Nose Bleeds

Nosebleeds occur for many different reasons. Some are small and easily treated while others can be frightening.

Possible Causes

*Allergies, infections, or dryness

*Vigorous nose blowing that ruptures superficial blood vessels

*Clotting disorders

*Medications such as aspirin and coumadin

* Fractures of the nose or base of the skull that can cause bleeding and should be regarded seriously when the bleeding follows a head injury

*Rarely, tumors have to be considered in older patients and smokers

STOPPING A NOSEBLEED

1. Pinch the nostrils together with your thumb and side of your index finger.
2. Press firmly but gently toward your face, compressing the pinched parts of the nose against the bones of the face.
3. Hold that position for a full five minutes using a clock.
4. Keep the head higher than the level of the heart. Sit up or lie back a little with the head elevated.
5. Apply ice – crushed in a plastic bag or washcloth – to nose and cheeks.

WHEN TO CALL THE DOCTOR
OR
GO TO THE EMERGENCY ROOM……

People with special health conditions such as high blood pressure, cardiac disease and those on blood thinners should call their doctors immediately.

Otherwise call

…… if bleeding cannot be stopped or keeps reoccurring.

…….if bleeding is rapid and blood loss exceeds a coffee cupful.

…….if you feel weak or faint.

…….if blood goes down the back of the throat rather than out the nose.

…….if caused by head trauma—no matter how much or how little bleeding

occurs.

MEDICAL TREATMENT

Many physicians will suggest treatments that keep the nostrils lubricated and moist. Bacitracin ointment, Vaseline, or eucerin can all be used and purchased over-the-counter. A saline nasal spray will also help to moisten dry nasal membranes.

If the nosebleeds continue, your physician will usually cauterize (seal) the blood vessel that is causing the trouble.