Thursday, December 26, 2013

NOSE BLEED


Common causes:
_picking of nose
_foreign body
_blowing of nose
_allergic reaction
_head injury
_others: tumor,high blood pressure, cocaine use, anticoagulants.

This is commoner during the dry season in nigeria and during winter.


WHAT TO DO

* Put the person at rest,better sitting.

* The person holds his head forward,pinches the whole soft part of his nose with his thumb and index fingers (for about 10 to 20 minutes) and then breaths through the mouth.

* Repeat,if bleeding persist

* Ice pack or cold towel can be applied to the bridge of the nose.

* If the person is a child,distract with TV/stories/songs etc.

* The person should not try to swallow the blood in the throat.

* If re-bleeding occurs after the above, blow out forcefully to clear your nose of blood clots and spray both sides of your nose with decongestant nasal spray containing oxymetazoline. Then pinch your nose as described above while you make your way to the hospital.

* If you're on anticoagulants,control the bleeding and see your doctor as soon as possible.

* Call a doctor if the above does not stop the bleeding or if the bleeding occurs too often.



DON'Ts
* Don't tilt the head backward,the blood can trickle down into the airway.

* Don't bend down for several hours after the bleeding episode and keep the head higher than the level of your heart.

* Avoid picking,blowing or rubbing the nose for 2 days.

* Don't close mouth while sneezing

* Use humidifier at night during dry weather.
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