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How To Stop A Bloody Nose At Home
- While sitting and leaning forward, use direct pressure to stop bleeding by pinching your nostrils shut for at least 10 minutes, breathing through your mouth.
- Alternatively, you can make a nose-pinching device using tongue depressors and tape.
- If bleeding starts again, use a nasal decongestant spray to constrict the blood vessels of your nose, and again apply direct pressure to stop bleeding.
To prevent another bloody nose, use saline and topical ointments to moisturize inside your nose, but only once bleeding has stopped. And avoid picking or scratching your nose.
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Nose Bleeds And High Blood Pressure
To determine if spontaneous nosebleeds could be a sign of high blood pressure, ENT surgeons analysed 10 good quality studies that involving over 8,600 people. This confirmed that the risk of nose bleeding was 53% to 86% greater in people with hypertension than in those whose blood pressure was classed as normal. However, nose bleeding can be a sign of masked hypertension, in which blood pressure readings are normal during the day, and in the doctors office, but are significantly higher during the night.
One study reviewed the blood pressure charts of 60 people admitted to hospital with a nosebleed, and compared these to 60 similar patients without a nose bleed. They found that a third of those with nose bleeds had masked hypertension, compared with one in eight of those without nose bleeds. There was no significant difference in daytime systolic blood pressure between the two groups, but night-time readings were significantly higher.
In one study, 43% of people admitted to hospital with a serious spontaneous nose bloods were found to have undiagnosed high blood pressure. There was no link between the severity of a nose blood and the severity of hypertension, however.
If you are already on antihypertensive medication, your treatment may need adjustment to achieve better blood pressure control.
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High Blood Pressure And A Bloody Nose
High blood pressure, also known as “hypertension”, is characterized by a BP reading that is greater than 130/80, with stage 2 defined as 140/90 or more and a “hypertensive crisis” as over 180/120.
Hypertension has been called the “silent killer” because it doesn’t always display symptoms and when those symptoms appear, they might be severe enough to cause serious harm.
This “silent killer” condition is very common in the United States and it is thought to affect over 100 million adults, many of which have it under control. If you have high blood pressure, you are more likely to suffer from heart disease and other health conditions.
But what about nosebleeds, known by the medical name, “Epistaxis”? Are you more likely to suffer from nosebleeds if you have high blood pressure and if so, what can you do about them, should you worry, and can they be prevented?
Common Causes Of Nosebleeds
Common causes of nosebleeds include:
- Direct injury: A blow to the face may damage the lining of a persons nose, which can cause bleeding.
- Irritation: Frequent picking or blowing of the nose can make its lining more likely to bleed.
- Foreign bodies: Foreign bodies in the nasal cavity can disturb local tissue and blood vessels.
- Air travel and altitude: Changes in altitude and air pressure can cause nasal blood vessels to expand and contract. These disturbances can lead to nosebleeds.
- Inflammation: Inflammation due to allergies or infections, such as sinusitis, can damage blood vessels in the nose.
- Humidity: Climates with low humidity can cause cracking in nasal tissue. This in turn can lead to bleeding.
- Liver disease: Liver disease can interfere with blood clotting and result in frequent or severe nosebleeds.
- Medications: The use of blood thinners or nonsteroidal anti-inflammatory drugs can cause nosebleeds. Nasal steroid medications can also dry the nasal lining, increasing the risk of a nosebleed.
- Illegal drugs: The use of cocaine or other nasally ingested drugs can disturb the nasal lining and cause bleeding.
- Irritants: Exposure to smoke or irritant fumes can damage the nasal lining and cause nosebleeds.
- Radiation therapy and chemotherapy: Chemotherapy can lower the number of platelets in the blood. This makes blood clotting more difficult, and bleeding more common.
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I Get Frequent Nosebleeds Whats The Cause Should I Be Concerned
There are many non-serious reasons why you may be getting frequent nosebleeds. The most common are:
- Frequent use of nasal sprays for treatment of allergy symptoms or colds/congestion. You may need to stop using these drugs for a short period of time or may need to stop them altogether. Talk with your doctor if you use these products.
- Living in dry air conditions.
- Snorting drugs into your nose.
In rare cases, repeated nosebleeds could be a sign of a bleeding disorder or other more serious conditions. If you have frequent nosebleeds, please see your doctor.
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How Does Hypertension Cause Epistaxis
The relationship between hypertension and epistaxis is often misunderstood. Patients with epistaxis commonly present with an elevated blood pressure. Epistaxis is more common in hypertensive patients, perhaps owing to vascular fragility from long-standing disease.
Hypertension, however, is rarely a direct cause of epistaxis. More commonly, epistaxis and the associated anxiety cause an acute elevation of blood pressure. Therapy, therefore, should be focused on controlling hemorrhage and reducing anxiety as primary means of blood pressure reduction.
A study by Sarhan and Algamal, which included 40 patients with epistaxis and 40 controls, reported that the number of attacks of epistaxis was higher in patients with a history of hypertension, but the investigators were unable to determine whether a definite link existed between nosebleeds and high blood pressure. They did find, however, that control of epistaxis was more difficult in hypertensive patients patients whose systolic blood pressure was higher at presentation tended to need management with packing, balloon devices, or cauterization.
Excessive coughing causing nasal venous hypertension may be observed in pertussis or cystic fibrosis.
References
Traboulsi H, Alam E, Hadi U. Changing Trends in the Management of Epistaxis. Int J Otolaryngol. 2015. 2015:263987. . .
Abelson TI. Epistaxis. Schaefer SD. Rhinology and Sinus Disease 1st ed. New York: Mosby 1998. 43-50.
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What To Expect At Your Office Visit
The provider will perform a physical exam. In some cases, you may be watched for signs and symptoms of low blood pressure from losing blood, also called hypovolemic shock .
You may have the following tests:
- CT scan of the nose and sinuses or entire facial structures
- Nasal endoscopy
- Toxicology screen
The type of treatment used will be based on the cause of the nosebleed. Treatment may include:
- Controlling blood pressure
- Closing the blood vessel using heat, electric current, or silver nitrate sticks
- Reducing a broken nose or removing a foreign body
- Reducing the amount of blood thinner medicine or stopping aspirin
- Treating problems that keeps your blood from clotting normally
You may need to see an ear, nose, and throat specialist for further tests and treatment.
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The Link Between High Blood Pressure And Nosebleeds
Most everyone experiences a nosebleed at least once in their life.
Most of the time, even if you dont know the cause, you may not be very concerned. But people who have high blood pressure often wonder if a bloody nose is a sign of something serious.
Its natural to speculate about a possible connection between high blood pressure and nosebleeds.
However, most of the time, the two are unrelated and theres no need for concern.
To help you understand when a nosebleed may be linked to hypertension, in this article, Ill discuss high blood pressure, if it causes bloody noses, and when to see a doctor about recurring nosebleeds.
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