Epistaxis is a common symptom in children. It usually results from nose picking, rubbing, and excessive blowing. The source is prominent blood vessels over the nasal septum.
Other causes include
- Infection – from viral rhinitis (influenza), sinusitis
- Trauma – from falls, fights, fingering the nose
- Tumor – nose cancer is almost seen exclusively in Chinese. Epistaxis is the second most common symptom in the presentation.
Treatment depends on the cause of bleeding. Antibiotics for infection, silver nitrate cautery for septal bleeding. Nasal packing may be needed if bleeding is profuse and persistent.