Friday, July 3, 2020

The nosebleeds in children in autumn and winter may be caused by these factors

Many parents saw the child's nose bleeding, and immediately said, "Hurry up, raise your head." The editor wants to say, stop now, this commonly used method of hemostasis is actually wrong.

✘ Don't look up!

The head-up position may allow blood from the nasal cavity to enter the throat and trachea, causing airway obstruction; flowing into the stomach, stimulating the stomach wall, and making the child vomit easily.

✔ Correct hemostasis steps:

1. Wash your hands calmly: If your child has nosebleeds, parents should not mess up with them. The adults panic. The children are more likely to be afraid of crying, and the blood will bleed more when they cry. The adult calmed down, washed his hands and then stopped the bleeding.

2. Lean forward blood: Hold the baby on the knee of the adult, let the child lean forward slightly, and drain the blood that has flowed out.

3. Pinch the nose to stop bleeding: Use a paper towel or a clean soft towel to gently hold the baby's nose for about 10 minutes. Be careful not to stuff anything into the nasal cavity, such as paper towels and cotton balls.

PS: Squeezing the nose wing vertically will exert pressure on the bleeding point of the septum to stop the nose from bleeding. (Be sure to pinch for ten minutes, sing and sing, read the book to pass these ten minutes, and distract the child.)

4. Raise your hands and cold compress: When hemostasis, you can let the children raise their hands above the top of the head to reduce blood flow to the nasal cavity, to achieve the purpose of slowing down bleeding. You can also apply a cold compress on the bridge of the nose to stimulate blood vessel contraction.

5. Never stop pinching: Ten minutes later, see if the nosebleed stops. If it doesn't stop, pinch for another ten minutes (don't let go at random to check if hemostasis).

6. Sit down and rest: Do not allow your baby to blow his nose, dig his nose, bend over, or vigorously exercise to keep his head above the heart within one or two hours after the blood stops.

Note that if the above steps are taken, the blood is still not stopped, go to the hospital and let the doctor see. If the child repeatedly bleeds and flows four or five times a month, it is best to take the child to the ENT department.

Nosebleeding is generally not a problem, but the sudden bleeding not only scares the child, but also the parents. Is there any way to let the child bleed less? To do a good job of prevention, we must first look at why children are prone to nosebleeds.

●The weather is too dry

I don't know if you have found that children are more likely to have nosebleeds during autumn and winter? This is because the weather is dry, the indoor temperature is high, and there is no moisture, the nasal cavity will dry out, and it is easy to bleed. In addition, there is also the same dehumidification and drying effect in the air-conditioned room. So sometimes the air conditioner blows for a long time, the child will also have nosebleeds.

prevention:

Make sure the nasal cavity is moist. If the air is too dry, pay attention to ventilation and use the humidifier to increase the air humidity. You can also apply petroleum jelly in the nasal cavity and spray normal saline to keep it moist.

●The nose is too fragile

The capillaries in the nasal cavity are rich and very fragile. The nasal cavity is too dry, the nose is hit, and even the head is hit, it will stimulate the nose to bleed. Children's noses are more delicate and fragile than adults, and they are more prone to nosebleeds.

Some children especially like to pick and rub their noses. No matter digging the nose, pencils, chopsticks... Some babies are very interested in the accommodation of the nose, and often challenge the space of the nose. An organ with such a weak nose will naturally bleed for you.

prevention:

Help your child get rid of the bad habit of picking his nose, digging his nostrils, and stuffing his nose. Parents also don't blow your baby's nose violently, they will blow nose more easily if they blow too much.

In addition, cut your nails in time for your baby, don’t leave it too long, so that even if the child can’t control digging, it can reduce the irritation of the nasal mucosa.

●The child is sick

Some diseases may cause nosebleeds, such as allergic rhinitis, sinus infection, nasal septum deviation, coagulopathy, and thrombocytopenia. Eating anti-allergic drugs (antihistamines) can also dry the nose and increase the probability of bleeding.

In addition, oral administration of some anticoagulant and antiplatelet drugs, such as aspirin and pansentine, may also increase the chance of nosebleeds.

prevention:

Sometimes, the nose is sick, and the child feels uncomfortable, so he can't help rubbing his nose. Take the child to the hospital to ensure that the nose is healthy, so that the nose can no longer bleed from the root cause.

Some rare systemic diseases, such as abnormal coagulation function and thrombocytopenia, may also cause nose bleeding, but the incidence is very low, but if the degree of nose bleeding is large, it is difficult to stop bleeding, or frequent repeated bleeding nose bleeding, or merge with other parts Bleeding conditions also need to be investigated. At the same time, pay attention to whether the baby takes some anticoagulant and antiplatelet drugs. If so, ask the doctor whether to adjust the drug or dosage.

Under normal circumstances, parents do not need to worry too much when they have a nosebleed. If you panic, your child may cry more severely. Calm down, hemostasis is the most important thing.

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