How is it that nosebleeds often?

Nosebleed is a common clinical symptom, and ordinary people are afraid of nosebleeds because they don't know how to deal with it. What are the common causes of nosebleeds? Nosebleeds often occur in the front of the nasal septum (the diaphragm between nostrils) because there are dense vascular plexus here. The causes of nosebleeds vary with patients' ages, and there are different treatments. The most common causes of nosebleeds in adult abortion are hypertension, curved nasal septum, tumor of nasal cavity or nasopharynx or internal medical diseases such as liver, kidney and blood. Infantile nosebleeds are mostly benign bleeding.

If the bending angle of the nasal septum is too large, the protruding surface of the nasal mucosa will become thinner, which will also cause repeated nosebleeds. The only solution is to remove the curved cartilage of nasal septum.

Nasal cavity or nasal cavity tumors include nasopharyngeal carcinoma and hemangioma. The main symptoms are mixed-race nose, a feeling of tightness in one ear, and a tumor in the neck for more than a month. The treatment of benign hemangioma is relatively simple, and it can be removed after angiography determines the blood vessels that dominate the tumor. Malignant nasopharyngeal carcinoma must receive radiotherapy and regular follow-up examination.

Other medical diseases may lead to nosebleeds due to lack of coagulation factors. Therefore, for adult nosebleeds, the author suggests that blood pressure can be measured first, and an otolaryngologist can be asked to check the nasal cavity and nasopharynx. If necessary, blood can be drawn to test the functions of liver, kidney and blood, and then transferred to medical treatment to solve the annoying nosebleed problem.

Question 3: The mother often takes the child with her because the child had a nosebleed last night. It was not until the early hours of the morning that she found blood on the pillow and quickly took it to the hospital for treatment. How to deal with it? In the general otolaryngology clinic, parents with children often complain that their children had nosebleeds last night. Because of a good night's sleep, until the early hours of the morning, the towel at the bedside was still stained with blood, but the nosebleed stopped automatically. They came to the hospital to see a doctor.

Infantile nosebleeds are mostly benign bleeding. Although it will bleed repeatedly, most of it will stop automatically. Only a few hemorrhagic diseases will cause other problems because of bleeding. Children's nosebleeds mostly occur in the front of nasal septum. Because of the dense blood vessels here, whenever the weather is wet and cold or the patient has allergic rhinitis, the nasal mucosa will be dry and fragile, and it is easy to get hurt. If you often blow your nose or pick your nose, it will cause mechanical damage and nosebleeds.

The immediate treatment of nosebleed is only to directly compress the alar cartilage. The right nostril flows blood pressure to the right, the left side flows blood pressure to the left, the two sides flow blood pressure to both sides, and the mouth is open, so there will be no breathing problems. Direct compression hemostasis will block the ruptured blood vessels, accelerate the formation of blood clots, and further achieve the effect of hemostasis. In the past, health education textbooks said that nosebleeds should be looked up and wet towels should be put on your forehead, but now it is not correct to think about it.

Question 4: nosebleeds will happen repeatedly. Why? Does it matter? Before the vascular wall of nasal mucosa grows completely, if you rub your nose again to make the blood clots that block the blood vessels fall off early, you will suffer from repeated nosebleeds due to vascular plexus erosion. Therefore, in addition to prohibiting nose digging for at least one week, a little anti-tissue medicine can be used to relieve the itching pain of the affected part and slow down the symptoms of allergic rhinitis, and oily ointment can be applied to the nostrils to avoid nasal mucosa dryness and accelerate the repair of nasal vascular wall. The most important thing is to get rid of the habit of picking your nose and reduce mechanical injuries, so as to effectively prevent nosebleeds.

Question 5: Why do you get nosebleeds when you eat too many supplements?

The tonics you eat include sesame-oil chicken, perch and other tonics, most of which contain alcohol such as rice wine or sorghum wine, which will dilate the blood vessels of the whole body, including the nose. If the blood vessels in the nose just burst or have the action of rubbing the nose, it will bleed.

There are three reasons for nosebleeds:

The first kind-broken skin of nasal mucosa, which is the most common cause of epistaxis and the main cause of habitual epistaxis. Because there are three small blood vessels near the nasal septum at the front of the nose, these three small blood vessels are very fragile and intertwined in the shallow area of the skin surface. Although the blood vessels are small, if they are torn carelessly, blood will still flow out continuously.

The second type-inflammation of granulation in the nose, once the granulation is inflamed, nasal polyps will swell up and the pain will be unbearable. Children often suffer from sinusitis, and if it is serious, it will bleed and fester.

The third type-nasopharyngeal carcinoma, the bleeding site belongs to the internal bleeding behind the nasal cavity, which is a very serious disease and must not be underestimated!

In addition, adults may also have nosebleeds because of high blood pressure, so they often have nosebleeds. Be careful whether there is a bigger crisis behind them. You'd better see a doctor for a thorough examination.

Three steps to deal with nosebleeds-sitting down, tilting your head and pinching your nose.

When nosebleeds, many people lie down in a panic or hold down their nose bones with their hands to stop bleeding because red blood looks terrible and difficult to clean. In fact, these treatment methods are incorrect.

The correct way to treat epistaxis is to sit, lean forward and hold the soft parts of the nose and nose for about 5 minutes. Because most of the broken skin is 0.5 cm at the exit of the nose, most people often plug their nostrils with toilet paper or pinch their nose bones with their hands, trying to stop bleeding by squeezing blood vessels. In fact, this method is ineffective.

As for lying down, it's an ostrich's way of staying away from eyes. Blood is not only easy to flow back and choke on the throat, but also can cause nausea and aspiration pneumonia if swallowed too much. Therefore, once the nosebleed is properly handled, if there is too much bleeding, you should ask a doctor for help as soon as possible, otherwise it will cause other complications, which will be even worse!

Usually nosebleeds are mostly caused by trauma, such as nose bump. Excessive climate: dryness (cracking the nasal membrane), sudden change of air pressure, picking your nose with your nails, or blowing your nose too hard may also cause nasal mucosa damage and bleeding. Some people have nosebleeds, and their mouths, chins and clothes are covered with blood, which looks quite scary.

There are two kinds of nosebleeds: anterior and posterior. The latter position mainly affects the elderly, especially patients with hypertension. In this type, no matter what posture the patient is in, blood flows out from behind the nose and flows into the throat along the back of the mouth. In severe cases, the blood flow direction may be both before and after. A nosebleed requires hospitalization.

The common nosebleed belongs to the forward flow type and flows out from the front of the nose. When standing or sitting down, blood flows from one or both nostrils. When lying down, blood may enter the throat. This nosebleed may be scary, but it's not serious.

Whether it is due to the dry climate, the side effects of high blood pressure or arteriosclerosis, or the nosebleed caused by accidentally breaking the nasal cavity, the following tips are helpful for all kinds of nosebleeds.

● Dig out blood clots.

Try to dig out the blood clot before stopping the bleeding. Because the blood clot blocked in the blood vessel can't close the blood vessel. There are elastic fibers in blood vessels. When you remove the blood clot, these elastic fibers can contract and close the bleeding opening. Sometimes after blowing your nose, you can stop the bleeding by gently pinching your nose with your hand.

● Plug gauze or wet cotton.

Put a small piece of sterilized wet gauze in each nostril, or wet cotton with neofolin decongestant or Aflin nasal spray, which will help stop bleeding. But some experts prefer to soak cotton in white vinegar. The acetic acid in vinegar will burn slightly. However, decongestants can only provide temporary hemostasis, and if abused, it may damage the nasal membrane.

● Holding Confucius.

After blowing nosebleeds (removing blood clots) and stuffing cotton, hold your nostrils together with your thumb and forefinger and hold them tightly for 5-7 minutes. If the bleeding is still not stopped, repeat the action of tampon and nose pinching, and still press for 5-7 minutes. This should stop the bleeding.

● Sit up straight

If you lie down or look up, blood will flow to your throat. You can sit in a chair and lean forward (not backward).

● Ice compress.

Cold can promote vasoconstriction and reduce bleeding. You can cold compress your nose, neck and cheeks with crushed ice or an ice towel.

● Apply ointment

When the nosebleed is controlled, apply some vitamin E ointment on your nose. If there is no vitamin e, you can use a little antibiotic or steroid ointment instead, and apply it 2 ~ 3 times a day. Vitamin ⅱ ointment can promote wound healing, while antibiotic or steroid ointment can destroy staphylococcus in nasal cavity, which not only stops itching, but also prevents mucus from drying up (so as not to induce the impulse to pick your nose). If the nasal mucosa is painful due to dryness, aloe vera or Zhilicao ointment can be used.

● Don't pick your nose.

After the above treatment, it is best to lie down and rest for a while, and don't do strenuous exercise for at least two days. It takes 7- 10 days for the nasal vessels to recover completely. After blood coagulation, the blood flow stops, and then the coagulated blood clot gradually scabs; If you dig a hole in the other person's body, if you accidentally peel off and scab, nosebleeds will recur.

● Increase air humidity.

When you breathe, your nose needs to make sure that the air reaching your lungs is moist enough. Therefore, when the environment is dry, your nose has to work harder. It is recommended to use a humidifier to supplement the air humidity, and it is best to add distilled water to the humidifier to avoid impure tap water (impurities such as water and alkali).

● Take aspirin carefully.

Aspirin can interfere with blood coagulation. If you are prone to nosebleeds, I remind you to use aspirin as little as possible unless necessary. In addition, patients are advised to avoid foods rich in salicylic acid, which is a substance similar to aspirin and exists in coffee, tea, some vegetables and most fruits. These foods include almonds, apples, apricots, blueberries (blackberries, cranberries, etc. ), mint, cherry, grape (dried), peach, plum, tomato and cucumber.

Sometimes, the use of heparin and anticoagulants may also lead to nosebleeds.

● Control blood pressure

Patients with hypertension are prone to nosebleeds. A diet low in fat and cholesterol should be adopted.

● Carefully choose oral contraceptives.

Female hormones affect mucus secretion. Anything that affects female hormones in the body (including menstrual cycle) may make you more prone to nosebleeds. Some oral contraceptives can also change the balance of female hormones. If you have a nosebleed, you should consult your doctor when choosing birth control pills.

● Quit smoking

Smoking dries the nasal mucosa and easily causes nosebleeds.

Nutrition and diet therapy

● Supplement nutrition.

① Iron supplementation

If you are prone to nosebleeds, consider iron supplementation to help your body make blood. Iron is an important component of heme, which is the main substance in red blood cells.

② vitamin c supplementation

Collagen is necessary to maintain the health of body tissues, and vitamin C is necessary to form collagen. Collagen in the upper respiratory tract helps mucus adhere to the proper position and forms a moist protective film in the sinuses and nasal cavity.

③ vitamin k supplementation

Vitamin K is necessary for normal blood coagulation. Its sources are alfalfa, kelp and all dark green leafy vegetables.

● Dangerous guidance

Seek medical attention immediately if:

* When you have stuffed your nose with cotton and squeezed it, you should see a doctor immediately. A nosebleed that lasts too long can be fatal. In rare cases, persistent nosebleeds even mean the existence of tumors.

* If you are an elderly person with arteriosclerosis and nosebleeds, you should seek medical advice as soon as possible.

* In addition, when blood is found to flow from the back of the nasal cavity to the throat, you should also seek medical advice.