Is Rubbing the Nose After Blowing It Safe for Kids? - Otolaryngology

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Blowing the nose and rubbing the nostrils?


Hello, Dr.
Cheng.
My daughter often blows her nose and then likes to roll the tissue into a ball to clean her nostrils, claiming it helps to make her nostrils cleaner.
Is this behavior correct? Could it harm the nasal mucosa? Are there any potential long-term effects? When she blows her nose frequently, she experiences nosebleeds; is this related to her rubbing her nostrils with tissue? Thank you for your response.

Xu, 40~49 year old female. Ask Date: 2016/01/18

Dr. Zheng Jueyi reply Otolaryngology


Hello: Frequent nose blowing or rubbing the nostrils with tissue can easily cause bleeding from the small blood vessels in the anterior nasal area.
If bleeding occurs frequently, it is advisable to seek medical evaluation.
Generally, appropriate cleaning is recommended.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/01/18

More Info


Rubbing the nose after blowing it can be a common behavior among children, but it raises several concerns regarding nasal health and potential complications. When your daughter uses a tissue to rub her nostrils after blowing her nose, she may be trying to ensure that her nasal passages are clear. However, this action can lead to several issues, particularly if done frequently or with excessive force.

Firstly, the nasal mucosa, which is the lining inside the nose, is delicate and can easily become irritated. Frequent rubbing, especially with a rough tissue, can cause micro-tears in the mucosal surface, leading to inflammation and even bleeding. If your daughter experiences nosebleeds after rubbing her nose, it is likely related to this irritation. The act of blowing the nose itself can also contribute to nosebleeds, especially if done forcefully. When the pressure from blowing is too high, it can rupture small blood vessels in the nasal passages, resulting in bleeding.

In terms of safety, while occasional gentle rubbing may not cause significant harm, it is essential to encourage your daughter to be gentle and to avoid excessive force. Instead of rubbing, she could be taught to gently dab the area around her nostrils with a soft tissue. This approach minimizes the risk of damaging the nasal mucosa and reduces the likelihood of nosebleeds.

Moreover, if your daughter frequently experiences nosebleeds, it may be worth investigating other underlying factors. Dry air, especially during winter months or in air-conditioned environments, can dry out the nasal passages and make them more susceptible to bleeding. Ensuring adequate humidity in her environment and using saline nasal sprays can help keep the nasal mucosa moist and reduce the risk of irritation and bleeding.

As for potential long-term effects, if the rubbing is causing consistent trauma to the nasal mucosa, it could lead to chronic irritation or even the development of nasal polyps in some cases. However, this is more common in individuals with underlying conditions such as allergies or chronic sinusitis. If your daughter continues to have issues with nosebleeds or if you notice any other concerning symptoms, it would be advisable to consult a pediatrician or an ENT specialist for a thorough evaluation.

In summary, while rubbing the nose after blowing it is not inherently dangerous, it can lead to irritation and nosebleeds if done excessively or with too much force. Teaching your daughter to be gentle and to use tissues appropriately can help mitigate these risks. If nosebleeds persist, consider consulting a healthcare professional to rule out any underlying issues.

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