Nosebleed (epistaxis) is a common problem and nuisance for patients. In minor cases it may be stopped spontaneously within minutes; however, it can also lead to major bleeding episodes requiring immediate medical attention.

Risk Factors
Children: Nose picking/ trauma
Adults: Chemical and environmental irritants (i.e. tobacco smoke, chemicals), and cocaine abuse, dry weather
Elderly:  High blood pressure, those using blood thinners like Coumadin, Plavix, and aspirin.

Treatment
Most nosebleeds occur within the front part of the nose and can be controlled and prevented at home. If you have an active nosebleed or repeat bleeding, try this initially:


Further medical treatment may require cautery and nasal packing. Packing may be resorbable or required removal in a few days. Antibiotics are given to prevent infection from the packing. Underlying illnesses like high blood pressure or bleeding disorders should be controlled. Frequently a hospital admission is needed for safe control and treatment of major nosebleeds. Embolization of major nasal vessels may be required if the above measures fail.

Prevention
Prevention of future nosebleeds requires moisturizing the nose with saline rinse and humidifier, and controlling the underlying risk factors. The following may be recommended by your physician:








Kevin Ki-Hong Ho, MD
San Francisco
Ear, Nose & Throat Specialist

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Cauterization of nasal bleeding (Epistaxis)
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Golden Gate ENT
Kevin Ki-Hong Ho, MD
San Francisco
Ear, Nose & Throat Specialist

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Kevin Ki-Hong Ho, MD
San Francisco
Ear, Nose & Throat Specialist
415-682-8181