Nose bleeds or epistaxis as they are clinically referred, are common in children. Childhood nose bleeds seldom require hospitalization and are usually not severe. However, frequent episodes of nose bleeds can be bothersome and alarming for parents and children. This article covers the evaluation approach for nose bleeds in children. Having said that the nose bleeds in children are rarely severe, it is important to get them evaluated to ensure the respiratory and hemodynamic stability in children.
The goal of evaluating a nose bleed is to identify the underlying problem that is causing it. The etiology of epistaxis varies from self-limiting mucosal irritation to life-threatening neoplasms. We will now see the step by step approach for evaluation. History taking: to establish a diagnosis, it is very important to identify the causative factors for epistaxis. The history taking should…
