This is the occurrence of nose bleeds. It is very common and does not usually have serious implications, but if it persists or is very intense, it may produce severe symptoms.
It may be caused by a trauma, sinusitis, mucosa dryness, cold, as well as blood clotting disorders. The nose region has many blood vessels which makes bleeding more likely.
The diagnosis is clinical through questioning to find out what originated the episode and a full physical examination.
The triggering cause will be treated: lesions, drugs, etc. It is generally controlled by applying a plug that compresses the bleeding site. If the nose bleed does not stop after 20 minutes, a doctor should be consulted in case another type of plug is required or to correct blood coagulation abnormalities, although this is not common.
- Harrison Alter, MD, MS, FACEP. Approach to the adult with epistaxis. UpToDate. Feb 02, 2016.
- Anna H Messner, MD. Evaluation of epistaxis in children. UpToDate. Sep07, 2016.
- Riviello RJ. Otolaryngologic procedures. In: Clinical Procedures in Emergency Medicine, 4th, Roberts JR, Hedges JR. (Eds), WB Saunders, Philadelphia 2004. p.1300.
- Konkle BA. Hemorragia y trombosis. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición: 403.
- Chacón Martinez J. Padilla Parrado M. Epistaxis. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010: 1133-1137.

