Some people think that frequent nosebleeds in children are a sign of leukemia, but it’s not. What can cause nosebleeds? Can nosebleeds be a sign of leukemia?
Properly stop the bleeding and identify the cause
Epistaxis can be roughly divided into external factors and internal factors: most of the external factors refer to trauma, such as after the nose is hit or hit by others , bleeding caused by rupture of blood vessels; internal factors can be further divided into structural factors and functional factors, structural factors are the bleeding caused by thin nasal mucosa or turbinate deformity, and functional factors are spontaneous bleeding caused by abnormal blood components.
When encountering epistaxis, the key hemostasis method is to accurately find the bleeding point and apply pressure to stop the bleeding, or use cotton for local packing to stop the bleeding, and then consult a doctor according to the bleeding situation. Nosebleeds not only come out of the nose, but can also be swallowed by the patient and enter the digestive tract. If the bleeding volume is more than 5 ml, fecal occult blood can be positive; if the bleeding volume is more than 50 ml, melena may appear; if the continuous severe bleeding, it can cause hemorrhagic shock.
Nosebleeds may be a sign of disease
A nosebleed is not the same as a nose problem. It may just be a sign of disease, such as inflammation, infection, and trauma in other parts of the body.
Nosebleeds, like other diseases, can be classified into five causes: physical, chemical, biological, genetic and immune: bleeding caused by trauma; local erosion or bleeding caused by inhalation of irritating and damaging chemical gases; Local infection or tumor cell infiltration such as bacteria, viruses, chlamydia; symptoms of genetic bleeding; abnormal immune system.
Many people think that nosebleeds are caused by hot air. “Getting angry” is a TCM concept. The symptoms of getting angry can be divided into inflammation, local infection, allergy, and irritation. All of them may lead to thinning and edema of the blood vessel wall, thereby increasing the vascular endothelial space and increasing the risk of bleeding. If the nosebleed heals on its own after getting plenty of rest and drinking plenty of water, it may indeed be related to getting angry. After excluding the cause of the anger, nosebleeds still persist, so we must pay attention to it and seek medical attention as soon as possible.
Be alert to the abnormal occurrence of the “Three Musketeers”
Blood vessels, platelets and coagulation factors are called the “Three Musketeers” of blood flow and blood coagulation. Among them, coagulation factors can be determined by examining the “four items of coagulation”, namely prothrombin time, activated partial thromboplastin time, thrombin time, and fibrinogen.
Of course, if the child has a lot of nosebleeds in a short period of time, parents should accompany the child to the hospital in time. Both leukemia and aplastic anemia can cause low platelet counts, and hemophilia is associated with an abnormality in a clotting factor in the body.
For patients with no abnormal blood test results, but the bleeding has not been relieved, you can also choose to go to the otolaryngology department to find out whether the bleeding is related to turbinate hypertrophy and local inflammation.
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