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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Nose Bleed?

My 2yr 7mth old has been on epilim since he was 6 months old and, since this last Thursday, we have been weaning him off. We dropped 1ml off his doses this month and, all being well, will reduce it by another 1ml next month. I haven t noticed any changes in him as yet, however this morning he had a random nose bleed. Could the nosebleed have been caused by the reduction in his medication? Is it worth contacting his consultant about it or could the nosebleed just have been one of those random things that happens sometimes? I m not sure whether I should be worried or not!! Thank you.
Fri, 12 Dec 2014
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General & Family Physician 's  Response
epilim(valproate) is not known to cause nose bleed.
Cause of nasal bleed in a toddler could be minor trauma in form of finger scartch by self.
Valproate can cause hepatic dysfunction at some stage. Just get a Coagulogram and LFT done to rule out any hepatic dysfunction caused by Valproate.
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What Causes A Nose Bleed?

epilim(valproate) is not known to cause nose bleed. Cause of nasal bleed in a toddler could be minor trauma in form of finger scartch by self. Valproate can cause hepatic dysfunction at some stage. Just get a Coagulogram and LFT done to rule out any hepatic dysfunction caused by Valproate.