What to do if I get a nosebleed

Written by: Dr. Pablo Ortiz García
Edited by: Anna Raventós Rodríguez

Epistaxis is a nosebleed or bleeding from the nose. It may be above (90% of cases) or later. In the first case it takes place in the area Kiesselbach, which is located in the mucosa of the nasal septum, being simpler control.

Nosebleeds is a relatively common condition that despite the striking of the problem does not usually create great impact.

Symptoms are nosebleeds or the oral cavity, and the passage of clots on blowing.

They may be associated with epistaxis other symptoms, such as headache and nasal itching among others.

In principle it carries no significant risk, but we must act quickly because it is a blood loss. In addition, it is important to see a otorrino to know why (etiology) of bleeding and what disease has caused.


Causes of epistaxis

  • Nose bleeding Traumatism.
  • Erosions of the nasal mucosa.
  • Strange bodies.
  • Arterial hypertension.
  • Coagulation disorders.
  • Drugs.
  • Deviated septum.
  • Rhinitis.
  • Vascular lesions.
  • Benign and malignant tumors of the pits or sinuses.
  • Cold: in the winter periods increase infections of the upper airways (sinusitis, rhinitis, etc.) and this in turn leads to increased nosebleeds.


How to act in case of epistaxis

We advise the following first aid measures to control epistaxis:

  • Have / position the higher head than the heart, so that the nose is above it.
  • Blow your nose gently to remove blood clots.
  • Firmly tighten the soft portion of the nose with the fingers and thumb, such that both nostrils they are sealed for 5 to 10 minutes.
  • Enter impregnated with ointment or petroleum jelly to properly plug the nostrils cotton.
  • If after performing these maneuvers and spent time indicated episode of nasal persists bleeding, you should go immediately to an emergency department of otolaryngology for assistance specialist, control the bleeding and evaluate, since this condition may indicate other disorders.

In our service we offer extensive knowledge in diagnosing this disease, making a comprehensive assessment by anterior rhinoscopy, Endoscopic vision and complementary imaging tests if necessary (CT, MRI, etc.).


When and how to treat epistaxis

As mentioned, it should be treated when the episode persists after 10 minutes after performing the above measures.

The otorhinolaryngological treatment consists of:

  • An anterior and posterior nasal packing with different materials.
  • If the bleeding does not stop, local control would be done by cauterization and use of hemostatic and regional control of major bleeding by endoscopic surgery with a resolution rate close to 100%.


Preventing epistaxis

Epistaxis can be prevented with address health measures such as:

  • Avoid blowing your nose hard.
  • No nose picking fingers / nails.
  • Control of blood pressure.
  • Avoid trauma, among others.
*Translated with Google translator. We apologize for any imperfection

By Dr. Pablo Ortiz García

Dr. Pablo Ortiz García, renowned specialist in Otolaryngology and Head and Neck Surgery, with more than 30 years of professional experience.

He is the Head of Otorhinolaryngology and Cervical-Facial Hospital La Milagrosa of Madrid, where d irig ea a team of specialists in surgery of the head and neck who have subspecialty to cover the diagnosis and comprehensive treatment of all areas of the otolaryngology. He also is head of Pathology Section of Otolaryngology and Neck Surgery Hospital General Universitario Gregorio Marañón de Madri d.

Team Otorrinos Dr. Ortiz has Otorhinolaryngology emergency department 24 hours a day, 365 days a year in the Hospital La Milagrosa of Madrid.

He has combined his professional work with teaching, being professor at the Complutense University of Madrid. He has also been a speaker at national and international ENT courses and is a member of the Spanish Society of Head and Neck (of which he was president from 2009 to 2012).


*Translated with Google translator. We apologize for any imperfection

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