Nosebleed Information, Symptoms and Homeopathic Treatment

Bleeding from nose or nosebleed (also known as Nakseer) is very common. Medically, it is known as epistaxis. It happens when a small blood vessel inside the nose lining bursts and bleeds. The lining of the nose has lots of tiny blood vessels, which warm the air as it enters the nose. This lining is very fragile and may break easily, causing bleeding.

It is a symptom as well as a sign of certain diseases. This condition is not life-threating. There can be many reasons for epistaxis. It can be caused by very cold / dry air, allergies, sneezing, injury to nose or during hot weather. Nosebleeds can occur at any age but are twice as common in children.

Causes for Nosebleed

  1. Vascular causes: It is seen in those areas of nasal cavity where two branches of major arterial supplies joins with each other, like in middle portion of nose (which is known as medial turbinate). It is sometime refer as vascular causes of epistaxis.
  2. Weak vessel: Sometimes in certain disorders like Telangiectasia (which is weakness of capillary wall of blood vessel) can be a cause of bleeding.
  3. Sudden force: Rupture of vessel wall which is cause by a trauma, in any accident or as result of operative surgeries may lead to bleeding. This bleeding can be sudden which can be seen as result as sudden rise of vascular pressure as in nose blowing, sneezing, coughing, straining and in some cases of pregnancy.
  4. Infections: In certain infection which causes haemorrhage can lead to bleeding.
  5. Vitamin deficiency: Deficiency disease like deficiency of Vitamin C and Vitamin K, in liver disease can lead to bleeding from nose malnutrition can be a cause of it.
  6. Few Disorders of blood: Any platelet disorder like purpura, usage of aspirin, haemophilia (disorder in which there is delay in stoppage of blood which lead to excessive blood loss) can lead to epistaxis.
  7. Trauma: like physical trauma like blows fracture nose, nose picking can lead to blood from nose. It is often seen in summer as thermal trauma like overexposure can lead to blood from nose. Any foreign insertion in nasal cavity can lead to epistaxis.
  8. Infectious diseases: There can be certain infections like acute rhinitis (an inflammation of the mucous membrane lining the nose usually associated with nasal discharge), sinusitis atrophic rhinitis (a chronic disease that is characterized by purulent inflammation of the nasal mucosa, atrophy of the nasal conchae, and abnormal swelling and distortion of the face) and causes like diphtheria, tuberculosis, syphilis, measles, acute malaria, typhoid, influenza, Leukaemia, can lead to blood from nose.
  9. High Blood pressure: Hypertension is commonest cause for this disease. Diabetes is another important cause for this disease.

Very common cause of epistaxis is drying of nasal mucosa. Sometimes pressure changes in high altitude can also cause bleeding from nose. In some cases no definite cause is not found.

Affected Age groups

  1. In children it is seen as spontaneous or due to nose picking. Other causes are injury to nose, some type of fever, diphtheria.
  2. In adults, it id as result of trauma and sinusitis. Most important cause is juvenile nasopharyngeal angio-fibroma which is seen in males.
  3. In adults it is seen as a result of acute and chronic sinusitis, injury to nose while playing, boxing, head injury.
  4. In Elderly it is seen as result of hypertension.

Symptoms of Epistaxis

It is of sudden onset. In some case there is past history of hypertension or injury. Bleeding may be mild, moderate or severe.

Bleeding may be of two types-

  1. Bleeding is from front part of nose which can be visibly seen.
  2. Bleeding can be back side of nose and blood comes out through the oro-pharynx and oral cavity.
  3. Sometimes patient may be swallowed and may be vomited put subsequently.
  4. Patient may progressed to a state of shock if bleeding is severe and for a prolonged period.

Laboratory test for Epistaxis

  1. Complete Blood Count with platelets
  2. Prothrombin Time
  3. Partial Thromboplastin Time

Emergency Treatment

Applying direct pressure by pinching the soft fleshy part of the nose. Pressure should be firm and be applied for at least five minutes and up to 20 minutes, tilting the head forwards helps decrease the chance of nausea and airway obstruction.

Homeopathic treatment of Nosebleed

For medicinal management of epistaxis following homeopathic medicines are prescribed according to the associated symptoms.

Agaricus

In this remedy bleeding from nose is generally seen in old people who does not want to do any work. Blood from nose comes out from blowing the nose, in early morning, immediately after rising. This is followed by violent bleeding from over work. There is profuse foetid discharge from nose. In general there is jerking twitching, trembling, and itching is characteristic symptom. A special delirium is seen in patient in patient sings, talks, but does not answer. Patient is very talkative.

Worse from-Open cold air, after eating, in cold weather, before a thunderstorm.

Better from- Moving about slowly.

Dosage: Take in 30 C potency. 3 pellets 3 times a day with less frequency as improvement is made.

Ammonium carb

Nose bleeding is seen in early hours in morning on washing face, after dinner, after repeated sneezing, especially if after the flow has ceased a bloody mucus is often blown from the nose. Blood from nose with dry coryza, especially at night. Characteristic feature of the remedy is blood rushes to tip of nose when stooping. It is suitable for stout women who are always tired and weak, take cold easily and suffer from cholera-like symptoms before menses. This women leads a very sedentary life, and does not to do any work. The women is very sensitive to cold air. Great aversion to water, cannot bear to touch it.

Worse from Evening from cold, wet weather, wet applications, washing between 3 to 4 a.m and during menses.

Better from- lying on painful side and on stomach, in dry weather.

Dosage: Take in 200 potency. 3 pellets 3 times a day with less frequency as improvement is made.

Arnica

Blood from nose, which is preceded by tingling sensation. Bleeding occurs after every exertion from mechanical causes after washing face, during whooping cough. Bleeding is generally seen in growing children, discharge of several drops of thin blood from nose on first blowing it in the morning.

Blood is bright mixed with clots and leaving a bruised sensation behind. It is especially suited to cases when any injury. Given to treat after effects of traumatic injuries, overuse of any organ. There is bruised feeling of body.

Worse from Least touch, motion, rest wine, damp cold.

Better from- lying down, or lying with head low.

Dosage: Take in 200 potency. 3 pellets 3 times a day with less frequency as improvement is made.

China

There is habitual bleeding especially in the morning from 6-7, and often renewed. Repeated flow of blood cause patient to feel weak and anaemic, with humming in ears, pale face and fainting spells. There is debility from exhausting discharges, from loss of vital fluids, together with nervous weakness. Periodicity is most marked. It is very useful remedy for post-operative gas pains, with no relief from passing it.

Worse from- on slightest touch, from air, every other day, loss of vital fluids, at night, after eating, bending over.

Better from- bending double, hard pressure, open air, warmth.

Dosage: Take in 200 potency. 3 pellets 3 times a day with less frequency as improvement is made.

Crocus sativa

Discharge from one nostril of very thick stringy black blood, with cold sweat in large drops on forehead, suits women who menstruate long and profusely and are subject to fainting at the approach of menses. Epistaxis is seen in overgrown, delicate children. There is yellowish, sallow colour of face and sour taste in mouth.

Worse from-Lying down, hot weather, warm room, in the morning, fasting. before breakfast, looking fixedly at an object.

Better from-open air.

Dosage: Take in 30 C potency. 3 pellets 3 times a day with less frequency as improvement is made.

Hamemilis

In this remedy flow passive, with feeling of tightness in nose. There is profuse bleeding of which cause is not known. It is especially in young, anaemic girls. There is haemorrhages in this remedy. There is bruised soreness of the affected parts seems to be the special sphere of remedy. There is passive haemorrhages from any part.

Worse from-warm and moist air.

Dosage: Take in 200 potency. 3 pellets 3 times a day with less frequency as improvement is made.

Phosphorus

There is bleeding from nose while straining at stool at early in the morning, It is seen in tall, slim girls at the age of puberty. Severe epistaxis is seen in cases of diphtheria. There is profuse bleeding from nose, often accompanied by profuse sweat. There is bloody streaks in the nasal mucus.

Worse from touch, any physical ro mental exertion, warm food or drink, change of weather, from getting.

Better from- In dark, lying on the right side, cold food.

Dosage: Take in 200 potency. 3 pellets 3 times a day with less frequency as improvement is made.

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