To My Granddaughter

How to stop a nosebleed

Dear Dr. Donohue • My granddaughter since she was small, had two or three nosebleeds a year. Now she is 18 and has had a bad one. Bleeding does not occur due to bumping or blow his nose, but it comes all at once.

During the latter, the blood flowed through the nose and the little balls out his mouth. Ice packs stopped the bleeding. What causes this and what can be done in it? - CW

Answer • Most nosebleeds, over 90 percent occur in the lower third of the nostril, just above the nasal opening. When bleeding occurs, apply firm pressure on both sides of the nose by squeezing the lower part of the nose between the forefinger (index finger) and thumb for five to 15 minutes. The person should tilt the head forward to keep blood from running down the throat. Ice packs are another good way to stop the bleeding. QR Powder, available without a prescription, also works well.

The deliberate or inadvertent insertion of a finger into the nose is the most frequent cause of bleeding. Drying and flaking of the nasal lining is another common cause. Your granddaughter might have been straining in the gym, which raised her pressure some and caused a tiny vessel to break.

Keeping the nasal lining moist prevents bleeds. A saline (saltwater) spray is a good way of achieving that. You can make a spray by adding a quarter teaspoon of salt to a cup of warm water. Coating the lowermost part of the inner nose with a thin film of petroleum jelly is another way to keep it moist. People always write to me about how dangerous it is to put petroleum jelly in the nose. It is dangerous to put large globs in the nose, but a thin coat is safe.

If bleeding doesn't stop in 20 minutes, the person needs emergency treatment.

Frequent nosebleeds require a search for possible clotting problems. The family doctor can start the search.

Dear Dr. Donohue • We have five children, all of whom spend most of their time outdoors. Our oldest boy, age 16, attracts mosquitoes. The rest of us are never bitten. How can I help him? What makes him such a magnet for mosquitoes? — H.B.

Answer • Body heat, odor and visual cues draw mosquitoes to certain people. The emission of carbon dioxide and lactic acid is a big attractant for these creatures. So is sweat.

Repellents with DEET are effective in keeping mosquitoes at a distance. A 10 percent concentration is safe for young children. Older children and adults can use a 30 percent preparation. One application lasts about four hours. Permethrin is another good repellent. It's put on the clothes, not the skin. When used in conjunction with DEET, it provides a fairly impenetrable barrier for mosquitoes, and it lasts a very long time.

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