Nose Bleeds
Nose bleeds are common in childhood and normally get better by themselves. It is mostly caused by minor injury to the nose lining such as nose picking but can also be caused if your child has had a recent cough/runny nose, if they have allergic rhinitis, or a foreign body in their nose.
The bleeding is usually from the front part of the nose and whilst the amount of bleeding may seem like a lot (such as soaking through tissues), it is rare for children to lose so much blood that it causes any problems (such as anaemia). This might only happen with frequent, heavy nosebleeds over several weeks or months.
If your child has had a nosebleed as a result of a head injury please look at our page here
The advice below should help you decide whether your child’s nose bleed requires further help or whether it can be managed by yourself at home.
When should you worry?
If your child has any of the following:
- Bleeding for more than 15 minutes despite appropriate first aid.
- Bleeding from both nostrils
- Choking on the blood despite sitting your child upright and getting them to lean forward
- Nose has changed shape after injury to the face.
- A problem with their blood clotting or is on medication that thins the blood (such as warfarin, heparin or aspirin)
- Child under 2
You need urgent help.
Go to the nearest Hospital Emergency (A&E) Department or phone 999
(first aid should be started simultaneously – see below)
If your child has any of the following:
- Regular small volume nose bleeds that respond to first aid.
- Nose bleeds and bruised skin anywhere on the body or a family history of a bleeding disorder
You need to contact a doctor or nurse today.
Please ring your GP surgery or call NHS 111 - dial 111
(first aid should be started simultaneously – see below)
If none of the above features are present:
Care using the advice below, can be provided to your child at home if none of the above features are present. If your child continues to get frequent nose bleeds, please arrange to speak to your GP or practice nurse.
Self care
Continue providing your child’s care at home. If you are still concerned about your child, speak to your health visitor, local pharmacist or call NHS 111– dial 111.
Self care and Prevention
First aid for nose bleeds:
During a Nosebleed:
- Gently pinch the soft, fleshy part of your child’s nose (just below the hard bony part) using your thumb and finger. Hold it firmly for 20 minutes without letting go.
- Keep your child sitting upright and leaning slightly forward. Encourage them to breathe through their mouth.
- Ask your child to spit out any blood instead of swallowing it, as swallowing blood can upset their stomach and cause vomiting, which may restart the bleeding.
Helpful Tips:
- Reassure your child and keep them calm. Talking softly can help them relax.
- Avoid releasing the pressure to check if the bleeding has stopped until the full 20 minutes are up.
- If ice is available, your child can suck on a small piece, or you can place an ice pack on their forehead or the back of their neck. Offering a cool drink may also help them feel better.
If the bleeding continues after 20 minutes, check that you are pinching the right spot and apply pressure for another 10 minutes.
If the nosebleed still doesn’t stop, call an ambulance and continue applying pressure until help arrives.
After the Bleeding Stops:
For the next 24 hours, encourage your child to:
- Avoid picking or blowing their nose.
- Do calm and quiet activities, like reading or drawing.
- Avoid hot baths, showers, or warm drinks.
Preventing Future Nosebleeds:
- If your child’s nose is dry, apply a little Vaseline (or a similar product) inside their nostrils twice a day for a week. Use a cotton swab or your finger, but this is best for kids over 4 years old who can stay still.
- If your child is constipated, increase their water and fiber intake (like fruits, veggies, or whole grains). If needed, ask your doctor or pharmacist about a stool softener to prevent straining.
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