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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nose Bleeding?

My 5 year old son has been a bad nose-picker most his life. Now he gets frequent nosebleeds, even without touching his nose, and for no apparent reason. He bleeds quite heavily, and recently while trying to stop the bleeding, I have pulled out long, thick strands of bloody mucus from deep inside his nose. Could there be something more going on that we should check out?
Mon, 8 Jun 2015
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Pediatrician 's  Response
Hi
Welcome to the HCM

In my opinion your child is suffering from epistaxis episodes and the cause is nose picking habit. Even though the habit has improved but small trauma to healing mucosa of nose can still lead to bleeds. I would recommend the following measures to help him out:

1. Use a saline nasal spray or saline nose drops two to three times a day in each nostril. These products can be purchased over-the-counter.
2.Run a humidifier in his bedroom at night.
3. Place water-soluble nasal gels or ointments in his nostrils with a cotton swab. Bacitracin®, Vaseline®, or Ayr Gel® are examples of over-the-counter ointments that you can use. Be sure not to insert the swab more than ¼ inch in his nose. These gels and ointments can be purchased in most pharmacies.
4. Avoid blowing the nose too forcefully, but you may choose to blow nose after using nasal saline sprays or drops.
5. Sneeze through an open mouth if possible.
6. Avoid putting anything solid into his nostrils such as finger or forceps.
7. Avoid drugs such as aspirin.

Hopefully it will be of help. Don't worry.
Take care

For further questions, you may contact me.
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What Causes Nose Bleeding?

Hi Welcome to the HCM In my opinion your child is suffering from epistaxis episodes and the cause is nose picking habit. Even though the habit has improved but small trauma to healing mucosa of nose can still lead to bleeds. I would recommend the following measures to help him out: 1. Use a saline nasal spray or saline nose drops two to three times a day in each nostril. These products can be purchased over-the-counter. 2.Run a humidifier in his bedroom at night. 3. Place water-soluble nasal gels or ointments in his nostrils with a cotton swab. Bacitracin®, Vaseline®, or Ayr Gel® are examples of over-the-counter ointments that you can use. Be sure not to insert the swab more than ¼ inch in his nose. These gels and ointments can be purchased in most pharmacies. 4. Avoid blowing the nose too forcefully, but you may choose to blow nose after using nasal saline sprays or drops. 5. Sneeze through an open mouth if possible. 6. Avoid putting anything solid into his nostrils such as finger or forceps. 7. Avoid drugs such as aspirin. Hopefully it will be of help. Don t worry. Take care For further questions, you may contact me.