instruction: hi doc my son fell when he was years old and his head hit by sharp stone inward he undergo it scan right after and was discharge after few days but years pass by he experience frequent nosebleed even sleeping he is now years old I feel worry for him now is nosebleed is the long term effect of the incident years ago or something else I hope I can get some answers to this thank you
output: hello it is not uncommon for children this age to get nosebleeds along with the elderly the children usually grow out of it by age 15 or so it is likely that he might have a deviated septum from the trauma that might need to be addressed in the distant future for now I would use nobleed it is a cream that you apply with the tip of the finger do not use tips to apply this will only stir up bleeding to the inside of the nasal septum and then pinch it back by pinching the nostrils this gently squeezes the cream back do this twice a day month then once a day month then once a week the frequency of the nosebleeds should slowly go down to none if tis persists despite this treatment then see an ent for cautery one tube should do the trick and it is cheaper than the estrogen cream that can also work in this situation also make sure his fingernails are trimmed very close over the next 4 month