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- $Unique_ID{BRK01281}
- $Pretitle{}
- $Title{What May be Causing Frequent Nosebleeds?}
- $Subject{nosebleed cause treatment respiratory system nosebleeds nose blowing
- epistaxis rhinitis sinusitis nasal bleeding septum kiesselbach kiesselbach's
- picking pulmonary systems sinus sinuses mucous membrane membranes pick}
- $Volume{H-6}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- What May be Causing Frequent Nosebleeds?
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- QUESTION: I suffer from frequent nosebleeds which always arrive at the worst
- time. There is never any warning, nor is it the result of a bang or blowing
- my nose. Any ideas on what may be causing them?
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-
- ANSWER: There are many causes of nosebleeds (epistaxis) and although some of
- them sound quite serious and well may be, the most frequent reasons for
- nosebleeds are relatively simple. Nosebleeds can occur because of infections
- in the nose, such as rhinitis and sinusitis, and can be provoked by infections
- in the body including scarlet fever, malaria and typhoid fever. Hypertension
- with its elevated blood pressures is a leading cause of nosebleeds, and then
- there's a whole list of blood diseases which reduce the ability of the blood
- to coagulate, thus permitting nosebleeds to occur with just the minimum of
- trauma. Severe epistaxis is often associated with liver disease and the
- underlying cause must be treated if the nosebleeds are to cease. Most nasal
- bleeding arises in a group of blood vessels which are on the lower front part
- of the partition that divides our nose in half (the septum). This area is
- called Kiesselbach's area and most bleeding may be controlled by pinching the
- sides of the nose against the septum in the middle and holding them tightly in
- place for from five to ten minutes. If this is not successful, then the
- bleeding site must be found and controlled by electrocautery or chemical
- cautery using silver nitrate.
- Bleeding can also be provoked by the changes in temperature and humidity
- that we experience as we move from indoors to outdoors, particularly in cold
- weather.
- But the bottom line is that most nosebleeds are provoked by picking away
- at the nose with a finger or other blunt instrument. Some people are so
- caught up in this habit that they are unaware that they have provoked
- nosebleeds themselves and it takes a member of the family or a friendly
- neighbor to point this fact out to them. Should nosebleeds be very frequent
- and difficult to control, your physician's physical examination may hold some
- personal answers for you.
-
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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