Dr Dennis Chua is one of the accredited ent specialist in Singapore that commonly sees patients with epistaxis or nosebleeds.
Most nose bleeds are from the front of a nose from an area known as Little’s area. This is frequently a result of nasal trauma from nose picking or rubbing of the nose. As this is a highly vascular area, bleeding can sometimes be torrential.
It is important to apply simple first aid measures during an episode of bleeding:
- Pinching the soft part of the nose and tilting the head forward. (Tilting the head backwards may result in the individual choking on the blood)
- Sucking on ice chips and putting an ice pack over the nose
- Most bleeding resolve after 5-10 minutes. For persistent bleeding, you will need to head to the emergency department where they will usually call on the ENT specialist to treat you further.
Sometimes we can:
- Apply silver nitrate (cautery) to the bleeding point to help stop the bleeding.
- Packing of the nose can be done to tamponade the bleeding point and apply pressure over it to stop bleeding.
- If there are signs of sinusitis, patient will need to be treated with antibiotics for this.
- For complicated types of nose bleeding from infection or tumors, the patient may require further investigations such as an imaging scan or biopsy.
Please see https://www.drdennischua.com/nose-allergy-sinus-surgeon.html for more details.
Picture below shows a bleeding point on the right middle turbinate within the nose. This was cauterized to stop the bleeding.
Dr Dennis Chua