Frequent nosebleeds in children with sinusitis
Apr 17, 2025
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
Frequent nosebleeds in children with sinusitis may be caused by ruptured nasal capillaries. Treatment options include using sanitary cotton balls or disinfected cotton strips to pack the nasal cavity for hemostasis, nasal irrigation with normal saline, steam inhalation, or medications such as cefaclor capsules, triamcinolone acetonide nasal spray, and mometasone furoate nasal spray. Surgical treatments may include septoplasty or endoscopic frontal sinusotomy.
Frequent nosebleeds in children with sinusitis may be caused by ruptured capillaries in the nasal cavity. The condition can generally be improved through general treatment, medication, or surgical intervention.
1. General Treatment
Hemostasis can be achieved by packing the nasal cavity with sterile cotton balls or gauze strips. The nasal cavity can also be irrigated with sterile warm saline or hypertonic saline to clear secretions, maintain airway patency, and reduce mucosal swelling through steam inhalation.
2. Medication
Under a doctor's guidance, antibiotics such as Amoxicillin capsules, Cefaclor capsules, or Cefuroxime axetil tablets may be prescribed to eliminate inflammation. Topical medications such as hydrocortisone ointment, mometasone furoate nasal spray, or fluticasone propionate nasal spray can also be used to control sinus mucosal inflammation and edema, thereby improving nasal ventilation and drainage.
3. Surgical Treatment
If the aforementioned treatments are ineffective and the condition affects craniofacial development, surgical options such as septoplasty or endoscopic frontal sinusotomy may be recommended by a physician to remove diseased tissue and prevent recurrent sinusitis.
Children with frequent nosebleeds due to sinusitis should seek timely medical attention to prevent worsening of the condition and increased treatment complexity.
