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|Does this describe your child's symptoms?|
Types of Nose Injuries
|When to Call Your Doctor|
|Call 911 Now (your child may need an ambulance) If|
|Call Your Doctor Now (night or day) If|
|Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If|
|Call Your Doctor During Weekday Office Hours If|
|Parent Care at Home If|
|HOME CARE ADVICE FOR MINOR NOSE INJURY|
- Nosebleed: To stop a nose bleed, squeeze the soft parts of the nose against the center wall for 10 minutes to apply pressure to the bleeding point.
- Skin Bleeding: For superficial cuts or scrapes, apply direct pressure for 10 minutes with a sterile gauze to stop any bleeding.
- Cleansing: Then wash the area with soap and water for 5 minutes. If a large area, apply an antibiotic ointment such as Polysporin (no prescription needed). Then, cover with a Band-Aid for 1 day.
- Pain Medicine: Give acetaminophen (e.g., Tylenol) or ibuprofen as needed for pain relief.
- Concerns About Missing a Minor Nasal Fracture:
- If a swollen nose is the only finding, usually it's not broken.
- Even if it is broken, standard practice is to delay correction until the swelling is gone. (Reason: The swelling interferes with seeing the shape of the nose).
- X-rays are often not helpful. (Reason: Injuries to the cartilage do not show up on X-ray and most of the nose is cartilage).
- Looking at the nose after the swelling is gone (on day 4 or 5) is the best way to tell if it is really fractured. It will look different than it used to. Delayed correction also helps the surgeon better see what needs to be corrected.
- Caution: If the nose is broken, an ENT surgeon must correct it (re-set it) BEFORE the 10th day.
- Call Your Doctor If:
- Pain becomes severe
- Nasal passage becomes blocked
- Shape of the nose has not returned to normal after 4 days
- Signs of infection occur (a yellow discharge, increasing tenderness or fever)
- Your child becomes worse
And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.
Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.
Author and Senior Reviewer: Barton D. Schmitt, M.D.
Last Reviewed: 11/14/2011
Last Revised: 11/14/2011
Content Set: Pediatric HouseCalls Symptom Checker
Copyright 1994-2012 Barton D. Schmitt, M.D.