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Last Updated: Oct 23, 2019
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Nose Bleed : What You Can Do?

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Dr. Rajat AgarwalENT Specialist • 11 Years Exp.MBBS, MS - ENT, PDCC, Head - Neck and Maxillofacial Surgery
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Nose bleeds is a common ailment that can be troublesome and often difficult to control. Definitive cure lies in, firstly proper diagnosis of the disease condition and secondly immediate steps take to control bleeding as an emergency.

1. For children: children are very prone for nose bleed. The most common cause being frequent upper respiratory tract infection followed by frequent nose pricking. Children should also be enquired for any nose trauma. However there may be other systemic causes like bleeding disorders of blood etc that need to be looked upon. 
2. Adults: hypertension along with nose trauma seems to be most common cause. Care should be taken to look upon contributory cause like forceful blowing of nose, constipation, chronic cough etc. Systemic diseases like chronic kidney disease, bleeding disorders etc should be investigated.

What to do when a nose bleeds:

Step 1: nose pinching - this is one of the most effective method to control nose bleeding and serve as a first aid. It should continue for at least 20 mins with head in upright posture.

Step 2: nasal drops - 2 drops of oxymetazoline nasal drops (0.05 % for adults. 0.025 % for children) should be instilled in the bleeding nose and then nose pinching should continue.

Step 3: take immediately to emergency hospital
Now after the first aid performed in home or on the way, patient should be rushed to hospital where definitive treatment can be started.

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