What should be considered with nosebleeds
Nosebleeds are usually harmless. Nevertheless, many parents are worried when their children experience very heavy nosebleeds. A cool, damp cloth on the neck and forehead usually helps to relieve the symptoms. In addition, some measures can be taken to prevent nosebleeds. Anyone who tends to do this should take care to keep the nasal mucous membranes moist. For example, saline nasal sprays are suitable for this.
How does nosebleed develop? Nosebleed looks dangerous, but is harmless in most cases. A visit to the doctor is rarely necessary, for example if the bleeding cannot be stopped or the symptoms appear regularly. Nosebleeds usually develop in the front area of the nose. "There is a superficial network of veins that bursts easily," reports Monika Niehaus, spokeswoman for the professional association of pediatricians in Thuringia, to the news agency "dpa". Heavy physical strain or vibrations such as jumping and jumping, an accident when Exercise, a blow to the nose, strong and frequent blowing of the nose, inflammation, sneezing, coughing or nasal drilling are among the most common causes of nosebleeds.
Some people tend to bleed in the olfactory organ. This affects people with superficial vessels, allergy sufferers and people with blood thinning. This is what Petra Bubel from the German Association of Otorhinolaryngologists points out to the news agency. Hypertension, nicotine consumption and a crooked nasal septum can also increase the risk of nosebleeds.
If the pressure in the blood vessels rises slightly or small mechanical stresses occur, vessels can burst if the nasal mucosa is not adequately moistened. "When the air in the room is dry, the mucous membrane dries and cracks the vessels," says Niehaus. Using nasal drops too often or using cocaine also have a similar effect to Klaus Domdey, specialist for ear, nose and throat diseases at the medical center Techniker Krankenkasse in Nehmten, told the news agency.
What helps with nosebleeds? Nosebleeds are usually harmless. Those affected should keep calm. "I always recommend that my patients first take a handkerchief and cut it out so that the blood that has already clotted comes out of their noses," reports Bubel. "The most important first aid then is to compress the vessels in the front area of the nose," explains Domdey. "To do this, you either press your nostrils together with your fingers, insert cotton wool into your nostrils, or apply vasoconstrictor drops locally." In doing so, an upright, slightly bent forward, sitting posture should be adopted. Cool, moist cloths on the forehead and neck can cause the small vessels to contract due to the cold, so that the bleeding is stopped quickly. But those affected should never put their heads back, Bubel explains. "This is fundamentally wrong: Then the blood runs backwards and ends up in the stomach at best, then you get sick at some point."
Saline nasal sprays moisturize the mucous membranes and prevent nosebleeds. "If you are affected more often, you can apply petroleum jelly or a mineral ointment to the nasal mucosa every night with a cotton swab," says Niehaus. "During heating periods you should ventilate frequently and consider a humidifier."
Treating nosebleeds with naturopathy Various naturopathic treatments can be used for nosebleeds, provided that it has been clarified by a doctor that the complaints are not caused by a serious illness. Remedies for hemostasis are used primarily in homeopathy. If the nosebleed is the result of an injury to the nasal mucosa or physical exertion, arnica can provide relief. Many naturopaths advise against phosphorus in case of bleeding after blowing nose and sneezing or exertion. In the case of violent arousal such as fear as the cause of nosebleeds, aconite is a good choice. People who are often affected can also have constitutional treatment carried out in a homeopathy practice.
In acute cases, the emergency drops from Bach flower therapy can be taken for internal use. They are also available as ointments for local application. In addition, herbal medicine relies on nasal irrigation with extracts of cinnamon or oak bark. In addition, a mixture of cold water, lemon and vinegar can be drawn into the nose.
When should a doctor be consulted for nosebleeds? In rare cases, a serious illness is the cause of nosebleeds. Therefore, a doctor should be consulted in case of uncertainty. This may be necessary, for example, if the bleeding cannot be stopped. "If a child experiences severe nosebleeds repeatedly at any time of the year and regardless of infections, then it should be clarified that the child does not have a blood clotting disorder," Rainer Zimmermann, former director of the Hemophilia Center in Heidelberg, told the news agency The more common blood coagulation diseases include haemophilia (blood disease) von Willebrand syndrome, which occurs with a frequency of 1 in 100 to 1 in 1000, "adds Zimmermann.
In rare cases, the complaint suggests a tumor in the nasal cavity or paranasal sinus, nasal polyps, or chronic inflammation, Bubel says. "Very violent nosebleeds usually come out of the blue at night or at school," explains the ENT doctor. "If it has stopped, at least within the next few days, you should definitely go to a specialist." (ag)