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Showing posts with label nosebleed. Show all posts
Showing posts with label nosebleed. Show all posts

Saturday, 6 November 2010

Nosebleeds... It's That Time of Year Again!

Posted on 04:23 by Unknown
With the fall season, the air becomes cooler and dryer... Families start turning on the heat which further dries the air leading to a potent environmental situation ideal for nosebleeds.

What can you do to minimize nosebleeds?

Use a humidifier in the bedroom and keep the door closed to prevent the humidity from escaping.

Use a nasal emollient like ponaris. Ponaris is a wonderful product to alleviate the dry, irritated, and sometimes burning sensation in the nose. It is also a great product to treat nosebleeds and nasal crusting. I like to think of Ponaris as chapstick, but made for the nose. To apply, it already comes with an eye-dropper. Just place 1-2 drops for each side of the nose and let it ooze down and coat the entire nasal cavity. Just like chapstick, one can feel the protective barrier for several hours after application. This can be applied up to 4 times a day as needed (just like chapstick). Alternatively, one can convert Ponaris into a nasal spray form instead of using the eye-dropper. Just purchase a saltwater nasal spray bottle over the counter (ie, Ocean Nasal Spray, Ayr Nasal Spray, etc). Empty the saltwater and clean out the nasal spray bottle thoroughly. Than pour the Ponaris bottle into the nasal spray bottle. That's it!

Should nosebleeds persist, make an appointment with an ENT for nasal cauterization consideration. In essence, cauterization burns the culprit bleeding areas inducing scar formation which is less prone to bleeding. Watch the video below on how this is performed.



What should you do if you have a nosebleed? Use PRESSURE!!! In other words, pinch the fleshy bottom part of the nose together firmly for 10 minutes. Not where the bone is. See picture below:



All other methods that your mom may have told you won't really work such as using ice packs, tilting the head in one direction or another, etc. Think of a stab wound... To stop bleeding from a stab wound, you apply direct pressure. You don't add ice packs or raise the wound a certain direction to stop the bleeding.

If all else fails, go to the ER where nasal packing may be performed.

In rare cases, even nasal packing may not work in which case surgery or embolization may be required.

Read more about nosebleeds here.

Read More
Posted in epistaxis, how to stop, nosebleed, nosebleeds, what to do | No comments

Saturday, 7 August 2010

Dr. Oz Does Nosebleeds (With Some Errors)

Posted on 06:54 by Unknown
A reader informed me that Dr. Oz did a TV show recently on nosebleeds... I took a look at the video clip and it is my opinion that some information Dr. Oz conveyed is not entirely correct. Again, I should stress that this is just my opinion and I'm sure there will be many who may feel differently.

Error #1:
Contrary to what was said on the show, ice packs do NOT help with nosebleeds significantly. Though it makes sense that cold constricts the blood vessels... it does so only at the level of the skin surface and not so much inside the nose where the bleeding is occurring. If it does, it is only to a marginal degree.

Error #2:
Contrary to Dr. Oz's statement... pushing under the upper lip does not help much to stop nosebleeds. Dr. Oz IS correct in stating that blood vessels that contribute to nosebleeds are squeezed shut by this maneuver, but unfortunately, there are several other blood vessels that still supply blood for the nosebleed. The most common location for responsible for over 90% of nosebleeds is in the anterior septum in an area called Kiesselbach's plexus. This plexus is supplied by several blood vessels including:

• anterior ethmoid artery
• great palatine artery
• sphenopalatine artery
• superior labial artery

Only the last artery (superior labial artery) is squeezed shut by pressing under the upper lip. The other three arteries are still pumping away.

Error #3:
Glycerin based liquid applied to the outside of the nose does not do much good either... That's like saying placing chapstick on your chin will helped with healing chapped lips. The application needs to occur directly in the region of the nosebleed. Personally, I'm not a fan physical application of any type of ointment into the nose whether by finger or q-tip. Rather, I recommend use of nasal sprays or nasal drops to get the medication into the nose. My personal favorite is ponaris nasal drops.

So that's my two cents... So what did Dr. Oz get right?

• DO squeeze the fleshy part of your nose together (not on the bone). This applies direct pressure on the most common location of nosebleeds. Pressure is key, just like a stabbing victim has rescuers putting direct pressure where the bleeding is coming from.
• DO lean slightly forward to prevent blood from draining down into the throat where one may swallow the blood which would result in nausea and potentially vomiting.

Read more about nosebleeds here.

Watch Dr. Oz's show on nosebleeds here.


Read More
Posted in dr. oz, epistaxis, nosebleed, treatment | No comments

Sunday, 23 May 2010

Vaginal Premarin Cream for Recurrent Nosebleeds?

Posted on 04:47 by Unknown
It is an old trick of the trade where a physician may prescribe vaginal premarin cream to treat recurrent nosebleeds.

The premarin cream (just as it does when placed vaginally) causes the nasal mucosa lining to thicken thereby "burying" the superficial blood vessels that are often the culprits for recurrent nosebleeds. Application is by rubbing the cream 2-3X per day to the anterior wall of the nasal septum (Kiesselbach's plexus) where 90% of nosebleed sources are located.

Understandably, males may be reluctant to be prescribed this medication due to the small (but temporary) risk of breast enlargement given the very small amount that can be systemically absorbed (based on vaginal studies, less than 20 pg/ml).

Furthermore, given there are other good options for treating nosebleeds including nasal emollients, cauterization, and packing, this option is mainly for females who are scared to death of nasal cauterization/packing when other more conservative treatment fails.

Though I wish I can provide a few good references... there aren't any. It is considered general knowledge. The only one I was able to find is:

Mehriz A, Weber DR. Estrogen therapy for recurrent epistaxis: case histories and literature review. Hosp Pharm. 1999;34:1057-1064.

The vast majority of research on use of premarin cream for recurrent nosebleeds is actually for treating individuals suffering from Hereditary Haemorrhagic Telangiectasia (HHT), also known as Osler-Weber-Rendu Syndrome.


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Posted in cream, epistaxis, estrogen, medication, nasal, nose, nosebleed, ointment, premarin | No comments

Wednesday, 24 February 2010

Even Figure Skaters Get Nosebleeds (During Competition)!

Posted on 03:17 by Unknown

If anyone was watching the figure skating short program for the 2010 Olympics last night (2/23/10), you may have seen American figure skater Mirai Nagasu get a bloody nose halfway through her program.

"Even though I felt the blood come down my nose, I said, 'Don't stop, keep going,' she said, blaming the dry air for her malady. 'I still did the best I could.'"

Read more about this in the NYT here.

Pictures can be found here.

Read more about nosebleeds and how one can treat them here.
Read More
Posted in epistaxis, figure, nosebleed, olympic, skating | No comments

Thursday, 3 December 2009

New Video on Stopping Nosebleeds by Cautery

Posted on 04:22 by Unknown
A new YouTube video has been uploaded describing how nosebleeds are stopped using silver nitrate cauterization. The video was produced by our office and just in time for the cold and dry air that winter brings along with numerous nosebleeds.

The video is part of our collection of videos on our YouTube channel.

>
Read More
Posted in blood, cautery, electrocautery, epistaxis, nasal, nose, nosebleed, silver nitrate | No comments
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  • neurorraphy
  • neurostimulator
  • New
  • new delhi
  • new england journal of medicine
  • new york times
  • newborn
  • news
  • nexium
  • nhs
  • nice
  • nickel
  • nickle
  • nicotine
  • night guard
  • nobel
  • nodule
  • noise
  • noisy breathing
  • non
  • non-acid
  • non-acidic
  • non-addictive
  • non-allergic
  • non-toxic
  • nonsedated
  • normal
  • northern virginia
  • nose
  • nose blowing
  • nosebleed
  • nosebleeds
  • nosejob
  • npr
  • nsaid
  • number
  • numbing
  • nurse
  • NYT
  • oae
  • obesity
  • observation
  • obstruction
  • obstructive
  • obstructive sleep apnea
  • obtain
  • odd
  • ode to joy
  • office
  • ointment
  • old
  • olympic
  • omeprazole
  • ondine's curse
  • online
  • opera
  • operating
  • operation
  • optical
  • optima
  • optimal
  • oral
  • oral appliance
  • oral sex
  • orchestra
  • organ
  • oropyrosis
  • orthopedic
  • orthopedics
  • osa
  • otalgia
  • otc
  • otoacoustic
  • otolaryngology
  • out
  • out-of-pocket
  • outer
  • over
  • over-the-counter
  • overweight
  • oyster
  • oz
  • pa
  • pacemaker
  • packing
  • pageant
  • pain
  • painful
  • paint
  • palate
  • pandas
  • paper
  • papilloma
  • parachute
  • paradoxical vocal cord
  • paralysis
  • paralyzed
  • parathyroid
  • parents
  • participating
  • past
  • patch
  • pathologist
  • pathology
  • patient
  • pattern
  • patulous
  • pbm
  • pediatric
  • pediatrician
  • pellet
  • pen
  • peptide
  • perennial
  • perfect
  • perforation
  • perfume
  • peri
  • perichondrium
  • period
  • peritonsillar
  • permanent
  • permission
  • persistent
  • personal
  • pet
  • ph
  • ph probe
  • pharmacist
  • pharmacy
  • pharyngeal
  • pharyngitis treatment
  • pharyngocele
  • pharynx
  • phd
  • phegm
  • phelgm
  • phelgmy throat
  • phlegm
  • phlegmy
  • phlegmy throat
  • phone
  • Physician
  • pick
  • picking
  • picture
  • pictures
  • piercing
  • piezoelectric
  • pillar
  • pipe
  • pitch
  • PKCzeta
  • placebo
  • plan
  • planet
  • planetree
  • plastic surgery
  • plastics
  • plugs
  • pocket
  • police
  • policy
  • pollen
  • polly hunsberger
  • polonium
  • polyp
  • pons
  • poor
  • popping
  • popular
  • popularity
  • portable
  • portman
  • positive
  • post
  • post-nasal
  • post-nasal drainage
  • posterior
  • pouch
  • power
  • ppo
  • practice
  • predicting
  • prediction
  • prednisone
  • pregnancy
  • pregnant
  • premarin
  • prenatal
  • prescribing
  • prescription
  • prescriptions
  • pressure
  • prick
  • prilosec
  • primer
  • problem
  • problems
  • procedure
  • process
  • professional
  • propel
  • protein kinase
  • provider
  • public
  • publication
  • puck
  • pulsatile
  • pumpkin
  • punishment
  • purchase
  • purulent
  • pus
  • puzzle
  • pylori
  • quickly
  • quickmark
  • r. kelly
  • radiation
  • radio
  • radioactive
  • radioactivity
  • radiological
  • radiology
  • raft
  • ragweed
  • random
  • rapid
  • raspy
  • RAST
  • reaction
  • reader
  • real-time
  • rebound
  • reckitt
  • record
  • recording
  • records
  • recurrent
  • red eyes
  • reduction
  • referral
  • reflux
  • regurgitation
  • rehm
  • removal
  • renovation
  • renovations
  • repair
  • repellant
  • replacement
  • reporter
  • research
  • residency
  • resident
  • resistance
  • response
  • resurface
  • resurfacing
  • review
  • rhinitis
  • rhinoplasty
  • richmond
  • right
  • ringing
  • rinse
  • risk
  • robert
  • robot
  • robotic
  • rock
  • roger
  • roof
  • room
  • rotating
  • routine
  • rubber
  • runny nose
  • rupture
  • ryan
  • safe
  • sale
  • saline
  • saliva
  • salivary stone
  • saltwater
  • santa claus
  • scan
  • scans
  • scar
  • scheduling
  • science
  • scientist
  • SCIT
  • scopolamine
  • scramble
  • scratch
  • screening
  • SD
  • seafood
  • search
  • seasonal
  • seaweed
  • secondhand
  • secure
  • security
  • sedated
  • sedation
  • self-pay
  • sensory
  • sepsis
  • septal
  • septo
  • septoplasty
  • septum
  • sermo
  • service
  • set
  • severe
  • sex
  • shampoo
  • shape
  • shark
  • shenandoah university
  • shop
  • shortness of breath
  • shot
  • shots
  • show
  • shrimp
  • sialadenitis
  • sialendoscopy
  • sialoadenitis
  • sickness
  • side
  • side effect
  • silent
  • silver nitrate
  • singer
  • singing
  • singing cat
  • singulair
  • singultus
  • sinuneb
  • sinuplasty
  • sinus
  • sinus fracture
  • sinus infection
  • sinus lift
  • sinus surgery
  • sinusitis
  • skating
  • skin
  • skin cancer
  • skull
  • sleep
  • sleep disorder
  • SLIT
  • sluder
  • small
  • smartphone
  • smell
  • smoke
  • smoking
  • sms
  • sneeze
  • sneezing
  • snore
  • snoring
  • snot
  • snotty nose
  • social
  • social media
  • social networking
  • soda
  • sodium
  • soft
  • song
  • sore
  • sore throat
  • sour
  • spa
  • spam
  • spanish
  • spasmodic
  • spasmodic dypshonia
  • spasmodic dysphonia
  • spasms
  • special
  • specialist
  • speech
  • speech therapy
  • spinal
  • spinning
  • spit
  • splints
  • split tube
  • spray
  • spur
  • ssnhl
  • staph
  • starvation
  • stat
  • station
  • stem
  • stereoisomer
  • sterile
  • steroid
  • steroids
  • sticky
  • stink
  • stone
  • stones
  • stops
  • storybooks
  • strange
  • strep
  • strep throat
  • stridor
  • strobe
  • stroboscopy
  • stroke
  • stuck
  • stud
  • student
  • study
  • stuffed animals
  • stuttering
  • sublingual
  • submandibular
  • submaxillary
  • sudden
  • sudden hearing loss
  • sun
  • sunblock
  • sunscreen
  • sunshine
  • superbill
  • superbowl
  • superbug
  • support
  • surgeon
  • surgery
  • surgical
  • survey
  • suture
  • swallow
  • swallowing
  • swelling
  • sword
  • symbicort
  • symphony
  • symptom
  • symptoms
  • syndrome
  • T-tube
  • tablet
  • talk
  • talking
  • tall
  • target
  • taste
  • tea
  • teacher
  • technology
  • teen
  • teenager
  • teeth
  • television
  • temperature
  • terrorism
  • terrorist
  • test
  • testing
  • tests
  • text messaging
  • the doctors
  • the onion
  • theory
  • therapy
  • thick
  • throat
  • throat cancer
  • throat clearing
  • throat-clearing
  • thrombosis
  • thrombus
  • throwing
  • thyroid
  • thyroidectomy
  • tia
  • tic
  • tic cough
  • tick
  • tilt
  • time
  • times
  • tinnitus
  • tiny
  • Tionne
  • TLC
  • TMJ
  • tobacco
  • TOCPM
  • today
  • tongue
  • tonsil
  • tonsil stones
  • tonsillectomy
  • tonsilliits
  • tonsillitis
  • tonsilloliths
  • tonsillotomy
  • tonsilolith
  • tonsiloliths
  • tony
  • tooth
  • tooth pain
  • top
  • topical
  • TORD
  • torres
  • tors
  • torticollis
  • tour
  • toxin
  • toyota
  • trach
  • tracheostomy
  • training
  • trans
  • translation
  • transmedics
  • transmission
  • transplant
  • transplantation
  • transportation
  • trauma
  • treating
  • treatment
  • tremor
  • trend
  • triangle
  • trombone
  • trouble
  • tube
  • tubes
  • tucci
  • tumor
  • turbinate coblation
  • turbinate hypertrophy
  • turbinate reduction
  • turning
  • tutorial
  • TV
  • tween
  • tweet
  • twitching
  • twitter
  • two
  • tylenol
  • tympanic
  • type
  • ulcer
  • ulpa
  • ulrich
  • ultrasound
  • unable
  • unclog
  • under
  • uninsured
  • united kingdom
  • university
  • Update
  • upper
  • upper respiratory infection
  • uppp
  • urgent
  • URI
  • urine
  • urticaria
  • usa
  • USA today
  • uva
  • uvula
  • uvulectomy
  • uvulopalatopharyngoplasty
  • vaccination
  • vaccine
  • vagal neuropathy
  • vascular
  • vasomotor
  • vasomotor rhinnitis
  • vcd
  • ventilation
  • versus
  • vertigo
  • ves
  • vessel
  • viagra
  • vibration
  • video
  • viral
  • virginia
  • virus
  • viruses
  • vit d
  • vitamin
  • vitamin A
  • vitamin d
  • vivosonic
  • vlog
  • vocal
  • vocal cord
  • vocal cord dysfunction
  • vocal cord paralysis
  • vocal cord paresis
  • vocal cords
  • vocal process
  • voice
  • voice therapy
  • voicebox
  • voicelift
  • volume
  • vomit
  • vs
  • wait
  • waiting
  • wall
  • wall street journal
  • warm
  • warrenton
  • washes
  • washington
  • washington dc
  • washington post
  • water
  • watkins
  • wax
  • wearable
  • web
  • web 2.0
  • webapp
  • Website
  • Website Update
  • wedge
  • weight gain
  • whale
  • what to do
  • wheezing
  • where
  • whisperer
  • whispering
  • white
  • who
  • whooping
  • wierd
  • wifi
  • will.i.am
  • wind
  • windows 7
  • winter
  • wire
  • wireless
  • withdrawal
  • without
  • woman
  • word
  • world
  • world voice day
  • world's
  • worlds
  • wound center
  • wp
  • wrestling
  • wrong
  • wsj
  • x-ray
  • xeomin
  • xray
  • xylitol
  • xyzal
  • youtube
  • zenker's
  • zenkers
  • zeta
  • zicam
  • zinc
  • zyrtec

Blog Archive

  • ▼  2011 (190)
    • ▼  September (26)
      • Cat with Two Faces (Literally)
      • Cigarettes Contain Radioactive Polonium
      • Not All Spinning Motions Cause Dizziness
      • HIPAA Allows for Regular Email Communication Betwe...
      • MRI Scans CAN Cause Vertigo
      • Oral Exam Using a Finger
      • United Kingdom Ends $17 Billion Electronic Medical...
      • New Webpage on Vocal Cord Granuloma
      • Singer John Mayer Diagnosed with Vocal Cord Granuloma
      • Tongue Acrobatics
      • World's Longest Human Tongue
      • Another Rock Singer With Injured Voice
      • World Record Large Ears
      • Keychain Emergency Airway Device (Video)
      • Smoker's Kids Have More Ear Infections
      • 100 Years of Style and Dance
      • Carbon Dioxide Helps with Nasal Allergies
      • Intranasal Treatment for Clogged Ears
      • Best Ballpoint Pen for Emergency Cricothyroidotomy?
      • Beating Heart in a Box
      • The Healthcare Dilemma Simplified
      • Man Chokes to Death During Air Flight... Preventable?
      • Best Medication for Dizziness
      • Surgery Without Wires
      • Movie Sets are Dangerous to Ears!
      • Hearing Loss Can Can Accelerate Brain Volume Loss
    • ►  August (22)
    • ►  July (20)
    • ►  June (15)
    • ►  May (10)
    • ►  April (18)
    • ►  March (12)
    • ►  February (33)
    • ►  January (34)
  • ►  2010 (267)
    • ►  December (23)
    • ►  November (18)
    • ►  October (32)
    • ►  September (30)
    • ►  August (35)
    • ►  July (16)
    • ►  June (27)
    • ►  May (22)
    • ►  April (27)
    • ►  March (11)
    • ►  February (13)
    • ►  January (13)
  • ►  2009 (43)
    • ►  December (11)
    • ►  November (13)
    • ►  October (19)
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