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A nosebleed, also known as epistaxis, is an instance of bleeding from the nose. [1] Blood can flow down into the stomach, and cause nausea and vomiting. [8] In more severe cases, blood may come out of both nostrils. [9] Rarely, bleeding may be so significant that low blood pressure occurs. [1]
Treatment depends on the underlying cause. Treatments include iced saline, and topical vasoconstrictors such as adrenaline or vasopressin. Tranexamic acid was proved to improve in-hospital mortality. [27] Selective bronchial intubation can be used to collapse the lung that is bleeding. Also, endobronchial tamponade can be used. [30]
Epistaxis (blood coming from one or both nostrils) is much less common, occurring in 0.25–13% of cases. [1] [9] In a survey of over 220,000 horse starts in UK Flat and National Hunt (jump) racing, 185 cases of epistaxis were identified (0.83 per 1000 starts). Similar frequencies have been reported in Japan (1.5 per 1000 starts) and South ...
They may cause pressure necrosis of the nasal septum or lateral wall of nose. Rhinoliths can cause nasal obstruction, epistaxis, headache, sinusitis and epiphora. They can be diagnosed from the history with unilateral foul-smelling blood-stained nasal discharge or by anterior rhinoscopy. On probing, the probe can be passed around all its corners.
The sphenopalatine artery is the artery commonly responsible for epistaxis (difficult to control bleeding of the nasal cavity, especially the posterior nasal cavity). [3] In severe nose bleed cases which do not stop after intense packing of anti-clotting agents, the sphenopalatine artery can be ligated (clipped and then cut) during open surgery ...
Ninety percent of nosebleeds (epistaxis) occur in Kiesselbach's plexus, whereas five to ten percent originate from Woodruff's plexus. [3] It is exposed to the drying effect of inhaled air. [3] It can also be damaged by trauma from a finger nail (nose picking), as it is fragile. [3] [4] It is the usual site for nosebleeds in children and young ...
In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom. This is due to pain originating from the frontal sinus, it being above the brow bones. Less common is pain referred to the temporal, occipital, or retrobulbar region. Epistaxis or serosanguineous secretion from the nose may occur.
Treatment for rhinorrhea may be aimed at reducing symptoms or treating underlying causes. Rhinorrhea usually resolves without intervention, but may require treatment by a doctor if symptoms last more than 10 days or if symptoms are the result of foreign bodies in the nose. [4]