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Nosebleeds

WHAT YOU SHOULD KNOW

Nosebleeds, known medically as epistaxis (epi-STAX-sis), are more common in children than in adults.

Causes

The problem can result from excessive dryness of the inside of the nose, an infection, or an injury. Other causes include high blood pressure, kidney or liver disease, or generalized bleeding problems.

Signs/Symptoms

Blood from the nose can be either dark or bright in color. If you lose a large amount of blood, you may become dizzy. If you swallow blood, your stools may turn black.

Care

To stop severe nosebleeds, the doctor will insert gauze packing high in the nose. If the bleeding won't stop, you may need to be hospitalized for tests and care.

WHAT YOU SHOULD DO

  • You will need to return to the doctor to have the gauze packing removed. If part of the packing starts to come out of the nostril, either cut it off or gently tuck it back in. Do not pull it out.
  • If there is no packing in your nose, apply a small amount of petroleum jelly inside the nostril 2 times a day for 4 or 5 days. This will help relieve dryness and irritation.
  • To avoid loosening any blood clots, do not blow your nose for 12 hours after the bleeding stops Do not pick your nose or put anything into it.
  • If the bleeding starts again, sit up and lean forward. Breathe through your mouth. Pinch the soft part of your nose tightly and for 10 minutes without letting go.
  • Use a cool-mist humidifier or vaporizer in your home; the increased moisture will help prevent nosebleeds.
  • For a few days, keep your head on several pillows when lying down.
  • To prevent the bleeding from starting again, do not use aspirin or drink alcohol for 2 or 3 days. You should also avoid hot drinks for several days.
  • Avoid heavy lifting and straining for several days.
  • You may resume your normal activities as soon as you feel better.

Call Your Doctor If...

  • You have unexplained bruises on other parts of the body.
  • You develop a high temperature.
  • You continue to have frequent nosebleeds.
  • You become nauseated or vomit.

Seek Care Immediately If...

  • You cannot stop the bleeding after applying pressure to your nose for 10 minutes.
  • You lose large amounts of blood.

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