Nose Bleeds with Fever

Updated on January 12, 2013
S.C. asks from Woodbridge, VA
4 answers

My son is 5 year old and he used to get nose bleeding since he was 2 1/2 years old (few drops of blood).During that time the

frequency was 2-3 times a year. We used to visit physicians and they used to tell there is no problem and it is common in kids

because of weather or for for some other reasons. Actually when he was 2 year old he got strong head hurt from the road while

playing. one of his friend dragged his hoodie and he fell down . he got strong hurt to the back side of his head and then he went

into unconciousness for 30 seconds. Not only that he used to get strong head hurts on his head frequently almost at the same place.. from that time he is getting blood from his nose. some times bleedind on the bed in a night time while sleeping.

After a few times of bleeding pediatrician suggested to visit ENT specialist. We went to ENT specialist two times in one

year and he said everything looks fine and he said it is not a good idea to check with complex procedures on a kid at this age. as a parents ..we know a little bit what is happening because we've observed and seen his problem ...it is not from the nose and it is
coming from head hurts. But the doctors are not ready to agree with that reason because they want to observe for correct cause.it's aleady nearly 21/2 years passed with same problem.

When he became 4 year old, the frequency increased and the bleeding is happening once in every 3 months.

two months back he got hurt to his head from wood of sofa with big sound while playing and we expected the nose bleed and bleeded 4 hours later in the grocery shop in the evening on same day . after a week.. again he got head hurt from the corner of the door at the same place. 4 hours later again he got lot of blood but this time a very thick or clotted blood came from his nose for one-two minutes...everybody used to get hurts when we were a kids but we don't get blood like him for very small small hurts. The physician suggested the blood work and we did the blood work. The blood reports came and there were 2 abnormal values as (PT & PTT : 1.4 and Prothrombin Time : 15.1 ). The Physician said there is nothing emergency with these values but suggested to Consult Hematologist.

This was happened in December that means in he last month. but there are no oppointments ASAP

But what is happening is... Very recently, from last 10 days, he got the bleeding thrice with 102 fever for 3days each time. if he

get nose bleed then after one or two days later definitely he will get temperature with 102 degrees. we think that he got some clots

in his head that is why he is getting blood through his nose..now he is also complaning head pain in between the top and back side of his head and complaining about ear and left leg pain

nearly ten times blood from his left side of his nose----
cough and runny nose frequently----
fever for every six months---
leg pains---
stomach pain
we observed if we give claritin then he will get nose bleed

we think My son frequently collides his head with walls while playing. Is there anything that resulted in clotting in

head and is causing this bleeding from nose?

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More Answers

J.S.

answers from Hartford on

I would first stop giving him Claritin.

I would find a new pediatrician.

I would find a pediatric neurologist to work with the hematologist, and I would NOT wait for them to call you to make more appointments. You have to call them to follow up.

My concern is in finding out why he's banging his head so often. If he's getting nosebleeds every time he hits his head, and he's getting these nosebleeds ONLY after he hits his head, then he's hitting his head very, very often. I have to wonder if he has some balance issues going on. Perhaps some sensory problems related to spatial relationships and vision.

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R.M.

answers from Cumberland on

take him to Children's Hospital in Washington, DC

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T.S.

answers from Washington DC on

My son is somewhat prone to nosebleeds and gets them several times a month...and every night for a couple of weeks when the seasons change.

Honestly, I think you're making a mountain out of a mole hill where nose bleeds are concerned. If you think he has blood clots in his brain, ask for a CAT scan... but if he had clots in his brain, he'd be doing a lot worse than nose bleeds... and he wouldn't have lasted 2 years untreated.

Clotting is the opposite of bleeding. The fact that he has clots coming out of his nose, is an indication that his body is trying to stop the bleed... and he blew the clot out. It doesn't mean there's a clot in his brain that somehow fell out his nose. really.

You say he gets the nose bleeds when he takes Claritin. That's an allergy medicine and LOTS of people, especially kids, get nose bleeds when their allergies flare up. I'd think it was the allergies (that made you give the medicine) that caused the nose bleeds rather than the medicine causing them... but hey... why not stop giving him Claritin.

Similarly, kids get fevers when they have a virus. If he's prone to nosebleeds, he may also get nose bleeds when he's sick... so the fever and nosebleed are both part of being sick, but the bleed didn't cause the fever.

I hope you get to the bottom of this, but I also hope you don't subject your child to needless procedures because you won't accept the analysis of (now 3) doctors that this is inconvenient but normal.

If he's really hitting his head that hard every time he plays THAT is what you should be concerned about!

D.S.

answers from Norfolk on

Hi, S.:

I would find another pediatrician as was stated earlier.

The nose has capillaries and are easily broken and
will bleed. Dryness usually causes the bleeding from the broken capillaries.

Good luck.
D.

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