How should nosebleeds be treated?

This is the description of a patient’s family two years ago: “My husband’s nose was bleeding heavily, the blood was in the form of jets, very frightening, went to the hospital emergency, the doctor line simple filling to stop the bleeding was not successful, and stuffed the expansion sponge in, stuffed the expansion sponge for three days, people are very painful, not to mention, during the period also twice repeated bleeding, both in the middle of the night to the hospital emergency, but to the hospital blood stopped, the doctor did not The doctor did not do any treatment, these days our mood is very gray, full of anxiety and fear. The fourth time we went to the hospital, we met Dr. Zhang, our savior, who not only comforted us kindly, told us the cause and mechanism of this hemorrhage, but also helped us to stop the bleeding in the fastest and easiest way. We admired Dr. Zhang’s medical skills and were touched by his medical ethics. If we could have met him earlier, my husband would have suffered for two days less. Everything is fine with the nose now, and I hope it will never come back again.” The amount of nasal bleeding depends on the size and number of broken blood vessels; arterial bleeding is more red in color, venous bleeding is medium to dark, and capillary bleeding is somewhere in between. Except for the two nostrils, not everyone knows what the nasal cavity really looks like. In fact, the nasal cavity is very large and has many fissures that are very hidden, so it is not easy to see them clearly, and it is a test for the doctor. The good thing is that nearly 90% of nasal bleeding is in the anterior part of the nasal cavity, below the anterior septum, and seeing the bleeding point is the first part of accurate treatment. Although the causes of nasal bleeding are complex, the causes may be simpler for a particular patient, and this family member’s husband was one of the lucky ones. His bleeding point happened to be located in the anterior part of the nasal cavity and presented as a small protrusion on the mucosal surface that could easily be missed clinically without close examination. Because it is a small arterial bleeding point, it is often peaceful during the resting phase, but bleeding during an attack is often frightening. For this type of bleeding, the emergency solution is compression or tamponade to stop the bleeding; however, the best way to stop the bleeding is electrocoagulation or cautery to completely close the bleeding point.