Nosebleeds: Treatment, Causes and Therapy

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Lee Health

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Apr 01, 2021

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Florida - Southwest

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Floridas tourist season offers visitors from the Midwest, Eastern seaboard, and other wintry regions of the United States a break from cold, dry airan all-too common factor of nosebleeds.
Cold air moving through the nose can dry and irritate the membranes that line the inside of the nose. Nosebleeds are more common in the winterwhen cold viruses are prevalent and indoor air typically is drierbut they can happen in any season and for other reasons, too.
Seven out of ten peoplewill have at least one nosebleed in their life. Theyre more common in kids between 2 and 10 years old, and in adults older than 50.
Most nosebleeds look worse than they are. They can also be messy and uncomfortable but theyre rarely life threatening.
So dont worry, in most instances. If youre having nosebleeds but youre unsure why, this information can help you find a solution.
Types of nosebleeds
Michael Horowitz, M.D., a board-certified neurosurgeon with Lee Physicians Group, says while most nosebleeds are harmless and easily treated, the more serious cases of nasal bleeding involve repeat bouts that resist treatment and prevention.
Ten percent of nosebleeds can be considered serious events because they can lead to airway obstruction from blood in the throat, breathing blood into the lungs, and significant blood loss, he says.
Dr. Horowitz says there are two types of nosebleed, or epistaxis as its known medically:

Most nosebleeds occur in the front part of the nose where the septumthe wall separating your nostrilsis rich with blood vessels. This type of nosebleed responds to remedies like applying pressure over the affected area.
Posterior nosebleeds typically occur much deeper in the nose. These nosebleeds usually produce gushing blood from both nostrils and may also bleed into the throat. Theyre less common, last longer, and more difficult to control than anterior nosebleeds.

How to treat a nosebleed

To slow bleeding, sit upright to reduce the pressure in your nose.
Tip your head forward to avoid swallowing blood.
Pinch the soft part of your nose (just below the bony part) and breathe through your mouth for about 10 minutes.
If your nose still bleeds after 10 minutes of pressure, pinch it for an additional 10 minutes. If the bleeding continues, contact your doctor.
Once the bleeding has stopped, dont pick or blow your nose. Also, avoid bending forward.

What causes a nosebleed?

Picking your nose or rubbing it too hard
Very cold or heated air that dries out the inside of your nose.
Allergy medicines, decongestant nasal sprays, or other medications
Colds, sneezing, sinus or respiratory infections
Chronic sinusitis or rhinitis
Environmental irritants

Posterior nosebleeds typically require advanced treatment approaches, according to Dr. Horowitz. Blood thinners such as Warfarin and Plavix, and even aspirin, can cause or worsen posterior nosebleeds. Other causes include high blood pressure, blood clotting disorder, and arteriovenous malformation (AVM).
AVM is an abnormal tangle of blood vessels connecting arteries and veins, Dr. Horowitz explains, who is also a neuroendovascular surgeon. Nosebleeds are common manifestations of genetic disorder called Osler-Weber-Rendu Syndrome, which affects about 1 in 5,000 people. But whatever the cause of any recurrent and excessive nosebleeds youre having, see your doctor for evaluation and treatment. Treatment options are available.
Endovascular treatment: One and done
For the appropriate patient, Dr. Horowitz says endovascular therapy offers a sound treatment option for controlling excessive nosebleeds.
The procedure is painless, minimally invasive, and quick.
For patients undergoing endovascular surgery on a non-emergent basis, the procedure doesnt require a hospital stay or follow-up, either.
When to see your doctor
You should call the doctor or visit the emergency department if:

You feel dizzy, weak, or faint (like you might pass out).
Your nose is bleeding fast or you seem to be losing a lot of blood.
You just started taking a new medicine.
You have other symptoms like unusual bruising on your body.
You are bleeding for a long time after you get hurt.
You are bleeding from other areas of your body, such as your gums.

Submitted and Written By: Lee Health - click here for more information

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explanation of what is included before approving work.What About Insurance Coverage?Coverage depends on the insurance plan, type of equipment, and reason for the modification.Original Medicare generally does not cover most structural home modifications, although some other programs and benefits may have different eligibility requirements.Families should confirm available benefits directly with the relevant insurer or program administrator.Local aging services organizations may also be able to identify community resources or potential assistance programs.How Home Modifications Can Support Family CaregiversCaregivers often help older adults with walking, bathing, transfers, and daily activities.When the home is difficult to navigate, these tasks can create additional physical demands.Appropriate modifications may reduce some environmental barriers.For example:A wheelchair ramp may improve entrance access.Grab bars may provide designated support during certain movements.A stair lift may 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& Southern NJ offers professional home accessibility assessments and equipment solutions for a range of mobility needs.Expert Tip: Focus on the Whole HomeHome Modification Tip: The most effective accessibility plan considers the complete route through the homefrom the driveway and front door to the bedroom, bathroom, and everyday living areas. Improving one space is helpful, but accessibility works best when the entire environment supports the resident's needs.This approach may help families prioritize improvements and avoid overlooking important barriers.Frequently Asked Questions About Home Modifications1. What are the most common home modifications for seniors?Common improvements include wheelchair ramps, stair lifts, grab bars, bathroom safety upgrades, vertical platform lifts, and adjustments to walking routes and lighting.2. Do I need to remodel my entire home to improve accessibility?Not necessarily. Many accessibility concerns can be addressed through targeted improvements. The extent of the work depends on the property and the individual's needs.3. Can home modifications help after surgery?Yes. Temporary or long-term accessibility improvements may make a home easier to navigate after surgery or rehabilitation. The appropriate changes should reflect healthcare recommendations.4. How do I determine which modifications are necessary?A professional home accessibility assessment can identify barriers and help families evaluate equipment and modification options.5. Can wheelchair ramps and accessibility equipment be removed later?Some modular ramps and other products may be removable or adjustable. Removal requirements depend on the specific equipment and installation. Ask the provider before purchasing or renting.Make Your Home More Accessible With Amramp Accessibility of Northern & Southern NJA safer, more accessible home can help older adults maintain familiar routines and participate more comfortably in everyday life.Whether a family needs wheelchair ramp installation, bathroom safety improvements, stair lift solutions, or a broader home accessibility plan, choosing appropriate modifications begins with understanding the person's needs.Amramp Accessibility of Northern & Southern NJ provides home modification solutions for seniors, individuals with disabilities, caregivers, and families throughout New Jersey.Ready to explore ways to make your home safer and more accessible?Visit Amramp Accessibility of Northern & Southern NJ on SeniorsBlueBook.com to learn more about home modification solutions and connect with the team.Taking a proactive approach to home accessibility can help create a living environment that supports safety, comfort, and independence for years to come.

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