Nosebleed
+
Also known as epistaxis.
+
Bleeding occurs when any of the blood vessels within the nose are ruptured.
+ The most
common area for a nosebleed is near the front, i.e. upper end of the nasal septum
where there are many blood vessels. The nasal septum (along the fleshy part)
divides the nose into 2 paths. This type of bleeding is known as anterior where
blood flows out through the nostrils.
+
Posterior bleeding is less common & bleeding concentrates around the upper
part of the nose. Blood tends to backflow towards the back of the mouth &
throat.
+ Children
are more vulnerable to nosebleeds than adults. Majority of the nosebleeds are
not serious.
+
Some causes :
- Picking the nose vigorously
- A hard knock on the nose
- A broken nose
- During the first menstrual period
- Chemical irritants (e.g. ammonia, sulfuric acid)
- Constant blowing or sneezing
- Dry environment or low humidity
- Nasal spray
- Head injury
- Uncontrolled hypertension
- Leukemia
- Liver disease
- Tumor (benign or malignant)
- Cocaine consumption
- Bleeding disorder (e.g. hemophilia)
- Medications that interfere with blood clotting (e.g. anticoagulants &
nonsteroidal anti-inflammatory drugs like aspirin & ibuprofen)
+ Continuous
bleeding for more than 15 minutes is a medical emergency. Get a doctor's attention
immediately.
+ A rhinoscope
is a tool that enables the doctor to view the back of the nose to spot the bleeding
blood vessel(s).
HOW TO STOP BLEEDING
...Sit in an upright position & pinch on the
lower end of the nose (the soft fleshy part) for 5 to 15 minutes without releasing.
When the bleeding has stopped, breathe through the mouth. Don't blow or clear
clots for the next 4 hours.
...If the bleeding continues
after you have released pressure, firmly pack both of your nostrils with some
gauze dabbed with antibiotic/antiseptic ointment & see a doctor at once.
...If bleeding reocurs often,
see a doctor at once.
HOW TO PREVENT BLEEDING
...Open your mouth when
sneezing
...Use a humidifier to add
moisture to a dry environment. See humidifers here
...Stop pricking the nose.
...If the air is dry &
is causing the nosebleeds, moist nose with petroleum jelly
(e.g. vaseline) or other lubricants using a cotton wick every
night before bedtime.
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