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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Is Nose Bleeding After A Head Injury,a Serious Concern?

Hi, my 8 year old daugther fell and hit the back of her head about four hours ago, she complained about her head hurting but after a few minutes she looked to be her normal self until about an hour ago right before she fell asleep, her nose started to bleed. It was not a heavy nose bleed, and she also gets nose bleeds from time to time, i´m very concerned should I take her to the ER?
Mon, 25 Aug 2014
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Pediatrician, Pulmonology ,  's  Response
thank you for using healthcare magic.

Your child's nose bleeding may be secondary from the trauma of the fall. We have small blood vessels on the nose which may be brittle/sensitive and quickly bleed after trauma/change in temperature/blowing your nose hard/etc. Just apply pressure on the bridge of the nose to stop the bleeding. But considering that your child fell, please monitor for the next 48 hours if there would be changes in behavior, loss of consciousness, dizziness, bad headache, persistent vomiting, blurring of vision, and sleepiness. These are all warning signs and you have to go to the nearest emergency room for consult.

sincerely,

Mark Rosario MD
general pediatric/pediatric pulmonology
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Is Nose Bleeding After A Head Injury,a Serious Concern?

thank you for using healthcare magic. Your child s nose bleeding may be secondary from the trauma of the fall. We have small blood vessels on the nose which may be brittle/sensitive and quickly bleed after trauma/change in temperature/blowing your nose hard/etc. Just apply pressure on the bridge of the nose to stop the bleeding. But considering that your child fell, please monitor for the next 48 hours if there would be changes in behavior, loss of consciousness, dizziness, bad headache, persistent vomiting, blurring of vision, and sleepiness. These are all warning signs and you have to go to the nearest emergency room for consult. sincerely, Mark Rosario MD general pediatric/pediatric pulmonology