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Frequently Asked Questions

Q: How common are nosebleeds?
A: Nosebleeds are common. In the medical article Epistaxis in Childhood* (epistaxis is the medical term for nosebleed) 30% of children under 6 years have had at least one nosebleed. In 6-10 year olds, 56% have had at least on nosebleed. In 11-20 year olds, 68% have had at least one nosebleed, and of these 10% have had several nosebleeds every year. In adults, 60% had at least one nosebleed.

*Rhinology, Volume XVII, p83-90, 1979

Q: What are the main causes of nosebleeds?
A: In children, upper respiratory infections (colds) are present in two-thirds of those who have a nosebleed. These viral infections make the nasal lining more vulnerable to bleeding. Furthermore, the nasal congestion causes them to blow, sneeze and pick their nose. However, two-thirds of the nosebleeds start without any obvious cause, where the patient is lying in bed, sitting in a chair, washing hands, eating and the like. Contributing factors are dry air, high altitude, and injuries. In adults, high blood pressure or taking of aspirin are felt to predispose to nosebleeds.

Q: Can nosebleeds be an indication of serious illness?
A: Yes, but this is very rare. This is especially true in children since they have nosebleeds to often. Far less than 1% of nosebleeds in children are an indication of a significant underlying problem. Assume there is no underlying problem (see Question: When should I go to my doctor or emergency room?).

Q: When should I take my child or myself to the hospital emergency room?
A: If the nosebleed started after significant injury to any part of the body; if bleeding continues after pinching the nose for 20 minutes or three attempts with the NoseAid™ noseclip; the child or adult has been taking a new medication; or if nosebleeds are recurring more frequently and are more severe. If you are unsure, call your doctor.

Q: Why is the NoseAid™ noseclip better and faster at stopping nosebleeds than simply pinching the nose?
A: Because the NoseAid™ noseclip doesn't get tired! It is very tiring to hold continuous, steady pressure for 10 minutes. It is very hard, sometimes impossible, for an adult to hold a child's nose to 10 minutes. Nosebleeds are frightening to children and their parents. Children quickly learn that the noseclip works, and will relax and sit quietly reading, being read to, or watch TV.

Q: How can nosebleeds be prevented?
A: Dryness can be prevented by placing a small amount of ointment about the size of a pea on the tip of the small finger and coating the inside of the nose, especially the septum (partition between the nostrils). Use care not to scratch the lining with the fingernail. Alternatively, place the ointment on a Q-tip. Ointment can be plain Vaseline™. Up to three applications per day may be needed but once at bedtime may be enough, especially if nosebleeds tend to occur during the night. Place a humidifier in the child's bedroom.

It is difficult to keep children from picking their nose. Therefore, keep their fingernails clipped to present them from scratching the lining of the nose.

Q: Are there different types of nosebleeds?
A: Yes, there are two types:

Anterior (front) nosebleeds occur just inside the opening of the nose and are by far the most common. More specifically, these nosebleeds are located in the septum (partition between the nostrils). A group of superficial blood vessels located here are susceptible to injury and dryness.

Posterior nosebleeds are located in the back of the nasal cavity. Fortunately, these are very rare, particularly in children. They are usually treated by an Ear, Nose and Throat Specialist. Since they occur in the back of the nose, they cannot be treated by pinching the nose or by using the NoseAid™ noseclip. This is why the instructions for using the noseclip recommend "further medical treatment" if three attempts of positioning the noseclip do not stop the bleeding, seek medical attention.

Q: What are the most frequent comments of NoseAid™ noseclip users?
A: I love it!

Q: Are there any other positions, maneuvers, physical objects, etc. that will help stop nosebleeds, such as head back or forward, pressure under the lip, ice on the lip or behind the head, cotton or tissue inside the nose or lip?
A: No. Pinching the soft portion of the nose with the thumb and finger or applying the NoseAid™ Noseclip are the most effective ways to stop a simple nosebleed.

Q: Is the NoseAid™ Noseclip better than just pinching the nose with my finger and thumb?
A: Yes, because it is tiring and difficult to hold continuous pressure on the nose for 10 minutes. The noseclip doesn't get tired. It is especially difficult to hold a young child's nose for 10 minutes.