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Nose bleeding (epistaxis)

 

                          Nose bleeding (epistaxis)

Introduction:

The health of the population is very important to improve the community and society, and one of the problems that may person or parent faces during the summer season or serious health problem is nose bleeding, called epistaxis. 

 

Anatomy and function of the nose parts:

The nose is part of your respiratory tract and is located in the face, there were many parts in the nose that is important for the health of the person that was:

1-     Bones that support the nose and its hard give the nose its shape

2-     Hair and cilia that are located inside the nose cause protection of the inside nose areas from dirt and harmful particles.

3-     Nasal cavity parts are located inside the nose and lining with mucus membranes.

4-     Nerve cells are responsible of contact with the brain when smelling any smell the signal will go to the brain to identify the source of the smell.

5-     The nostrils are the two openings in the nose that allow the air to enter the nasal cavity and are divided with the septum.

6-     The sinuses are located in the nasal cavity to produce mucus for the nose to keep the nose moist.

7-     The turbinates located also inside the nose help to keep the nose warm and moist, and have nasal drainage.

8-     The blood vessels in the nasal cavity nourish the nose parts to do their function.



https://youtu.be/xZNp5djpsIs

 

Nose bleeding:

Nose bleeding also called epistaxis appeared because of the damage or rupture of the nasal cavity blood vessels can be in children, adults, and pregnant ladies because of many reasons that were:

        Dry the nose surface because of dry climate, heat, or cold.

        Rubbing your nose hardly.

        Nose blowing frequently.

        A hard object that injured the nose.

        Type of medication that causes nasal dryness or bleeding.

        Infection to the nose especially the sinus.

        The hereditary of some syndrome cause nose bleeding.

        Type of tumors causes nose bleeding.

        Diseases of blood vessels like increased blood pressure or accumulation of plaque on the blood vessels cause the blood vessels to rupture.

        Some medical problems that may cause low platelets, which help the blood clot

 

Emergency management of nose bleed at home:

At home, the person or parent must identify how to manage a nose bleed, and must not be kept for a long time that may cause the person to lose blood and faint.

The equipment required to stop nose bleed was:

        Gauze

        Gloves

        Antiseptic solution

        Cold pack

The procedure:

        Explain the procedure to patient

        Hand washing and wear gloves are better because the contact with blood

        Ask the patient to sit down

        Tilt the patient head forward to allow blood to flow forward

        Let patient breathe from his mouth, not his nose

        Pinch the upper part of the nose

        Advice the patient to avoid speaking , swallowing, coughing, sniffing

        Give clothes or tissues to mop nose dribbling

        Place cold packs on the nose

        After 10 min tell patient to release pressure if bleeding not stopped reapply for more 10 min

        Once stopped clean the nose and around it 

If all the procedures were done and the bleeding is still not stopped you must take the patient to the nearest hospital.

Prevention of nose bleeding:

Nose bleeding can cause serious problems for some people so to prevent recurrent nose bleeding the person can:

1-     Use saline nasal sprays or nasal gel that lubricate the nasal cavity and protect it from dryness.

2-     Use a humidifier in the bedroom especially at night that helps to lubricate the nose

3-     Avoid forcefully blowing the nose when sneezing

4-     Avoid playing with your fingers or putting solid objects in the nose this can induce bleeding.

5-     Identify the medications that cause nose bleeds and take advice from the doctor related to its complications.

6-     Protect your face when playing or during extreme heat or extreme cold that can cause dryness of the nasal cavity or injury to it.

Conclusion:

In conclusion, nose bleed is a common problem that a person may face during his normal activity, so each person must know how to manage and stop a nose bleed. If the problem becomes more recurrent the person must visit the physician to identify the causes and to find a solution related to this problem. Nose bleed can be a serious problem if not treated properly.

 

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