Abdominal Pain - Female
Abdominal Pain - Male
Acne
Animal or Human Bite
Antibiotics: When Do They Help
Arm Injury
Arm Pain
Asthma Attack
Athlete's Foot
Back Pain
Bed Bug Bite
Bee or Yellow Jacket Sting
Blisters
Bottle-Feeding Formula Questions
Breast-Feeding Questions
Bruise
Burn
Chest Pain
Chickenpox
Circumcision Problems
Colds
Constipation
Cough
Coughs: Meds or Home Remedies
Cracked or Dry Skin
Cradle Cap
Croup
Crying Baby - Before 3 Months Old
Crying Child - 3 Months and Older
Cut, Scrape, or Bruise
Diaper Rash
Diarrhea
Diarrhea Diseases From Travel
Dizziness
Drinking Fluids - Decreased
Dry Skin
Ear - Congestion
Ear - Discharge
Ear - Injury
Ear - Pulling At or Rubbing
Ear - Swimmer's
Ear Infection Questions
Earache
Earwax Buildup
Ebola Exposure
Eczema
Emergency Symptoms Not to Miss
Eye - Allergy
Eye - Foreign Body or Object
Eye - Injury
Eye - Pus or Discharge
Eye - Red Without Pus
Eye - Swelling
Fever
Fever - How to Take the Temperature
Fever - Myths Versus Facts
Fifth Disease
Finger Injury
Fire Ant Sting
Flu
Fluid Intake Decreased
Food Allergy
Foreskin Care Questions
Frostbite
Genital Injury - Female
Genital Injury - Male
Hair Loss
Hand-Foot-And-Mouth Disease HFMD
Hay Fever
Head Injury
Headache
Heat Exposure and Reactions
Heat Rash
Hives
Human or Animal Bite
Immunization Reactions
Impetigo - Infected Sores
Infection Exposure Questions
Influenza - Seasonal
Influenza Exposure
Insect Bite
Jaundiced Newborn
Jellyfish Sting
Leg Injury
Leg Pain
Lice - Head
Lymph Nodes - Swollen
Medication - Refusal to Take
Mental Health Problems
Molluscum
Mosquito Bite
Mosquito-Borne Diseases from Travel
Motion Sickness
Mouth Injury
Mouth Ulcers
Neck Pain or Stiffness
Newborn Appearance Questions
Newborn Illness - How to Recognize
Newborn Rashes and Birthmarks
Newborn Reflexes and Behavior
Nose Allergy Hay Fever
Nose Injury
Nosebleed
Penis-Scrotum Symptoms
Pinworms
Poison Ivy - Oak - Sumac
Puncture Wound
Rash or Redness - Localized
Rash or Redness - Widespread
Reflux Spitting Up
Ringworm
Roseola
Scabies
Scrape
Sinus Pain or Congestion
Skin Foreign Body or Object
Skin Injury
Skin Lump
Sliver or Splinter
Sore Throat
Spider Bite
Spitting Up - Reflux
Stomach Pain - Female
Stomach Pain - Male
Stools - Blood In
Stools - Unusual Color
Strep Throat Exposure
Strep Throat Infection
Sty
Sunburn
Suture Questions
Swallowed Foreign Body or Object
Swallowed Harmless Substance
Swimmer's Itch - Lakes and Oceans
Tear Duct - Blocked
Teething
Thrush
Tick Bite
Toe Injury
Toenail - Ingrown
Tooth Injury
Toothache
Umbilical Cord Symptoms
Urinary Tract Infection - Female
Urination Pain - Female
Urination Pain - Male
Vaginal Symptoms
Vomiting With Diarrhea
Vomiting Without Diarrhea
Warts
Wheezing Other Than Asthma
Wound Infection

Resources

Is Your Child Sick?TM


Nose Injury

Is this your child's symptom?

  • Injuries to the inside or outside of the nose

If Head Injury is the main concern, see


Types of Nose Injuries

  • Nosebleed. Even minor nose injuries cause a nosebleed. The bleeding will stop with the correct technique. If the bleeding persists, the child needs to be seen.
  • Swollen Nose. Swelling and bruising of the outer nose without a fracture is common. It can be mistaken for a broken nose. The swelling will be gone in 4 or 5 days. Then the shape of the nose will look normal. But the bruising may take 2 weeks to clear.
  • Fracture of the Nose. Severe fractures of the nose (crooked nose) are usually reset the same day. This requires surgery in the operating room. Most surgeons don't repair mild fractures until 5 to 7 days after the injury. Caution: A nasal fracture must be re-set before 10 days.
  • Nasal Septal Hematoma (Serious). A blood clot of the central wall of the nose. It needs to be drained. If not, there's a risk of cartilage damage. That would lead to a deformed nose.

When to Call for Nose Injury

Call 911 Now

  • Major bleeding that can't be stopped
  • Passed out (fainted) or too weak to stand
  • You think your child has a life-threatening emergency

Call Doctor Now or Go to ER

  • Nosebleed that won't stop after 10 minutes of squeezing the nose correctly
  • Pointed object put in the nose and caused pain or bleeding
  • Skin is split open or gaping and may need stitches
  • Severe pain and not improved 2 hours after taking pain medicine
  • Deformed or crooked nose (not just swelling)
  • Breathing through the nose is completely blocked
  • Age under 1 year old
  • Nose becomes infected (fever, a yellow discharge, redness)
  • You think your child has a serious injury
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • Shape of the nose has not come back to normal after 4 days
  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • Dirty cut and no tetanus shot in over 5 years
  • Clean cut and no tetanus shot in over 10 years
  • You have other questions or concerns

Self Care at Home

  • Minor nose injury

Call 911 Now

  • Major bleeding that can't be stopped
  • Passed out (fainted) or too weak to stand
  • You think your child has a life-threatening emergency

Call Doctor Now or Go to ER

  • Nosebleed that won't stop after 10 minutes of squeezing the nose correctly
  • Pointed object put in the nose and caused pain or bleeding
  • Skin is split open or gaping and may need stitches
  • Severe pain and not improved 2 hours after taking pain medicine
  • Deformed or crooked nose (not just swelling)
  • Breathing through the nose is completely blocked
  • Age under 1 year old
  • Nose becomes infected (fever, a yellow discharge, redness)
  • You think your child has a serious injury
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • Shape of the nose has not come back to normal after 4 days
  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • Dirty cut and no tetanus shot in over 5 years
  • Clean cut and no tetanus shot in over 10 years
  • You have other questions or concerns

Self Care at Home

  • Minor nose injury

Care Advice for Minor Nose Injury

  1. Nosebleed - How to Stop:
    • To stop a nosebleed, squeeze the soft parts of the lower nose together. Gently press them against the center wall.
    • Do this for 10 minutes to put pressure on the bleeding point.
    • Use the thumb and index finger in a pinching manner.
    • If the bleeding continues, move your point of pressure.
    • Have your child sit up and breathe through the mouth during this procedure.
  2. Skin Bleeding - How to Stop:
    • For any skin bleeding, put direct pressure on the wound.
    • Use a gauze pad or clean cloth.
    • Press for 10 minutes or until the bleeding has stopped.
  3. Clean the Cut:
    • After the skin bleeding has stopped, wash the area. Clean with soap and water for 5 minutes.
    • If a large area, use an antibiotic ointment (such as Polysporin.) No prescription is needed.
    • Then, cover with a bandage (such as Band-Aid) for 1 day.
  4. Cold Pack for Pain:
    • For pain or swelling, use a cold pack. You can also use ice wrapped in a wet cloth.
    • Put it on the nose for 20 minutes.
    • Repeat in 1 hour, then as needed. Caution: Avoid frostbite.
  5. Pain Medicine:
    • To help with the pain, give an acetaminophen product (such as Tylenol).
    • Another choice is an ibuprofen product (such as Advil).
    • Use as needed.
  6. Concerns About Missing a Minor Nasal Fracture:
    • If a swollen nose is the only finding, usually it's not broken.
    • Even if it's broken, standard practice is to delay correction for a few days. This allows the swelling to go away. Reason: The swelling interferes with seeing the shape of the nose.
    • X-rays are often not helpful. Reason: Most of the nose is cartilage. Injuries to the cartilage do not show up on X-ray.
    • Looking at the nose after the swelling is gone is preferred. You can usually do this by day 4 or 5. This is the best way to tell if it is 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, a surgeon must re-set it. This should be done before the 10th day.
  7. What to Expect:
    • Nose pain and swelling usually peak on day 2.
    • They go away over 3 or 4 days.
  8. Call Your Doctor If:
    • Pain becomes severe
    • Nasal passage becomes blocked
    • Shape of the nose has not come back to normal after 4 days
    • Signs of infection occur (a yellow discharge, more tender to touch or fever)
    • You think your child needs to be seen
    • 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 to 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.


Copyright 1994-2017 Schmitt Pediatric Guidelines LLC. All rights reserved.

Select from over 100 symptoms to learn about managing your child's illness.