Posted by: Belinda Steyn | 2012/07/23


Subject: Spontaneous blood coming out of child''''''''s (12) mouth

My daughter Amber has blood coming out of her mouth since 21-05-2012. There''s no coughing, vomiting, loss of appetite or fever. She was seen at our local state hospital and send to an ENT specialist. ENT said they can''t find anything wrong with her and asked that the dr''s at provincial send her for a laryngoscopy as they don''t have the necessary equipment.
During the first week of June we had a factor 8 Von Willebrand test done, but the blood-samples got misplaced so we had them redone on 16-07-2012 and are still awaiting the results to be send from Bloemfontein.
Since 14/07/2012 she''s been complaining of a headache that won''''t subside. She says it feels as though her eyeballs at the back, her head and lower back are burning and since 17/07/2012 she also started with spontaneous nose bleeds.
The bleeding started during daytimes only, but lately it happens more while she''s sleeping as well.

Expert's Reply



It is absolutely vital that your daughter is seen by a paediatric haematologist ASAP. It would be best for her to be seen at the best possible unit. I recommend that she be seen at the Haematology Department at the Red Cross Children's Hospital in Cape Town. Tel 021 658 5111

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

user comments


Posted by: Belinda Steyn | 2012/07/24

Yes I''m going through government hospitals as I don''t have a medical aid. I''m from the Eastern Cape. Uitenhage -Port Elizabeth area. No, my daughter has not yet been referred to a neurologist. We''ve been back to hospital again today as she felt dizzy and had difficulty breathing during the early morning hours. They took some swaps of her nose and mouth as well as more blood samples.

Reply to Belinda Steyn
Posted by: purple | 2012/07/24

I''m quite horrified by the lack of treatment.

Have you been referred to a neurologist at all?

Are you going through government hospitals? It might be worth seeing a private GP and asking them to refer you to an appropriate specialist and then going back to that GP and let them be the primary person who refers you to the various specialists until you get an answer.

Otherwise, just keep on going back to the same doctor and demanding they try to help you find the cause. And see a different doctor for a second opinion.

This is not normal and they can''t just laugh it off if they disagree with the specialist - why did they send you there inth e first place then.

Reply to purple
Posted by: Racoon | 2012/07/24

Belinda, in watter provinsie is jy? Miskien kan iemand vir jou aanbeveel word. Maar ek is stomverbaas dat ''n MRI nog nie op jou kind gedoen is nie. Dis dit logiese feitlik eerste stap, omdat die bloeding van die sinusse, dus oee, af kan kom.

Reply to Racoon
Posted by: Belinda Steyn | 2012/07/24

Problem is since 22-05-2012 I''ve been in and out at the doctors on a regular basis. Each time we get back to the hospital she sees a different dr and each dr treats her differently. One dr will recommend something and the next will laugh it off and say it''s no way that could be possible for ex. ( ENT specialist said they can''t find the problem, but he''s worried that the blood might come from the back of the eyes or even her liver, he gave a letter of recommendation on his findings and of what test he think they should do. The dr''s that saw her then laughed in disbelieve and said that the ENT dr should not say things like that, because there''s no way that the blood can come from her eyes or liver and seeing that she''s not even coughing or vomiting the blood it had to come from her nose or throat and that they [ENT] just did not look at her properly). I''m searching for an second opinion as no matter what medication they give her the blood won''t stop.

Reply to Belinda Steyn
Posted by: purple | 2012/07/24


The paed has responded to your initial post. I''ve copied and pasted for you, but do go and have a look:

Posted by: Paediatrician | 23/7/2012
This is a serious matter. You need to take your son to see a doctor ASAP so that a proper daignosis can be made of the cause of his mouth bleeding.

Reply to purple

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