Recurrent nosebleeds in adults can result from a host of different factors. Some individuals may suffer from chronic rhinitis which contributes to inflammation of the nasal mucosa, increasing the tendency for an individual to have nosebleeds. Others may have a sharp deviation of their nasal septum, causing the overlying mucosa to become quite taught. Simple nose blowing can disrupt this mucosa causing a nosebleed to consistently occur on the side of the deviation.
For those patients on blood thinners, nosebleeds are all too often a reality – sometimes even a daily occurrence. The blood thinners do not cause the nosebleed to occur, but when a simple nosebleed occurs in patients on blood thinners, the blood thinner will prevent immediate clotting of the damaged vessel, causing it to be quite prolonged in many patients. Furthermore, some patients on blood thinners also have high blood pressure, and episodes of hypertension can cause a nosebleed to occur as well.
In other instances, a nosebleed may be an early sign of a bleeding disorder. For younger patients with recurrent nosebleeds, there may be a family history of a bleeding disorder and further testing is important to rule out a bleeding disorder in those patients.
In Office procedures are available to treat patients suffering from recurrent nosebleeds. These begin with a mixture of adrenaline that can chemically stop the bleeding. Afterwards, chemical cauterization is performed to prevent further bleeding from its source of origin. In certain cases, an endoscope is utilized to directly visualize the source of bleeding and to rule out any other sources as well, such as a vascular tumor or polyps. Endoscopic control of a nosebleed is an effective means to treat recurrent epistaxis and allows your physician to rule out any further causes as well.
Nasal packing is NOT a preferred means to address recurrent epistaxis as it prevents our ability to directly visualize the source of bleeding, and causes significant patient discomfort.
Do you suffer from recurrent nosebleeds? Contact us to learn more about your in-office treatment options.