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What Causes Frequent Nose Bleeds?

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Posted on Mon, 29 Dec 2014
Question: After a number of visits to my doctor for frequent nose bleeds , because of a cluter of weak blood vessels in my left nostril I am being scheduled for an Endoscopy to close off the week blood vessels. Is this the right action?
XXXXXXX
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Answered by Dr. Tushar Kanti Biswas (14 minutes later)
Brief Answer:
Recurrent nose bleed

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Nosebleeds are due to the rupture of a blood vessel within the richly perfused nasal mucosa.The vast majority of nose bleeds occur in the anterior (front) part of the nose from the nasal septum. This area is richly endowed with blood vessels (Kiesselbach's plexus). This region is also known as Little's area. Bleeding farther back in the nose is known as a posterior bleed and is usually due to bleeding from Woodruff's plexus, a venous plexus situated in the posterior part of inferior meatus.
Ongoing /recurrent bleeding despite good nasal packing can be treated by endoscopic evaluation of the nasal cavity under general anaesthesia to identify an elusive bleeding point or to directly ligate (tie off) the blood vessels supplying the nose.It is a correct approach to recurrent nose bleed.






Regards

Dr. T.K. Biswas M.D. XXXXXXX
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1920 Questions

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What Causes Frequent Nose Bleeds?

Brief Answer: Recurrent nose bleed Detailed Answer: Hi, Thank you for your query. I can understand your concerns. Nosebleeds are due to the rupture of a blood vessel within the richly perfused nasal mucosa.The vast majority of nose bleeds occur in the anterior (front) part of the nose from the nasal septum. This area is richly endowed with blood vessels (Kiesselbach's plexus). This region is also known as Little's area. Bleeding farther back in the nose is known as a posterior bleed and is usually due to bleeding from Woodruff's plexus, a venous plexus situated in the posterior part of inferior meatus. Ongoing /recurrent bleeding despite good nasal packing can be treated by endoscopic evaluation of the nasal cavity under general anaesthesia to identify an elusive bleeding point or to directly ligate (tie off) the blood vessels supplying the nose.It is a correct approach to recurrent nose bleed. Regards Dr. T.K. Biswas M.D. XXXXXXX