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Chronic Epistaxis

by Alike Medical Team ∙ Updated on June 13, 2023

General

Nosebleeds, or epistaxis, is bleeding from the tissue inside the nose and are common. Most nosebleeds are not serious. An anterior nosebleed comes from the septum and is the most common type, resulting from bleeding in the capillaries and small blood vessels in the front of the nose. If the bleeding is from the back of the nose, it is caused due to bleeding from large vessels, which could result in heavy bleeding, and may require medical treatment. Risk factors include dry air, colds, allergies, septal deviation, trauma, high blood pressure, atherosclerosis, bleeding disorders, pregnancy, and taking blood thinners.

47 people with Chronic Epistaxis

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Signs & symptoms

Mild to heavy nosebleed.

Diagnosis

Diagnosis is based on symptoms review and medical exam, focusing on the nose area by using a speculum to hold the nostril open and an endoscope to see inside the nasal passages. . Further tests may include Xray, CT scans, and blood tests.

Treatment

Treatment can usually be done at home by sitting upright and leaning slightly forward, using a tissue to catch the blood, squeezing the nose to stop the bleeding, and decongestant spray. Other treatments include cauterization, foreign body removal, surgical repair, ligation of blood vessels and medicine replacement.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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