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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Nosebleed And Difficulty In Breathing From Nostrils.

My son age 18 suffered two concussions one year apart. The past three weeks he has had two strong nosebleeds with blood that covered his hands and face dripping into the car the third incident blood filled his mouth. He has been having difficulty with breathing form his nostrils. Can you advise.
Tue, 24 May 2016
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
Bleeding from nasal cavity is called 'epistaxis'. It commonly occurs due to nasal congestion or infection of nasal cavity. Nose picking precipitates the incident.
Whenever there is active bleeding, his nose needs to be pinched gently for about 5 to 10 minutes. He needs to bend forward and breath through the nose. If his nose is pinched and he bends backwards, blood would get collected in his throat and mouth and make breathing difficult.
Commonly, bleeding occurs due to fragile blood vessels present on the inner side of the nose in 'Little's area'.
The cause for it needs to be investigated. Kindly get the following investigations done:
1. Total and Differential WBC count.
2. Peripheral blood examination.
3. Bleeding time and Clotting time.
Once the hematological causes are ruled out, bleeding can be stopped by chemical or electrocautery of blood vessels.
Kindly consult ENT specialist in this regard for proper evaluation and management.
Hope the information provided would be helpful.
All the best.
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Suggest Remedy For Nosebleed And Difficulty In Breathing From Nostrils.

Hi, Thanks for posting in HCM. I understand your concern. Bleeding from nasal cavity is called epistaxis . It commonly occurs due to nasal congestion or infection of nasal cavity. Nose picking precipitates the incident. Whenever there is active bleeding, his nose needs to be pinched gently for about 5 to 10 minutes. He needs to bend forward and breath through the nose. If his nose is pinched and he bends backwards, blood would get collected in his throat and mouth and make breathing difficult. Commonly, bleeding occurs due to fragile blood vessels present on the inner side of the nose in Little s area . The cause for it needs to be investigated. Kindly get the following investigations done: 1. Total and Differential WBC count. 2. Peripheral blood examination. 3. Bleeding time and Clotting time. Once the hematological causes are ruled out, bleeding can be stopped by chemical or electrocautery of blood vessels. Kindly consult ENT specialist in this regard for proper evaluation and management. Hope the information provided would be helpful. All the best.