Question: My daughter is 19 years old. She is having nasal bleeding since 9 years. We have consulted with ENT specialist and there is no nasal polyp. We had also done CT scan but nothing was found. Recently she is having nose bleed during her cycle with fever. Why is she having this problem?
Answer: Epistaxis means bleeding from nose.
Causes Of Epistaxis Or Nose Bleed In Children
The most common cause in young people is idiopathic.
The other relative causes are:
- Congenital: Hereditary hemorrhagic telangiectasia.
- Spontaneous or idiopathic.
- Traumatic injury.
- Nasal diseases like, sinusitis, nasal angiomas.
- Forceful blowing of the nose, high altitude, airline travel.
- Epistaxis in fever: Influenza, typhoid, viral infection of upper respiratory tract.
- Renal failure, cirrhosis, hepatitis.
- Platelet defects
- Defective clotting mechanism
- Vitamin B12 and folic acid deficiency.
- Drugs like salicylates and quinine.
- Vicarious menses.
- Chemical irritants, like sulfuric acid, chromates, nitric acid etc.
Home Remedies For Nose Bleed In Children
- The immediate treatment is to make the patient sit up in bed, leaning forward; usually one nostril is bleeding, and after blowing of clots, local pressure can be applied on the nostril, by pinching.
- Ice packs should be applied from outside.
- Nasal pack may be required if epstaxis does not respond to above measures preferably by an ENT specialist.
In your daughter’s case, as she has been examined by an ENT surgeon, and no causative factor is found, you can have a second opinion of a hematologist or a physician to rule out any blood abnormalities.