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Why nosebleed occurs and how to stop it

There are two types of nosebleeds: front and back, and each has its own reasons.

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Anterior nosebleeds occur in the front of the nose, where there are thin and fragile vessels that are easily damaged. They are usually not serious and are most common, especially in children. Here’s what causes them:

  • Mechanical injuries – when people pick their noses, blow or blow their nose hard.
  • Dry air – it dries out the mucous membrane, which makes it sensitive and cracks. Thin air in the highlands also works.
  • Some diseases. Flu, a cold or allergy makes you blow your nose more often, inflame the nasal mucosa, which makes it easier to damage it. Due to bleeding disorders, even the slightest damage can cause severe bleeding.
  • Some medications: non-steroidal anti-inflammatory drugs (ibuprofen, paracetamol, aspirin) or blood thinners (warfarin, clopidogrel).
  • Increased blood pressure.
  • Curvature of the nasal septum.
  • Nasal neoplasms (nasal polyps, inverted papilloma of the nose, neoplasms of the nasal mucosa).

This bleeding is easy to stop on your own.

Posterior nosebleeds come from the upper-posterior part of the nose, where large arteries and veins pass. This type of bleeding is more dangerous and more common in adults.

Here are their reasons:

  • high blood pressure;
  • heavy head injury;
  • calcium deficiency;
  • chemical burns;
  • blood disorders such as hemophilia or leukemia;
  • some tumors.

To stop this bleeding, the doctor fills the nasal cavity with gauze tampons or styptic sponges. Sometimes you need to administer drugs that improve blood clotting.

Even a doctor cannot always determine the exact cause in a particular case, especially if it is a minor injury.

But the main thing is to stop the bleeding.

Who has more nosebleeds?

Everyone has had this at least once in their lives. But there are people who have this problem more often:

  • Children between the ages of two and 10. Frequent colds, allergies, the tendency to pull fingers and objects into the nose predispose to nosebleeds.
  • Elderly people. They have high blood pressure and are more likely to take blood thinners (aspirin, clopidogrel).
  • Pregnant women. They dilate the blood vessels of the nasal mucosa.

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How to stop nosebleeds

This can be done at any time and anywhere: at home, on the street or in public transport:

  1. Sit up straight (or stand up) and lean forward. The upright position reduces pressure in the arteries of the nose, which slows down the blood flow. If this is not done, blood will drain into the stomach and cause vomiting. The same will happen if you lie on your back or tilt your head up.
  2. Squeeze the soft part of the nose with your thumb or forefinger. This area is located between the tip of the nose and the hard bony ridge that forms the bridge of the nose. Breathe through your mouth and keep your fingers closed for five minutes. If the blood does not stop, pinch your nose for another 10 minutes. If bleeding continues, call an ambulance and pinch your nose again.
  3. If bleeding resumes after stopping, exhale strongly to clear the blood clots from your nose. Then inject into both nostrils a vasoconstrictor nasal spray with naphazoline or oxymetazoline… After that, pinch your nose and call an ambulance or your doctor.

What not to do after stopping bleeding

Bleeding may resume if you blow your nose, pick your nose, or engage in heavy physical labor for the next 24 hours.

Also, doctors do not advise drinking alcohol – it dilates blood vessels, which contributes to bleeding.

All the while, try to keep your head above your heart.

How to avoid this problem in the future

If you have frequent nosebleeds, follow these guidelines:

  • Humidify the indoor air.
  • If you have allergic rhinitis or a cold, flush your nose with saline.
  • Use antihistamines and vasoconstrictors in moderation: with constant use, they increase the fragility of blood vessels.
  • Opening your mouth when you sneeze relieves pressure in the vessels.
  • Quit smoking. Tobacco smoke dries the nose and irritates it at the same time.
  • Trim small children’s nails regularly so that they do not damage the mucous membrane with sharp edges.

When to call an ambulance

You need urgent help if:

  • bleeding lasts more than 15 minutes;
  • you feel faint or dizzy;
  • find it difficult to breathe;
  • there is too much blood, it flows in a continuous stream;
  • you swallow a lot of blood, which makes you vomit;
  • nosebleeds started after injury, especially after head trauma.

When to see a doctor

Make an appointment with a therapist if:

  • the problem is in a child under two years old;
  • nosebleeds bother regularly, for a long time;
  • you are taking a blood thinning medication, such as warfarin or aspirin;
  • you have a disease that disrupts blood clotting: hemophilia, thrombocytopenic purpura, hemorrhagic vasculitis.

In these cases, specialized treatment is likely to be required.

The most effective procedure for treating nosebleeds is radio wave cauterization of the bleeding vessels. The procedure is performed under local anesthesia and takes 30-40 seconds.

Read also:

Heart attack from coryza. What is the risk of chronic nasal congestion?

Is it harmful to hold back sneezes?

The blogger showed an unusual way to regain the sense of smell in a few days

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