Nose Bleeds

Nose Bleeds (Epistaxis)

Nose bleeds is a fairly common condition though it can be scary when it happens. The nose has plenty of blood vessels within and sometimes when the vessel breaks, it can result in a lot of bleeding. Most nose bleeds are thankfully not due to nose tumor or cancer.

When a nose bleeding happens, it is important to apply first aid immediately. You should pinch the lowest part of the nose at the softest part and apply firm pressure for 10 minutes. During this time you should tilt your head forward and you can apply ice pack to your forehead or suck on some ice. Most nose bleeding will stop with these simple measures.

Nose bleeds in kids are common. Most are frequently due to nose rubbing or digging. This can be unnoticed by the parents as it can occur when the child is sleeping and is unaware of the injury to the nose. Allergic rhinitis is frequently associated with nose bleeding in kids and this must be managed well to treat the nose bleeding. 

During pregnancy, the blood flow to the nose actually increases. The lining within the nose also becomes thinner and allergic rhinitis can worsen.

You should consult an ENT specialist. You will need a thorough nasoendoscopy to assess your nose and sinuses and exclude conditions like tumors. A nasoendoscopy is a relatively painless procedure performed under local anesthesia and takes a few minutes in the ENT doctor’s clinic. You can return back to work and normal activities after a nasoendoscopy.
The ENT specialist will see where the cause of the nose bleeding is. Frequently the bleeding occurs from a ruptured vessel from the Little’s area on the nasal septum. If that’s the source, silver nitrate cautery (apply a chemical paste on the area) can help reduce bleeding. It is also important to treat concomitant allergic rhinitis if there is any to reduce any nasal rubbing or trauma to the nose. The commonest cause of nose bleeding is actually nasal rubbing or trauma.

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