What is Nose bleed or epistaxis?
Epistaxis is the medical word for bleeding from the nose.
Who is likely to suffer from nosebleeds?
- Nose bleeds are slightly more common in men.
- Nose bleeds are more common in elderly and in the children
When areÂ nosebleeds likely to occur?
Nosebleeds are likelyÂ to occur either in the morning or late evening but can happen at any time and often appear unexpectedly.
What causes bleeding from nose?
- Bleeding from the nose happens when a fragile blood vessel within the nose breaks, perhaps after a minor injury or infection.
- High blood-pressure may also increaseÂ theÂ riskÂ ofÂ nosebleeds.
- Nose is a of medicationsÂ such as aspirin Â andÂ Warfarin.Â Â These medications change the way blood clotsÂ in the bodyÂ and are commonlyÂ prescribedÂ for patients with heart disease.Â Â If you are taking any of these medications and you develop nosebleeds,Â do not stop taking your medication unless advised to do so by a doctor.
In children, crusting inside the Â nose is common and injury may occur from the childâ€™s finger during nose-picking.Â Â This is a common habitÂ inÂ childrenÂ andÂ canÂ damageÂ theÂ liningÂ ofÂ theÂ nose, leading to nosebleeds.
- In young people ,nosebleeds can be caused by problems in blood clotting. Patients should be aware of prolonged bleeding after any minor cuts,Â tooth extractions or if the skin bruises easily.Â Â Â SomeÂ simpleÂ bloodÂ testsÂ mayÂ beÂ requiredÂ underÂ these circumstances.
What should you do if you have a minor nosebleed?
Minor bleeding can often be controlled by pressing on the â€˜fleshyâ€™ part of the nose for 15 minutes. If this is the first time you have had epistaxis and the bleeding stops after 15 minutes with pressure, noÂ further treatment or tests are likely to be needed.Â Â You should avoid strainingÂ atÂ theÂ toiletÂ andÂ strenuousÂ exerciseÂ forÂ aÂ fewÂ daysÂ after you have had nosebleeds.
When to see your doctor?
If the bleeding is severe and continues after applying pressure for 15 minutes then you need to be seen by an ENT specialist immediately.
How do doctors treat nosebleeds?
ThereÂ areÂ aÂ numberÂ ofÂ differentÂ waysÂ thatÂ doctorsÂ canÂ treat nosebleeds.
In the past,Â doctors would have usually placed â€˜packsâ€™ of sponge or material into your nose to stop the bleeding.Â ThisÂ oftenÂ workedÂ veryÂ wellÂ butÂ was ratherÂ uncomfortable.Â Patients also had to stay in hospital for several days.
Packs are still used today but only in specific circumstances. Under these circumstances, you may need to stay in hospital with your packs in place for a few days.Â Â Once the bleeding has stopped and your packs have been removed,Â the doctors will give you discharge advise accordingly.
In most otherÂ circumstances,Â modernÂ technologyÂ allows doctorsÂ toÂ lookÂ forÂ theÂ bleedingÂ pointÂ insideÂ yourÂ noseÂ and â€˜seal it offâ€™.Â Â This can be a fast and effective treatment for nosebleeds.Â Â ENT doctors call thisÂ â€˜Directâ€™ treatment or endoscopicÂ nasal cauterisation.