The most common causes of bleeding from the nostrils are due to localized trauma (e.g., nose blowing and nose picking), dryness of the nasal mucosa, or space-occupying lesions. Common treatments include pressure to stop bleeding. If the bleeding cannot be stopped, consult the hospital in time for hemostasis by medication, hemostasis by plugging, and hemostasis by electrocoagulation under nasal endoscopy.
1. Pressure hemostasis: when nosebleed, patients should be asked to sit or semi-recumbent position, and the bleeding can be controlled by pinching both sides of the nose for 10 minutes.
2. Pharmacological hemostasis: If the pressure hemostasis technique is ineffective, the patient should consult the hospital in time, and the specialist should insert cotton tablets containing vasoconstrictor (e.g. 0.25% phenylephrine) and local anesthetics (e.g. 2% lidocaine) into the nasal cavity of the side of the hemorrhage and pinch the two sides of the nose for 10 minutes in an attempt to control the nosebleed.
3. Filling to stop bleeding: You can also consider placing an expanding sponge in the nasal cavity, which can be pre-adsorbed with ointment medications such as mycophenolate mofetil or mupirocin to facilitate filling. If the result is unsatisfactory, medical airbag can be used to fill and compress the bleeding area.
4. Nasal endoscopic hemostasis: Nasal endoscopic examination of the bleeding site, looking for active bleeding points, if you can find, can be applied to bipolar electrocoagulation hemostasis, or the application of microwave, and low-temperature plasma hemostatic treatment.
Nostril bleeding can try to stop bleeding by self-pressure, if the effect is not good, it is recommended to consult the hospital in time, the line of the relevant examination specialists standardized diagnosis and treatment.