My child has nosebleeds, do I need to worry about leukemia?

Seeing that their children had nosebleeds again, the parents were inevitably at war with each other: \”No way, we didn\’t do anything wrong, it\’s definitely not my child\’s turn!\” \”Ah! There\’s a house upstairs that smells so heavy from decoration, everything What should I do if I have leukemia? \”For various reasons, leukemia always appears very frequently in movies and TV dramas, and it always starts with nosebleeds. We pediatricians are always asked by worried parents about the relationship between nosebleeds and leukemia. Are leukemia and nosebleeds related? First of all, we need to understand one thing: severe or frequent nosebleeds are indeed one of the manifestations of leukemia. Leukemia is actually a hematological tumor in which the patient\’s hematopoietic tissue (bone marrow) becomes abnormal and produces a large number of abnormal blood cells. For example, the most common type of leukemia in children, \”acute lymphoblastic leukemia,\” means that the bone marrow suddenly produces too many white blood cells, causing other important blood cells to fail to produce normally, such as platelets responsible for coagulation and red blood cells that transport oxygen. When the number of platelets in a person\’s body falls below a certain number, severe spontaneous bleeding will occur, such as nasal bleeding, gum bleeding, etc. Not only does the bleeding last for a long time, but it is also difficult to stop the bleeding. But as parents, we don’t need to see a child with a nosebleed to easily suspect leukemia. First, leukemia itself is not a common disease. Only about 4-5 out of every 100,000 children will develop the disease. The probability of children getting leukemia is relatively low. Second, leukemia has a wide range of implications. If it is really leukemia, nosebleeds are usually not the only early symptom. In addition to local bleeding, symptoms such as fever, listlessness, body pain, and swollen lymph nodes may also occur. Third, the incidence of epistaxis (commonly known as nosebleeds) is very high in childhood. The blood vessels in the nasal cavity are rich and fragile, which can easily become bleeding points. Children\’s nasal cavity is not fully developed. The American Academy of Pediatrics notes that children typically have at least one nose bleed in their first few years of life, and may even have multiple nose bleeds. Some preschool children may have several abortions in a week. It would be impossible to get through life if I had to worry about leukemia every time I had a nosebleed. For the vast majority of children who eat and sleep normally and are in good spirits, nosebleeds are most likely not caused by leukemia. Why does the child often have nosebleeds? Nose bleeding may be caused by many reasons. Understanding these reasons can help prevent it in a targeted manner: Children are exposed to dry conditions for a long time, and the mucosa in the nose is fragile and easily damaged. Prevention plan: Place a humidifier in the child\’s room to keep the humidity at 50%-60%. Children like to pick their noses, causing mechanical damage to the nasal cavity. Prevention plan: Parents should educate their children to avoid picking their noses and cut their nails in a timely manner to prevent damage. Nasal trauma, such as a child falling and knocking his nose. Prevention plan: Let children look more at their feet when walking, and protect their faces when exercising, such as wearing helmets and masks. Nasal cavity tumors, such as nasal polyps, nasal tumors, etc. Prevention plan: Observe the condition of your child\’s nasal cavity regularly at home, and seek medical attention promptly if there are any abnormalities. Drug reasons, such as long-term use of anticoagulant drugs. Prevention plan: Take medications as directed by your doctor, and do not abuse or abuse medications on your own. In addition to the above reasons, repeated nosebleeds in children may also be local manifestations of some diseases.Just like the leukemia mentioned earlier, if the child has no other discomfort except nosebleeds, parents generally do not need to worry too much. Special attention should be paid to the fact that the causes of nosebleeds do not include \”physical weakness\” or \”heat\”. It is not advisable to give your child \”tons\” or drink medicine to \”reduce heat\” because of nosebleeds. Instead, it may cause the child to develop liver, Kidney damage. My child has a nosebleed, does he need to be sent to the hospital? Under normal circumstances, if the child can stop bleeding in time and has no other discomfort symptoms (such as pale face, difficulty breathing), he does not need to be sent to the hospital and can be treated at home. If the amount of bleeding is small, it can usually stop on its own in two to three minutes. If the amount of bleeding is large, ask the child to lean forward slightly and use his thumb to press the nose on the side of the bleeding for about 5 minutes, then release the thumb to see if the bleeding has stopped. If the bleeding does not stop, press for another 5 minutes and then observe again. If the bleeding still doesn\’t stop, you need to see an otolaryngologist. Remember! Never let the child raise his head to stop bleeding, as this may cause blood to flow from the throat, nose and mouth to the oropharynx, causing aspiration. Also do not stuff tissues or anything else into your child\’s nose, as this will increase the chance of your child getting a foreign body infection in the nasal cavity. Some parents may use ice packs for external application. If the child is not very resistant, you can try it. Just remember not to let your child\’s skin come into direct contact with the ice pack, and put a towel in between to prevent local frostbite. Summer vacation is here, and it’s time for children to let go of their hands and feet to play. If you’re not careful, it’s easy to get injured and get a nosebleed. What parents can do, besides teaching their children the correct way to stop bleeding, is to calm down. Who hasn’t had a few nosebleeds as a kid? What\’s more, we now have scientific theoretical support to help children get rid of the pitfalls of many folk methods (inserting green onions in the nostrils, applying garlic paste on the soles of the feet, etc.). Protecting children requires not only the love of relatives who care about them, but also scientific and reliable evidence-based parenting knowledge.