Nosebleeds (Epistaxis) Follow-Up Guide: What Parents Need to

Understanding Nosebleeds 

What is it? Bleeding from one or both nostrils, often from dry air, colds, allergies, nose picking, or certain medications.

Common Types

  • Dryness/Irritation: From dry air, colds, frequent blowing, or nasal crusting.
  • Medication-related: Caused by allergy meds, nasal sprays, decongestants, ibuprofen, or aspirin.
  • Behavioral/Trauma: From nose picking, rubbing, suctioning, or bumps to the nose.

When to Manage at Home

✅ You can manage your child's nosebleed at home when:

  • Bleeding stops within 10 minutes of direct pressure (soft part of nose, leaning forward).
  • No heavy bleeding, dizziness, or vomiting blood.
  • No injury or suspected object in the nose.

How to Treat at Home 

 🏠 Home remedies for nosebleeds:

  • Sit child up, lean forward, pinch soft part of nose for 10 minutes.
    • Do not lean backward. 
  • Use saline spray and a cool-mist humidifier.
  • Apply a thin layer of petroleum jelly inside the nostrils if dry/scabby.
  • Avoid nose picking, rough nose blowing, and NSAIDs (ibuprofen, aspirin) unless advised.

Safe Medications

  • Saline spray or drops to keep nostrils moist.
  • Petroleum jelly applied inside the nose (twice daily if needed).

When to Contact Poppins 

📱 Contact us again when:

  • Bleeding stops with pressure but keeps coming back.
  • You’re unsure if you’re using the right technique.
  • You have questions about medicines or prevention.
  • Symptoms change or new ones appear.

When to Visit Your Pediatrician 

🩺 Go to an in-person appointment when:

  • Nosebleeds are becoming more frequent.
  • There’s ongoing crusting, scabbing, or visible damage inside the nose.

When to Go to the ER

🚨 Seek immediate emergency care if your child is: 

  • Has bleeding that doesn’t stop after 10 minutes of pressure.
  • Looks pale, weak, or unwell.
  • Has heavy bleeding, dizziness, fainting, or vomiting blood.
  • Has trouble breathing, major facial injury, or a suspected posterior nosebleed.

If your gut tells you something is wrong, don't hesitate to reach out. Need help? Reconnect with our on-demand team of medical staff available 24/7.

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