Types of Epistaxis, which is also known as Nose Bleed, as the name suggests means bleeding from either one or both nostril due to rupture of blood vessels in nasal mucosa.

Etiology (cause) of Epistaxis

– The most common cause in children is nose picking causing anterior epistaxis. – Most common cause for posterior epistaxis is idiopathic (not known),

Risk Factors of Epistaxis

– Children – Frequent nose picking or forceful nose blowing – Outdoor sports with lack of protective equipments

7 Tips to Prevent Epistaxis

1. Always do your complete blood profile test to rule out any bleeding disorders. 2. Keep your nose moist specially in winter.

– Bleeding disorder like haemophilia, Von willebrand disease. – Patient on blood thinners like aspirin, warfarin, having Thrombocytopenia (low platelet counts). – Pregnancy (due to high venous pressure).

Systemic risk factors

Blood Supply of Nasal septum

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Anterior Nasal packing

Epistaxis is generally not an emergency problem but the person suffering from active bleed might feel so

Posterior Epistaxis

If the bleeding is posterior and the bleeding point is not visible the treatment of choice is endoscopic electrocautery or ligation

Tips to Prevent Epistaxis

Always do your complete blood profile test to rule out any bleeding disorders

Do not perform strenuous activity while bending forward