heavy nosebleed with clots

 

If you or those around you have nosebleeds that recur frequently.

If you or those around you have a history of heavy, recurrent nosebleeds with clots.

If you have nosebleeds frequently and you want to know the cause

If you want to know what actions are necessary when dealing with large hemorrhages with clots, we recommend that you read the following article

Why do people get blood clots?

How can we prevent bleeding?

Read the following article to find the answers to the above questions and similar questions.

 

Introduction

Epidemiology

What are the types of bleeding?

Why does bleeding occur?

Causes of nosebleeds in children

Diseases associated with nosebleeds

In what cases should you see a doctor when we become bleeding?

What are the ways to treat or reduce nosebleeds?

What are the ways to prevent bleeding?

 

 

Introduction

When the thin blood vessels inside the nose, which are usually located in the nasal wall, suddenly rupture, blood flows out of the nose, which is called hemorrhage.

 

Epidemiology

Nose bleeding is said to be a very common occurrence. In the United States, about 60 percent of the population at all ages experience hemorrhage at least once in their lifetime. It is interesting to note that of all these people who bleed, only about 6% will need follow-up and medical care.

 

What are the types of nose bleeding?

As we said, when the thin vessels in the wall of your nose suddenly rupture, nosebleeds occur. Nosebleeds sometimes start in front of the nose and sometimes from the back of the nose. So, in general, there are two general types of nosebleeds, which we will name and describe below.

 

  • The first type) anterior hemorrhage:

A wall separates the two parts of the nose, the right side of the nose and the left side of the nose. This wall is called the septum. The nasal septum has many blood vessels. These vessels have a thin wall and can rupture due to a blow to the face or being scratched by a finger inserted into the nose. Most types of hemorrhoids are said to start in the lower part of the septum, which is located near the nostrils.

 

  • The second type) posterior hemorrhage:

This type of bleeding is less common and originates in the back of the nose. This bleeding is more common in the elderly and people with high blood pressure or people with severe traumas to the head, face and skull. In general, posterior hemorrhage is not very common.

 

Why does bleeding occur?

The causes of nosebleeds are various, but it is said that there are two main causes, which we will discuss below.

  • Trauma:

Massive bleeding from the nose is possible when a person's head, face, or skull is injured and the nasal bones are fractured or a fracture occurs in the skull. If you have a trauma to your head, face and skull and subsequent severe bleeding from your nose. Be sure to see your doctor for further examinations

  • Dry air:

One of the common causes of bleeding is dry air or hot weather. When a person is in such an environment, the inner tissue of the nose is stimulated and the nasal membrane becomes dry. Dryness of the inside of the nose makes you feel itchy.

When you insert your finger and foreign body to relieve this itching and dryness inside your nose, the arteries in the septal wall or the walls on either side of the nose rupture and bleeding from the nose occurs. Some people get colds in the cold season, or in other words, colds due to viral infections. Frequent fins in these people, as well as exposure to cold and dry weather outside, make them very prone to bleeding.

After listing the above causes that can cause massive nosebleeds with clots, we can point out some cases that may cause frequent nosebleeds. These are:

  • Fingering in the nose:

People with a variety of allergies, such as hay fever and other disorders associated with intranasal itching, usually subconsciously put their finger in the nose. By stimulating the tissues and arteries around the nose and damaging the arteries, recurrent bleeding may occur in these people.

  • A person's habit of finning:

If a person fines too hard to empty the contents of the nose, the pressure inside the nose can cause pressure on the blood vessels and rupture of the superficial blood vessels.

  • Blood clotting disorders:

People with blood clotting disorders are more likely than others to experience large blood clots. In explaining this part, we must say that congenital disorders such as hemophilia, Osler-Weber-Rando disease, as well as hemorrhagic telangiectasias, all of which disrupt the normal blood clotting process, can be the cause of frequent and chronic bleeding from the nose.

  • Taking blood thinners:

In a group of people who are taking blood-thinning drugs or people who are taking anticoagulants, it will be much harder to stop nosebleeds. These people may experience prolonged or heavier bleeding following small scratches.  These include aspirin, warfarin, and Clopidogrel.

  • Use of topical medications and nasal sprays.

Some nasal medications, such as antihistamines as well as corticosteroid sprays, can cause bleeding. It is said that if a person uses a nasal spray regularly, the spray head will irritate the nasal cavity and thus make the person more prone to nosebleeds.

  • Some dietary supplements:

Some supplements may cause blood pressure and blood thinning. By diluting the blood, it causes any scratches and slight irritation that can cause a small amount of bleeding in the nose due to the interruption in normal coagulation, causing continuous bleeding, which is very difficult to stop. Some of these natural supplements are as follows:

  • Vitamin E
  • Ginseng
  • Garlic
  • Chamomile
  • Ginger

 

Causes of nosebleeds in children

It is better to get acquainted with some of the reasons that cause children to nosebleed

  • The first reason for dry or hot weather, when the child is in such an environment, causes children to bleed. Both factors can cause the baby's nasal membranes to become sensitive and dehydrated.
  • The second reason is scratching and stuffy nose when a person scratches the nose or after nasal congestion the sensitivity of the nasal mucosa increases. As the sensitivity increases, the blood vessels in the septum and nasal wall become more irritated and more prone to bleeding.
  • The third reason is allergies and sinus diseases; Any illness or disorder that causes nasal congestion and allergies can provoke nosebleeds.
  • The fourth cause is infections; Bacterial infections can cause red sores and scaling inside and near the nostrils. Some infections can also cause nosebleeds.

If your child has frequent nosebleeds and you cannot find a cause for this problem in the categories described above. You should think about some rare problems that are related to blood clots or problems that are related to abnormal blood vessels, and be sure to take the child to the doctor for further examination and examination.

 

Diseases associated with nosebleeds

In addition to the above, we must say that there is a group of diseases and disorders that increase the risk of massive and recurrent hemorrhage in a person with kidney and liver disease. is. In other words, disrupting the cessation of bleeding and natural clotting can continue to bleed from the nose and increase the volume of blood lost through the nose. Here are some of these disorders and diseases that can be associated with heavy bleeding from the nose and clots.

  • Having high blood pressure:

People with chronic congestive heart failure or uncontrolled high blood pressure are more likely than healthy people to have hemorrhage.

  • Tumors:

Various tumors, both benign and malignant, may be present in the nose and sinuses. All types of tumors can cause you to have frequent and massive hemorrhages. It is said that this is more likely in smokers and the elderly than others.

  • Congenital problems and abnormalities
  • Development of nasal abnormalities:

Your nose has a special building that this building may be looking for. Congenital problems or traumas, blows and injuries as well as cosmetic surgeries can interfere with normal functioning. In these cases, there is a high risk of recurrent nosebleeds.

  • Drug use:

Cocaine is usually inhaled. This drug can cause rupture of blood vessels in the sector and nasal walls. Bleeding as a result is one of the complaints that inhaled cocaine users complain about.

  • Environmental stimulants:

Chemical irritants and people who are constantly exposed to chemical irritants at home and at work are at higher risk of nosebleeds than others. These chemical irritants include the following:

  • cigarette smoke
  • sulfuric acid
  • Gasoline
  • Ammonia

 

In what cases should you see a doctor when we become bleeding?

Doctors often say that people who suffer from nosebleeds should not worry because there is usually no serious cause for concern behind most nosebleeds. And if you have nosebleeds that involve one or more of the following, you will definitely need medical attention and medical examinations. If nosebleeds do not stop after 20 minutes, keep in mind that doctors say this is about ten minutes in children. Bleeding from the nose is caused by a trauma to the head, neck and face

If the appearance of the nose changes due to injury, damage or trauma, or you feel a fracture and pressure on your nose.

Occasionally you may experience recurrent heavy bleeding with minor bleeding for minor reasons. At this time, we also recommend that you see your doctor.

If you are a person who suffers from severe nosebleeds more than once a week, you should know that this symptom is due to an underlying problem that must be investigated as soon as possible.

 

What are the ways to treat or reduce nosebleeds?

If you or those around you have severe bleeding, you can do the following steps to stop or reduce nosebleeds.

First action

You should sit up straight and only lean forward slightly when your body is in this position. It tends to lean back slightly to prevent blood from dripping on your face.

But know that the best way is to bend slightly forward instead of bending your head back and bending backwards. In fact, bending over bending backwards is preferable. By doing this, blood does not enter the throat and back of the throat, and therefore there is no possibility of irritation of the mucosa, followed by nausea and vomiting. At this time, the person should try to breathe through the mouth instead of the nose and just keep calm.

 

The second action

Avoid placing any device that blocks the nose. Doctors say that in cases of severe bleeding, it is better not to use cotton pads, tampons and handkerchiefs arbitrarily. This causes more bleeding, and in fact, by making the arteries more sensitive, these tools cause the arteries to be damaged and bleeding to occur. It is best to use soft, damp wipes to clean a bleeding nose

 

Third action

Squeeze the nose gently. It is recommended to hold the soft and fleshy part of the nose under the nasal bones with one finger and press it for ten minutes. This pressure causes the blood vessels that are bleeding in these parts to be compressed and the outlet You should be disconnected during these ten minutes while holding your nose, you should not put pressure on it. Because if pressure is applied, the bleeding will continue again. If you have a large amount of bleeding from the nose that has not stopped after ten minutes of pressure, repeat this procedure for another ten minutes. If after 30 minutes the nosebleed does not stop and the volume of bleeding from the nose is very large, go to the emergency room immediately to take the necessary treatment.

 

What are the ways to prevent bleeding?

By following the tips below, you can reduce the number of times you get a hemorrhage or completely prevent a hemorrhage.

  • During the cold and dry winter months, it is best to use standard steam vaporizers at work and at school.
  • It is best to keep the inside of the nose moist by using normal saline sprays.
  • If you are a smoker, reduce it and do not expose yourself to other people's cigarette smoke and environmental pollution.
  • Avoid putting your finger in your nose and squeezing with high intensity and pressure
  • Avoid inhaling irritating chemicals
  • If you do sports like karate, be sure to use a face guard that protects your head and face.
  • Be sure to wear a seat belt when sitting in the car, as wearing a seat belt reduces the possibility of bumps and injuries to the face during accidents.
  • While sleeping, try to lubricate your two nostrils with greasy ointments or Vaseline.
  • Try not to leave the house in hot seasons and in hot weather. If you have to travel outside the house, be sure to wear a brimmed hat and try to cover your nose with a mask or cotton cloth so that hot air does not enter your nose.
  • If you use chillers or air conditioners, try to use vaporizer in your room to create enough humidity in the environment.
  • Avoid blowing your nose if you have a cold and a stuffy nose
  • Avoid alcohol and hot drinks and tobacco as it increases blood circulation in the nose and increases the amount of bleeding from the nose when bleeding.
  • After bleeding, you should know that blood clots inside the nose. It is better to clean your nose only when it has enough moisture. In other words, after a while, it is better to use only a damp cloth to clean the clot from inside the nose.

 

The final word:

If you are a person who frequently experiences massive hemorrhage, we recommend that you consult your doctor at the earliest opportunity about possible causes, and also ask your doctor about solutions that can prevent re-hemorrhage, depending on the cause of the hemorrhage.  If you are taking a blood thinner or anticoagulant, your dose or type may need to be adjusted or changed by a specialist.

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