Nosebleed: Why open my nose?

He writes: Παταρίδου East, Surgeon ΩτορινολαρυγγολόγοςΗ a nosebleed is bleeding from the nose and can involve small or much larger vessels of the nose. It can happen very rarely in some patients or has a very persistent form. In any case, the blood should not frighten us, but to lead us to the expert.
What are the usual causes
A common cause of ρινορραγίας are colds, or dryness due to exposure in places with air-conditioning, poor hydration, allergic rhinitis, polyps, deviated septum. Even hypertension when adjusted effectively, disturbances in coagulation due to anticoagulant therapy, various hematologic disorders, hereditary diseases such as the Rendu Osler (disorder of the blood vessels of the nose and mucous membranes that can result in dangerous bleeding), benign and malignant tumors of the nose and of the nasopharynx, inflammation such as sinusitis and work in unhealthy places.
Don’t forget also the most simple causes of ρινορραγίας, related to our daily habits, hot drinks, intense exposure to the sun, excessive exercise with weights at the gym and chronic constipation. In children, we must not forget the foreign bodies ,atresia of the nasal funnel, the frequent inflammation of the adenoids, and more rare conditions such as cystic fibrosis.
How is the diagnosis made
The basic test is endoscopy in which we control easily and painlessly in the clinic the nose and the nasopharynx. Depending on the findings, some times, it is necessary imaging examination with a ct or mri scan and blood tests to rule out any blood disease.
What is the address
The treatment is different depending on the cause of the nosebleed. If you detected a vessel in the front part of the nose, can be done cautery at the time of endoscopy in the clinic, and in children and in adults. If it is established large rear vessel, need endoscopic treatment of a vessel that bleeds with general anesthesia, combined many times with προσθιοπίσθιο corking. If the cause of the ρινορραγίας is the allergy, need pharmaceutical treatment of allergic rhinitis.
In the case of chronic sinusitis or polyps in the nose, surgical treatment with the newer endoscopic methods. A deviated septum also affects the nasal mucosa and makes it more εύθριπτο and hemorrhagic, so in this case you need endoscopic surgery of the septum and the turbinates. In patients suffering from the syndrome, Rendu Osler needs to be addressed with laser application.
In children, frequent and persistent nosebleeds may be associated with chronic αδενοειδίτιδα and this is why many times it is necessary the surgical treatment with removal of adenoidectomy(adenoids). We must not forget especially in children to become meticulous endoscopy in order to exclude a benign vascular tumor, known ρινοΐνωμα, which wants surgical treatment in combination with embolization.
What would you suggest to our readers?
In a simple nosebleed first have to blow hard to leave the coagulum and then to push the wall of the nostril that is bleeding steadily with head bowed in front. In persistent nosebleeds is necessary to control by the audiologist to identify the cause and become proper information from the specialist and not from the internet which easily creates a climate of panic.
Despite the fact that the sight of blood scares you, today thanks to the development of endoscopic surgery in otorhinolaryngology, all of the above interventions in the area of the nose are made safely, painlessly, ensuring immediate post-operative healing and return to daily activities.
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