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Chapter-23 Epistaxis

BOOK TITLE: Textbook of Ear, Nose & Throat

Author
ISBN
9788180614460
DOI
10.5005/jp/books/10907_23
Edition
1/e
Publishing Year
2005
Pages
5
Author Affiliations
Chapter keywords

Abstract

This chapter discusses epistaxis, which is also called nose bleed. Epistaxis is not a disease but a symptom which results from local or systemic diseases of the body. Epistaxis may result from weakness, rupture or disease of vessel wall. Epistaxis occurs more in winter due to low humidity, temperature variation leading to dryness with increased chances of bleeding. Pinching the nostril is a time-tested method of stopping bleeding. Trotter’s method of making the patient sit with open mouth till the pressure decreases by bleeding has been abandoned. If bleeding does not stop by anterior nasal packing indicating posterior bleeding, postnasal packing should be given. By taking a careful history and investigations, the underlying cause of nose bleed is treated. Hypertension, if present, must be treated likewise by antihypertensive drugs and tranquillizers. Once the patient is stable, especially a full head and neck examination including nose and nasopharynx is essential.

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