Nasal bleeding (Epistaxis) occurs when one of the small veins inside the nose bursts. This is usually caused by something completely harmless, such as the child picking their nose, blowing it too hard or having their nose knocked while playing.
Another reason could be that the child has pushed something inside their nose.
Common objects found in noses include rubber, seeds, beads, tissue paper, toys, buttons and battery.
It is not an emergency. An object that is simply stuck in the nose and not causing other symptoms can usually wait until morning or the following day for removal.
Symptoms
and Unilateral foul smelling discharge means most likely foreign body in the nose. Because a foreign body in the nose will frequently get infected and block the drainage sites of the sinuses, sinusitis should also raise the question of a foreign object inside the nose. Unfortunately, antibiotics alone will not cure this condition until the offending object is removed.
and Pain and difficulty in breathing through that side of the nose.
and Complaints of choking or wheezing
and Someone who is motivated to place something in their nose might also think it is fun to put something in the other side of their nose as well as in the ears.
and The skin under the nose may become raw from the continuous discharge or from frequent wiping.
Most objects can be seen while examining the nose. If there is concern about an object deep inside the nasal passages or complications of a serious sinus infection, a nasal endoscopy or CT scan may be considered. Occasionally, an object is discovered accidentally when x-rays are taken for unrelated reasons. It is important to realize that many materials such as food, wood, and plastic will not be visible on a routine x-ray.
What to do?
It is not advisable to stick anything in the nose while attempting to remove an object there. You may complicate matters by pushing the object farther back into the throat and possibly choking. A few techniques can be tried safely at home to remove the object.
and Blowing your nose will potentially dislodge the object and is more likely to succeed if the uninvolved nostril is closed during such attempts. Hold your nostril closed by pressing a finger against the side. A sneeze will actually produce much more force and is an alternative way to push the object forward and out of the nose. Again, it is more effective if the uninvolved nostril is closed. Many people with foreign bodies in the nose are too young to cooperate with these techniques.
and Nasal bleeding is a commonly associated complaint. Some episodes of bleeding will stop on their own. Gently placing a towel over the end of the nose is a safe way to contain the associated mess as long as the person can breathe easily. If the bleeding does not stop within 5 minutes, seek medical advice. Although the most common recommendation for nasal bleeding is to pinch the soft part of the nose for 10-15 minutes, this technique may not be appropriate depending on the circumstances and object involved.
and If there is any question about objects in the nose and medical attention (ENT Doctor) is sought, the person should not be given anything to eat or drink until approved by a doctor. The reason for this inconvenience is that some objects are difficult to remove. Sedation-General Anesthesia- is occasionally needed, which works best and lowers risk for problems from sedation if the person has an empty stomach.
Treatment
Commonly used techniques include applying gentle suction to the object, long tweezers, or instruments that have a loop or hook at the tip.
Another technique involves gently passing a soft rubber catheter past the object. These catheters have an inflatable balloon at the tip, which can then be inflated and pulled back, along with the foreign body.
