types of nosebleed

 Types of Nosebleed 

There are two types of nosebleeds where they originate;

1. Anterior nosebleed (more common)

2. Posterior nosebleed (less common, but more require medical attention)

1. Anterior nosebleed

Anterior nosebleed occur from front and lower part of nose.

The most common site of anterior bleeding is in nasal septum (bridge of nose).

2. Posterior nosebleed

Posterior nosebleed originates from back of nose.  Blood drain down back of throat.

Posterior nosebleed are more complicated.

Management

1. Anterior nosebleed

1. Lean the head, and allow the bleed out from nostril, prevent back of through, breathe through mouth.

2. Inch the lower soft part of nose using thumb and index finger for 5-20 minutes

3. Keep head higher than level of heart, sit calmly

4. Ice compression can apply

5.  Cauterization with topical silver nitrate is generally the treatment of choice for anterior epistaxis.

6.  Nasal packing apply to stop bleeding. Nasal packing apply direct pressure inside nostril to promote clotting and stop bleeding.

Petroleum (Vaseline) gauze

7. Antibiotics to prevent sinus infection

8.  Decongestants

2. Posterior nosebleed

1. To control posterior nosebleed, posterior nasal packing will be done.

2. Antibiotics given