What are the causes of nosebleeds in children?

What are the causes of nosebleeds in children?


1 nosebleed

2 Causes of nosebleeds in children

3 Children are more prone to epistaxis

4 tips to prevent nosebleeds in children

5 References


Epistaxis or nosebleeds can be defined by bleeding from the nose as a result of rupture of the small blood vessels lining the nose.

Epistaxis is a common disorder in children, especially between 3-10 years of age, which may seem dangerous.

Here it should be noted that nosebleeds do not usually indicate a serious health problem in the child.

The nosebleed usually lasts for a short period not exceeding 10 minutes, and stops without the need for treatment.

Or by following simple home remedies,

Also, nosebleed is not considered dangerous or from one of the reasons that may lead to the child suffering from a lack of blood that reaches the stage of anemia.

Except if heavy bleeding has recurred for several weeks or months in a row.

Causes of nosebleeds in children

Most cases of nosebleeds in children are classified into anterior nosebleeds.

It is the bleeding occurring in the front and soft part of the nose,

This part of the nose is characterized by its richness in small and small blood vessels,

Which may be easily inflamed or irritated, which in turn leads to rupture and bleeding,

This type of bleeding is more common in children due to the thinner lining of the nose during childhood compared to its thickness after adulthood.

As for posterior nosebleeds, in which the bleeding is often more severe and more difficult to stop, it rarely affects children.

The following is an explanation of some of the common reasons that may lead to nosebleeds in children:

First: spontaneous nosebleeds:

Most cases of nosebleeds in children occur automatically and without knowing the main cause of their occurrence.

Second: suctioning the mucous fluid from the nose:

In some cases, using a nasal aspiration device may cause bleeding.

Especially if the party responsible for suction is inserted into a point deep inside the nose

Third: nose injury:

As a result of the fragility of blood vessels in the nose in children, exposure to a minor injury to the nose, such as:

  • The ball hitting the nose
  • Falling on the nose
  • Rub the nose vigorously
  • Inserting the finger deep into the nose

It may lead to nosebleeds

In addition, forcefully pushing mucus out of the nose by exhaling it may lead to bleeding in some cases.

Fourth: Nasal and sinus disorders:

Sinus infection leads to nasal congestion and dry mucus.

Having one type of nasal allergy also causes the nose to itch.

As a result, the child tries to forcefully push the mucous fluid by exhaling or rubbing the nose forcefully,

This, in turn, leads to bleeding.

Fifthly: dry air:

Dry air or exposure to hot heating air in winter causes the lining of the nose to dry out and increases the risk of bleeding.

Sixth: Medicines:

The use of some types of drugs, such as allergy drugs, may dry the lining of the nose and increase the risk of bleeding.

Also, the use of some drugs may affect the blood-clotting mechanism and increase the chance of bleeding, such as:

  • Aspirin
  • Ibuprofen

Here it is worth noting the need to avoid the use of aspirin by children, as it may have other serious health complications.

Seventh: Hematology:

Severe nosebleeds that are difficult to stop in children may indicate a blood disorder that affects blood clotting.

These disorders are related to platelets or clotting factors, such as:

 Haemophilia, where excessive bleeding of gums or wounds may indicate this disease.

It is worth noting that blood diseases are a rare cause of frequent nosebleeds.

Eighth: histological abnormalities:

Some children may suffer from abnormal growth in nasal tissue.

Such as nose polyps, which are often benign except that they cause bleeding.

Here it is worth noting the need to treat these tissue abnormalities,

In children, the risk of bleeding may also be increased if there are structural abnormalities in the nose.

Ninth: Chronic Diseases:

Some chronic diseases require oxygen therapy or the use of some medications that may cause the lining of the nose to dry out.

This results in an increased risk of nosebleeds as well.

Tenth: Migraine:

Some scientists believe that nosebleeds are a precursor to migraines or migraines in children.

As it was observed that nosebleeds often precede migraines by about three years,

A study published in the European Journal of Pediatric Neurology in 2015 also showed

About 1.1% of children suffer from nosebleeds during a migraine attack,

Some scientists also believe that the actual percentage is greater than this percentage.

Eleventh: Tumors:

In some rare cases, bleeding may be caused by a type of tumor in the nasal passages.

Twelfth: severe head injuries:

In some rare cases, bleeding may also be caused by a severe head injury.

Children are more prone to epistaxis

There are some factors that may increase a child’s risk of developing epilepsy, including the following:

  • Having a cold or a common cold.
  • Suffering from some types of allergies.
  • Living in dry weather areas.
  • Children who put their fingers in their nose violently.

Tips for preventing nosebleeds in children

Some tips can be followed if the child suffers from frequent nosebleeds to help prevent the bleeding.

Some of them can be explained in the following:

1- Refrain from smoking near the child.

2- Consult a doctor if the child suffers from any type of allergy.

3- Using a home humidifier if the air at home is dry,

Taking care to clean the device periodically to prevent the growth of fungi and germs inside the device.

4- Putting Vaseline inside the child’s nose several times a day to prevent dryness of the mucous membranes in the nose.

5- Preventing the child from tampering with the nose and inserting his finger, or forcibly exhaling to try to get rid of the mucus.

6- Use a saline solution, available in the form of nasal drops or a spray, as instructed by the health care provider.

7- Instruct the child about putting several drops of warm water inside the nose before exhaling forcefully in an attempt to get rid of nasal congestion.

8- Using antihistamine medicines after consulting a doctor in case the child suffers from allergies to help relieve an itchy nose.

9- Ensure that the child wears the appropriate protective equipment while practicing various sports exercises.

10- Take care to trim the child’s nails regularly to prevent the lining of the nose being injured.

İmportant notice:

The content of the submitted articles, including all text, graphics, images, and other materials, is provided for educational purposes only.

The information provided is not a substitute for professional medical advice or professional diagnosis.

Moreover, the information on this website should not be taken as final medical advice in relation to any case or individual situation.

We strongly recommend that you always seek the advice of your doctor or other qualified health service provider with any questions you may have regarding any medical condition, your general health, or the health of your child.



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