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Quick reference medical handouts used by Pediatric offices


When to worry about nosebleeds


When to worry and call
the doctor!

When to worry less!

Your child is pale, faint, sweaty or dizzy

Other than the nosebleed, your child appears okay

The nosebleed can not be stopped after two 10-minute applications of pressure to the nose The nosebleed is easily controlled by either one or two applications of pressure (squeezing the soft part of the nose against the septum) for ten minutes. 
Bleeding recurs three or more times in 24 hours despite direct pressure Your child has had only one or two nosebleeds in the past 24 hrs. 
Bleeding is the result of severe trauma and you are concerned about a possible nasal fracture The nosebleed began spontaneously or while the child was sleeping
In addition to the frequent nosebleeds your child has excessive bruising (either many bruises, bruises in unusual places, or easy bruisability), tiny red spots which look like blood in the skin (called petechiae), cuts which seem to bleed excessively, bleeding gums, or blood in the stool or urine. Your child does not appear to bruise easily.
My child's nosebleeds began when he/she began taking a new medicine My child is on no other medications that might be responsible for the nosebleeds. 
Your child has a nosebleed with a severe headache Other than the nosebleed, your child is okay
The bleeding is coming out of both nostrils The bleeding comes from only one one nostril

For treatment guidelines for the child with a nosebleed, click here.

 

As a reminder, this information should not be relied on as medical advice and is not intended to replace the advice of your child’s pediatrician. Please read our full disclaimer.

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