DEAR DR. GOTT:
My son suffers from nosebleeds. I’d like to know if there is something he can do for the problem.
DEAR READER:
Nosebleeds (epistaxis) can be caused by infection, sinusitis, rhinitis, dry winter weather, and foreign bodies that have been inserted into the nose. The latter is quite common with young children. Individuals on certain medications such as Coumadin, aspirin and anti-inflammatory drugs are susceptible. Alcohol abuse, hypertension, and several other medical conditions can contribute to repeated bouts.
Your son should be seen by his physician to detect a possible underlying cause. If his physician doesn’t feel comfortable with this, he should be seen by an otolaryngologist, a specialist in the field of ear, nose and throat disorders.
Home treatment for simple cases involves pinching the lower portion of the nostrils together with the head held back for up to ten minutes. If that fails, it may be necessary to pack the nose with an absorbent material such as a rolled gauze pad for up to ten minutes. If this also fails and the bleeding is profuse, he should seek professional help through a local emergency room or clinic.
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