Lisa Baker (8 hours later)
Brief Answer:
Got it

Detailed Answer:
Hi, I got it this time. Labs are fine, did they also do a platelet count? And I also see the pictures - I'm not sure I'd call that petechiae. Looks more like keratosis pillaris and typical sun changes to me. Especially if only on the outside upper arms. Has he had any other bleeding problems? From circumcision? From scrapes or cuts?
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Lisa Baker

Pediatrician

Practicing since :1990

Answered : 104 Questions

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My Son Is 9 Yesrs Old - He Has Been

Brief Answer: Seems that a blood vessel, like a vein, is very close to nose Detailed Answer: Hello and welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Usually this means that a blood vessel, like a vein, is very close to the surface in your son's nose. So , because the vessel is so superficial, it's easy for it to bleed. Then a scab is formed, and it is again easy for the scab to get dislodged and bleed again. So it is not uncommon to have several bloody noses in a short period of time. Especially with a cold or during allergy season when we're all itchy! A ENT doctor can cauterize or "seal" the area where the vein is close the the surface and this can help. It is done in the office with some anesthesia sprayed into the nose. I don't see the lab results, but I'm happy to review them. But, if you have been told the results are normal, then I would see ENT. Regards Dr Lisa