Dr. Rajneesh Kumar Sharma
Nose bleed Synonym – EPISTAXIS
The nose is a part of the body that is very rich in blood vessels (vascular) and is situated in a vulnerable position on the face. Any trauma to the face can cause bleeding from the nose. This is common in dry climates, or during the winter months when the air is dry and warm from household heaters.
Nose bleed Cause
- Trauma to the nose (nose picking, foreign bodies, forceful nose blowing).
- The most common cause of a nose bleed is drying of the nasal membranes.
- Tumors, particularly malignant tumor of the nose or sinuses.
- The incidence of nosebleeds is higher during the colder winter months when upper respiratory infections are more frequent, and the temperature and humidity fluctuate more dramatically.
- Use of “blood thinning medications” called anti coagulants.
- Recurrent nosebleeds may be a symptom of an underlying disorder such as high blood pressure.
- Inflammation of the nose or sinuses and cold may cause a nose bleed.
- Deviated septum (when the partition between your nose is crooked), foreign objects in the nose, or other nasal obstruction may also cause nosebleeds.
- Bleeding from one or both nostrils.
- Frequent swallowing.
- Sensation of fluid flow in the back of the nose and throat.
Diagnosis of Nose bleed
- A thorough medical history for previous bleeding, high blood pressure, liver diseases, use of anticoagulants, nasal trauma, family history of bleeding etc. should be taken.
- Analysis of blood coagulation parameters.
- Measurement of the blood pressure and X-rays of the skull and sinuses maybe necessary.
First Aid in Nose Bleeds – How to stop Nose Bleed
Calm the patient if necessary with medication. The patient should sit with the upper part of the body tilted forward and the mouth open so that they can spit out the blood instead of swallowing. Check to see if there is an object inside the victim’s nose and remove it if necessary.
Pinch all the soft parts of the nose together between the thumb and index finger. Hold the nose for at least 5 minutes (timed by the clock). Repeat as necessary until the nose has stopped bleeding. Apply ice (crushed in a plastic bag or washcloth) to nose and cheeks. For dryness of the nose ointments can be applied. Nasal packs are used when conservative methods fail. Cauterization (the application of a heated instrument or caustic chemical to tissue to stop bleeding) may be required if bleeding persists or recurs.
Homoeopathy Treatment & Homeopathic Remedies for Nose bleed
Approach to nosebleed heralded by marked anxiety and restlessness, with fullness of head, in young and plethoric persons.
Epistaxis in old people, of a passive character; in blowing the nose blood comes out of it, early in the morning, immediately after rising; this is followed by violent epistaxis; from overwork at desk; profuse foetid discharge from nose.
Nosebleed in bed after waking up; redness of nose in open cold air.
Copious nosebleed early in the morning; dried blood gathers in the nose; lean, delicate, sickly-looking people; nosebleed with the menses.
Epistaxis every morning on washing face, after dinner, after repeated sneezing, especially if after the flow has ceased a bloody mucus is often blown from the nose; epistaxis with dry coryza, especially at night, without the slightest air passing through; when stooping blood rushes to tip of nose. Hands look blue after washing in cold water and veins distended.
Nosebleed with vertigo, after headache, following rush of blood to head.
Antimonium sulphuratum auratum
Nosebleed on washing.
Uncontrollable epistaxis, with spongy gums, as in scurvy; nosebleed, followed by fluent coryza, with sneezing.
Violent bleeding when blowing the nose, with tickling, crawling sensation in nose, or after dinner.
Epistaxis, preceded by tingling; copious after every exertion, from mechanical causes; after washing face, during whooping-cough, typhus, etc.; nosebleed in growing children; discharge of several drops of thin blood from nose on first blowing it in the morning; blood bright-red, mixed with clots and leaving a bruised sensation behind.
Nosebleed after a fit of passion; passive haemorrhage, accompanied by vomiting and great distress and restlessness.
Epistaxis or oozing of dark blood from nose during typhoid (Apis).
Epistaxis before catamenia; frequent nosebleed, especially with florid, scrofulous persons.