The nose cleans, warms and humidifies the air that reaches the lungs, and it requires a rich blood supply, which comes through several arteries entering nostrils. It converges at different points in specific areas where the concentration of blood vessels is higher. People may notice bleeding in these areas, some more than others. Whether a person seeks help or not from an Ear Nose And Throat Doctor in Bethlehem PA depends on the intensity of bleeding.
In essence, treatment means locating the reason for bleeding and pressing on it until the bleeding stops. The problem is that the nostrils are difficult to explore. The vast majority of cases do not come to the emergency room because they getting bleeding to stop. However, here are some tips on how the professionals take care of excessive bleeding.
- The doctor will clean the nose of clots using various methods.
- They will then anaesthetize the nose by introducing anaesthesia and some adrenaline.
- Once anaesthetized, they proceed with the exhaustive exploration for arterial bleeding through nasal endoscopes.
- If the Ear Nose And Throat Doctor in Bethlehem PA locates the bleeding and he or she sees that the bleeding is not excessive, they can cauterize the area using silver nitrate or an electric scalpel or suction-coagulator.
- However, if they do not locate the bleeding point, they will design anterior packing to fill the nostril completely to stop the bleeding by direct pressure; this blockage can be done with gauze, self-expandable sponges or pneumatic balloons.
- If the bleeding stops, the patient can go home and come back after 72 hours to remove the blockage.
- If the bleeding does not stop or the patient returns to the ER because it has started to bleed again, the patient will go under general anaesthesia in the OR. This is where the doctor will surgically manipulate the nose to locate the bleeding point and electrically cauterize any bleeding areas; then refill the area with nasal packing. The patient can remove the packing after a certain amount of days.
It is very important that the doctor identify the cause of repeat or ingoing bleeding; frequently in children, one must look to allergies, a foreign body in the nostril or coagulation disorders when there is constant bleeding. In adults, you must also look at treatments that alter coagulation (aspirin, coumadin), hypertension, nasal ulcers, substance abuse (cocaine), etc. Click Here for more information.
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