Nasal bleeding is one of the common symptoms of nasal diseases: there are many causes of bleeding, and the bleeding site is usually in the bleeding-prone area below the front of the nasal septum, while nasal bleeding in elderly people over 40 years old is mostly seen in the posterior part of the nasal cavity and is also related to hypertension in the elderly. As age increases, the incidence of hypertension also increases, so the incidence of rhinorrhea with hypertension as the cause also increases significantly. It has been reported that 10% to 25% of nosebleeds are caused by hypertension. In recent years, the number of patients with rhinorrhea caused by purely systolic hypertension is increasing.
Patients are susceptible to mental and environmental changes: nasal bleeding caused by hypertension generally occurs in the early morning or after activity. Since the bleeding site is in the posterior nasal tract, coupled with very high blood pressure and poor vascular elasticity, bleeding is more violent. When patients see more bleeding, their mood will be nervous and blood pressure will rise, resulting in more bleeding. Therefore, for elderly patients with nosebleeds, it is important to keep them calm, comfort them to relax, tell them to spit out the blood flowing into their mouths as much as possible so as not to swallow it and stimulate their stomachs to cause vomiting, and if the bleeding does not stop, they should immediately go to the hospital for treatment.
It is worth to be alert that repeated nasal bleeding is the precursor of cerebral hemorrhage. The reason is that the blood vessels in the nasal cavity of the elderly are hardened, the fibrous tissue of the blood vessel wall is proliferated, the elasticity of the blood vessel wall is reduced, and the brittleness is increased. Therefore, elderly people suffering from hypertension and arteriosclerosis should be more alert.
The current treatment for nasal bleeding: the main treatments are nasal cavity filling, microwave and laser. After the operation, you should take antihypertensive drugs and hemostatic drugs with the help of the doctor. Don’t lower the blood pressure too fast because it is too high and anxious, because in many elderly patients with hypertension, the important organs of the body have already adapted to the state of high blood pressure.
Elderly patients with nosebleeds should have a light and easily digestible diet, ensure sufficient sleep time, keep a happy mood, and move slowly when getting up and lying down and when having a bowel movement to prevent nosebleeds after blood pressure rises.