Conversation: The conversation between human and AI assistant.
[|Human|] My 5 year old son takes a few medications Clydamycin, Vyvanse, Singulair, and Zyrtec. The problem im having is every since he started taking the Clydamycin he has been having nose bleeds (epistaxis), some last for a few minutes others last for 15 to 20 minutes. I m not sure what to do if anything and how we can get them under control, do you have any advice?
[|AI|]  Hello, unfortunately, you haven't provided enough information - for example: why does he take clindamycin? Clindamycin does not directly cause nose bleeding. Rarely, it may cause thrombocytopenia which may predispose to nose bleeding. Since he's having protracted bleeding, checking his clot producing mechanisms may be indicated. I usually ask my patients to do the following: bleeding time, complete blood count, INR (or prothrombin time) and apt. This is a basic check of both the platelet functionality and the clotting mechanism. An ENT specialist should be consulted as well, to check the nostrils. I hope I've answered your question. Please let me know if you need further assistance. Kind Chat Doctor.