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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sneezing And Bleeding Nose In A Child

my 10 year old wakes each morning to sneezing and a bleeding nose. I have washed out nasal passages before bed as well as coating with olive oil. He also breaths thru his mouth verses his nose while he sleep. No Fever, mucus is clear once nose stops bleeding, eys burn and ears sometimes itch.
Mon, 15 Jun 2015
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Pediatrician, Pulmonology ,  's  Response
Hi...by what you quote I feel that your kid is having a moderate to severe persistent allergic rhinitis. In this the symptoms typically are like what you have quoted. But the reason for recurrent nose bleeds could be the habit of nose picking the dry crusts in the nose which needs to be curtailed. Eye burning sensation and ear itching could also be due to the same allergic manifestations.

He needs evaluation and he may need to be started on intranasal steroids like Fluticasone or Mometasone which is the best approved therapy now currently. But before going ahead with the therapy he will require certain blood tests like complete blood counts/ Serum IgE and an imaging of the para-nasal sinuses.

Regards - Dr. Sumanth

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Suggest Treatment For Sneezing And Bleeding Nose In A Child

Hi...by what you quote I feel that your kid is having a moderate to severe persistent allergic rhinitis. In this the symptoms typically are like what you have quoted. But the reason for recurrent nose bleeds could be the habit of nose picking the dry crusts in the nose which needs to be curtailed. Eye burning sensation and ear itching could also be due to the same allergic manifestations. He needs evaluation and he may need to be started on intranasal steroids like Fluticasone or Mometasone which is the best approved therapy now currently. But before going ahead with the therapy he will require certain blood tests like complete blood counts/ Serum IgE and an imaging of the para-nasal sinuses. Regards - Dr. Sumanth