Why has my child been experiencing frequent nosebleeds recently?
Jul 17, 2025
Source: Cainiu Health
Dr. Zhou Xiaofeng
Introduction
In general, frequent nosebleeds in children recently may be caused by dry environment, bad habits, allergic rhinitis, sinusitis, thrombocytopenic purpura, or other reasons. If discomfort occurs, timely medical attention is recommended. In daily life, it is important to encourage children to eat more fresh vegetables and fruits rich in vitamin C, such as oranges, kiwifruit, broccoli, etc.
Generally speaking, frequent nosebleeds in children may be caused by factors such as dry environment, bad habits, allergic rhinitis, sinusitis, or thrombocytopenic purpura. If discomfort occurs, timely medical attention is recommended. Detailed analysis is as follows:
1. Dry Environment
When air humidity is low, children's nasal mucosa easily loses moisture, becoming dry and fragile, making the underlying blood vessels prone to rupture and bleeding. Using a humidifier to increase indoor humidity to around 50%-60% can help. Encourage the child to drink more warm water and use normal saline nasal spray regularly to clean the nasal cavity and keep the nasal mucosa moist.
2. Bad Habits
Some children have the habit of picking their noses, which can damage the nasal mucosa and underlying blood vessels, leading to nosebleeds. Parents should correct this habit promptly, explaining the potential harm. Keeping the child's fingernails trimmed can prevent scratches in the nasal cavity. If the child experiences nasal itching or discomfort, gently pressing the nasal wings or using saline nasal spray may help relieve symptoms.
3. Allergic Rhinitis
Exposure to allergens such as pollen or dust mites can cause inflammatory reactions in the nasal mucosa, resulting in swelling and congestion, which may lead to ruptured blood vessels and nosebleeds. Symptoms often include sneezing and a runny nose. The child should avoid known allergens and follow a doctor's guidance for medication, such as Loratadine syrup, Cetirizine hydrochloride drops, or Mometasone furoate nasal spray. Regularly cleaning the child's bedding and toys can help reduce allergen exposure.
4. Sinusitis
Inflammation of the sinuses can cause the nasal mucosa to become congested and swollen, making the underlying blood vessels prone to rupture and bleeding. Symptoms may include thick nasal discharge, nasal congestion, and headaches. Under a doctor's supervision, medications such as Cefaclor dry suspension, Mometasone furoate nasal spray, or Oral drops of Ornithine may be used. Maintaining nasal hygiene and performing nasal irrigation under medical guidance can promote recovery from inflammation.
5. Thrombocytopenic Purpura
This is a bleeding disorder caused by reduced platelet count, which impairs blood clotting and can lead to nosebleeds in children. Other symptoms may include skin bruising and gum bleeding. Prompt medical attention is necessary, and treatment under a doctor's guidance typically involves medications like Methylprednisolone tablets, Dexamethasone sodium phosphate injection, or human immunoglobulin. Avoiding strenuous activity to prevent injury and regular blood tests to monitor platelet levels are also important.
In daily life, encourage children to eat more fresh fruits and vegetables rich in vitamin C, such as oranges, kiwifruit, and broccoli, which help strengthen the nasal mucosa and promote healing. Avoid excessive consumption of spicy and irritating foods, and supervise children to develop good habits, such as not picking their noses.
