I have three children two boys and one girl and all of them are bleeding from their noses and my daughter is more than her brothers and she does not has a specific time to bleed .why should i do.
Epistaxis(nose bleed) is a common problem especially in children ! It has many causes , but the most common is due to rupturing of small capillaries in the anterior part of the nasal septum due to physical trauma ( blowing the nose , nose pecking and nasal external trauma ) and is agrivated by allergic rhinitis or adenoid hypertrophy that causes blockage of the nose and irritation to the nasal mucosa , which make it more sensitve to physical trauma .
Patient shoud visit his otolaryngologist to diagnose the cause and possibly order some blood exams (cbc,pt,ptt,bt,ct) if he sees that it is needed,and then treat it by securing the nasal airway, controlling the allergy, and even local chemo or electro coagulation if needed !
It is quite normal for children to have nose bleeds especially in the hot summer season where the AC are used which dries the room air. Another common reason is habitual nose pickings during childhood which leads to multiple traumas to the sensitive nasal mucosa on the anterior part. Therefore it is necessary to be evaluated by an ENT specialist to assess the case carefully.
I highly recommend to test your kids for the possibility of bleeding tendency, this includes withdraw of blood and tested for CBC, PT and PTT. Bleeding time is also would be important.
If the above been within normal range, your children need to be evaluated for vascular abnormalities such as Hereditary hemorrhagic telangiectasia .
If all come to normal a search for environment cause would be the next step.
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