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Kids Nose Bleeds: Pediatric Epistaxis

Why Does it Happen?

  • Trauma (fall, nose picking, fights or accident.)
  • Drying of mucosa.
  • Associated inflammatory diseases.


  • Have child use normal saline nose spray four to five times a day.
  • Use a cool mist humidifier during the night.
  • At bedtime, place a thin coating of Vaseline, polysporin or bacitracin inside of nose on each side of septum. (Middle divider).

When a nose bleed occurs:

  • Spray Afrin (2 squirts) into each side of nose.
  • Hold firm pressure over the lower soft part of the nose for five minutes (by the clock

When to call our office:

If nosebleeds continue despite the treatments.

Formula for Homemade Saline Nasal Spray:

Mix together:
1 tsp. Table salt
1 tsp. Baking soda
1 pint warm tap water

Thomas M. Andrews


Dr. Andrews specializes in the medical and surgical treatment of ear, nose and throat disorders of children and adolescents. His accreditations include Florida State Medical License and Ohio State Medical License. He is also a board member of the National Board of Medical Examiners and American Board of Otolaryngology, Head and Neck Surgery