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Recurrent Nosebleeds (Epistaxis)

Pediatrics
VivekGender: MaleAge: 10 years (Pediatric) Chronicity: 1 year

Presenting Complaints & History

  • Spontaneous bleeding from the nose, worse in dry summer
  • Bleeding triggered by minor rubbing or nose picking
  • Anxiety in the child and parents during active bleeding
  • Recurrent nasal dryness and crusting

Clinical Assessment

Experienced weekly nosebleeds, especially during hot summer days. Standard nasal packing provided temporary relief; sought constitutional support.

Diagnostic Investigations: Rhinoscopy showing dilated, fragile capillaries on Kiesselbach's plexus; clotting profiles normal.

Homeopathic Therapeutics & Management

Aimed at strengthening nasal capillary wall integrity, reducing mucosal dryness, and soothing capillary congestion.

Selected Constitutional Remedies: Ferrum Phosphoricum and Phosphorus

Lifestyle & Nutritional Support

Using saline nasal sprays to keep mucosa moist, applying thin layers of coconut oil inside nostrils, and avoiding picking.

Clinical Outcome

Follow-up Period: 5 months
  • Nosebleed frequency reduced from weekly to complete resolution
  • Resolved nasal dryness, crusting, and capillary fragility
  • Significant reduction in child's anxiety during summer months
  • Capillaries on Kiesselbach's plexus appeared healthy on follow-up check
Medically reviewed by Dr. Navaneeth K. Unni
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#Nosebleeds#Epistaxis#CapillaryFragility#SummerHealth#FerrumPhos
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