Alternate keywords: epistaxis, nosebleed, nose bleed, nasal hemorrhage, anterior bleed, posterior bleed
Age: Epistaxis usually occurs in children aged 2-10 years. Occurrence is unusual in infants in the absence of a coagulopathy or nasal pathology (eg, choanal atresia, neoplasm). Local trauma (eg, nose picking) does not occur until later in the toddler years. Older children and adolescents also have a less frequent
Obtain a history of aspirin or warfarin use. Include investigation of suspicion of accidental ingestion (consider accidental ingestion of rat poison in toddlers).
Obtain any family history of bleeding disorders or leukemia.
A history of frequent recurrent nosebleeds, easy bruising, or other bleeding episodes should make the clinician suspicious of a systemic cause and prompt a hematologic workup. Children with severe epistaxis are more likely to have required nasal cauterization, an underlying coagulopathy, a positive family history of bleeding, and anemia.
Although unusual, children with bleeding disorders (eg, Von Willebrand disease) occasionally can have normal coagulation profiles.
More than 1 sample may be required to notice the abnormality due to biologic variability throughout the day.
Obtain a history of whether the bleed is unilateral or bilateral and if it occurs following exercise. Also, determine if the onset was during sleep or associated with a migraine.
Determine through history if hematemesis or melena occurred, since posterior bleeding in particular may present in this fashion.
However, if you as an adult experienced this minute bloody crust as in your case, most likely, it was just some irritation from picking your nose. Furthermore, it could be from blowing hard or related to dryness cause by allergies or colds or even air conditioning. So this is quite normal. My grandson had to have his blood vessel in the nose cauterized to stop the freq epistaxis.
2007-04-15 15:00:56
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answer #1
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answered by rosieC 7
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That is normal. Dried, crusty blood from those far back nose bleeds comes off. No biggy.
2007-04-15 14:31:49
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answer #2
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answered by alexareed10 2
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Your nasal passages are probably just dry. Get some saline nasal spray to moisten the passages or humid mist from a shower will also work.
Yes it is perfectly normal during this time of year.
2007-04-17 02:21:19
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answer #3
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answered by Anonymous
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It shouldn't be an issue but if you wanna be sure about it all just make sure the nose ring you wear is a hoop.
2016-04-01 03:28:37
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answer #4
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answered by Anonymous
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Stop 'cleaning' it so hard, or with your sharp nails.
2007-04-15 14:31:41
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answer #5
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answered by Anonymous
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