EPISTAXIS

Have you ever been experienced with nose bleeding? We know most of people in the life cycle ever had experienced nose bleeding or in medical term is EPISTAXIS. Epistaxis is bleeding condition in your nose who make your nose running fresh blood if bleeding overload sometimes blood to become clot and stuff of your nose. This situation is uncomfortable and very interrupt to your daily activities.

Nose bleeding can occur spontaneously when the nasal membranes dry out, crust, and crack, as is common in dry climates, or during the winter months when the air is dry and warm from household heaters. Some people who suffering nose bleeding caused by taking any medications which prevent blood clotting such as for patient who have heart problem or hypertension is more vulnerable. Common Medicine cause bleeding in a perifer are Caumadin, Warfarin, Aspirin or any anti-inflamatory medications.

Other medicines cause, nose bleeding caused by many problems as a following are:

1. Chronic Sinusitis
   
2. Epistaxis digitorum (nose picking)
   
3. Foreign Bodies
   
4. Intranasal Neoplasm or polyps
   
5. Irritants (cigarette smoke)
   
6. Rhinitis
   
7. Septal Deviation
   
8. Septal perforation
   
9. Trauma
   
10. Vascular Malformation or telangiectasia
    
11. Hemophilia
    
12. Hypertension
    
13. Lekukemia
    
14. Liver Disease (e.g, cirhrosis)
    
15. Medication (e.g, aspirin, anticoagulants)
    
16. Thrombocytopenia
    
17. Platelet dysfunction

What Will You Do If You Got Nose Bleeding?
If you got nose bleeding you have to conduct as a following:

1. Have the person with the nosebleed sit down and lean forward so the blood does not flow down the respiratory passage.
   
2. Press a tissue or cold compress against the nostrils below the bone to encourage clotting.
   
3. Have the person with the nosebleed keep his or her nostrils pinched together for 15 minutes without letting go.
   
4. Replace the tissue or compress with a new one if it becomes soaked with blood.
   
5. Leave a bowl next to the person so that he or she can spit out any blood that drips down their throat.
   
6. Remove the tissue or compress slowly. If bleeding persists, continue pinching the nose for another 5 minutes.
   
7. After bleeding stops, wash away any blood with warm water. Apply a small amount of petroleum jelly inside the nostrils to moisturize the area.
   
8. Make sure the person does not sniff or blow the nose for several hours afterward, as this could cause another nosebleed.
   
9. If the nosebleed originates in the back of the nose and does not respond to treatment, seek medical attention. This type of nosebleed, called a "posterior" nosebleed, is common in older people and potentially very serious.
   
10. Visit a doctor or an emergency room immediately if bleeding does not stop or if the patient is weak, pale or experiencing an elevated heart rate. Keep the patient leaning forward with the nose pinched on the way to the doctor's office or hospital.

Management Epistaxis