What you need to know about: Nose Bleed (Epistaxis)

May 7, 2015

Overview

  •  A nose bleed occurs when a small vein, along the lining of nose, bursts
  • Most nosebleeds look scary, but are harmless
  • Can be treated at home
  • Common in children/elderly

Causes

  • Dryness
  • Nose picking
  • Blowing nose with force
  • Use of medications, like aspirin
  • Introducing objects into nose         (mostly children)
  • Injuries
  • Allergies
  • Infections
  • High BP
  • Atherosclerosis
  • Blood-clotting disorders
  • Use of cocaine

Symptoms

  • Bleeding from nose
  • Sometimes bleeding from ears/mouth too

Types

a. Anterior Nosebleed

  • Affects lower part of wall that separates nostrils
  • The wall or septum contains blood vessels
  • These can be broken by blow to nose/fingernail
  • The bleeding starts from front of nose
  • It flows outward when patient is sitting/standing
  • Occurs during dry season/harsh winter

b. Posterior Nosebleed 

  • The bleeding starts deep within the nose
  • It flows down the back of the mouth & throat
  • This happens even when the person is sitting/standing
  • Occurs in old people/those with high BP/injuries
  • This type of bleeding is severe/ requires medical help

Treatment

  • If your nose bleeds,
  • Sit down and lean forward
  • Using your thumb & index finger, squeeze soft part of nose
  • This part is between end of nose and the bridge of nose
  • Continue holding till bleeding stops-
  • Do not stop in-between
  • If bleeding continues, hold for another 10 minutes
  • If the patient is a child, divert attention by TV/Stories
  • Avoid picking, blowing or rubbing nose for 2 days
  • Place an ice pack on the bridge of nose

Consult a Doctor If,

  • The bleeding continues for more than 15 minutes
  • The bleeding is caused by an injury
  • You get nosebleeds often

Prevention 

  • Keep fingernails short
  • Quit smoking
  • Open your mouth while sneezing
  • Use a humidifier at night in case of dry weather

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Category: Features, Health alert

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