Causes and Symptoms
These are due to bursting of blood vessels in the front of the nose (anterior part). It is by far the most commonly seen in young children. There is an area just inside the nostril along the septum (Little’s area) where there is a confluence of four different blood supplies to the nose forming a plexus of veins which are very near the surface.
In addition to this, young children often have a mild infection in the nasal cavity called vestibulitis. Any minimal trauma can therefore set off nosebleeds. This can be made worse by associated conditions such as allergy or a viral infection.
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Hot weather can also precipitate nose bleeds.
Internal views showing a bleeding point before and after cautery
In many instances, application of antibiotic ointments such as Bactroban on a twice-daily basis for two weeks can resolve nosebleeds in a significant proportion of children, however, in those in whom it is persistent, cauterisation of the blood vessels by your nose surgeon is a successful technique in the outpatient setting using silver nitrate. This is done following application of a local anaesthetic nasal spray. Usually, both sides of the septum are not cauterised at the same time in order to avoid the small risk of septal perforation. It is also often the case that cauterisation needs to occur on at least three separate occasions spaced up by six weeks for the best long term outcome.
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First time I needed to see a specialist in the UK and I have to say that Mr. Kalpesh Patel is super professional and efficient. Clear communication and helpful.
Very tidy and clean environment with an amazing team to support the clinic. Mr. Patel which I met for the first time was kind and a good listener. Received a good diagnose and treatment. I highly recommend Mr Patel.
I highly recommend Mr Patel to anyone having nose related problems. He is very experienced and extremely supportive throughout the whole process.
I highly recommend Mr Patel. He and his staff were helpful and kind, and I left his office more knowledgeable and feeling better. Mr Patel explained the issue in simple terms using diagrams, but the best part about seeing him was the treatment and prescription he provided, which has given me immense relief. Thank you ever so much.
I highly recommend Kalpesh Patel and his team. My son (4 years old) had sleep apnea due to his tonsils and from our consultation to surgery and post check up's he has been amazing. He was reassuring and provided all the information we needed as nervous parents. Highly recommend him.
Superb, excellent, my mum was suffering from a bad ear ache and I called in the morning and he was fully booked but when I said it was an emergency and I need my Mum to be seen today as she wasn’t able to sleep for 2 days, he took that into consideration and said he would see her by noon, thankfully Mum was relived and happy with him, such a kind person and immediately diagnosed my mums problems on the spot, thank you so much Dr!
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