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Encyclopedia > Nosebleed
Nosebleed
Classification & external resources
Nosebleed as a result of fracture through a rugby impact.
ICD-10 R04.0
ICD-9 784.7
DiseasesDB 18327
eMedicine emerg/806  ent/701, ped/1618
MeSH C08.460.261

A nosebleed or nosebleedage, medically known as epistaxis, is the relatively common occurrence of hemorrhage (bleeding) from the nose, usually noticed when it drains out through the nostrils. There are two types: anterior (the most common), and posterior (less common, and more severe). Sometimes in more severe cases, the blood can come up the sinus and out from the eye. Fresh blood and clotted blood can also flow down into the stomach and cause nausea and vomiting. Fractured nose with haemorrhage. ... A fractured bone in a living person is typically treated by restoring the fractured pieces of bone to their natural positions (if necessary), and maintaining those positions while the bone heals. ... A rugby union scrum. ... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following codes are used with International Statistical Classification of Diseases and Related Health Problems. ... // R00-R99 - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R09) Symptoms and signs involving the circulatory and respiratory systems (R00) Abnormalities of heart beat (R000) Tachycardia, unspecified (R001) Bradycardia, unspecified (R002) Palpitations (R008) Other and unspecified abnormalities of heart beat (R01) Cardiac murmurs and other... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... The Disease Bold textDatabase is a free website that provides information about the relationships between medical conditions, symptoms, and medications. ... eMedicine is an online clinical medical knowledge base that was founded in 1996. ... Medical Subject Headings (MeSH) is a huge controlled vocabulary (or metadata system) for the purpose of indexing journal articles and books in the life sciences. ... To meet Wikipedias quality standards, this article or section may require cleanup. ... For the article about nose in humans, see human nose Human nose in profile Elephants have prehensile noses Dogs have very sensitive noses Anatomically, a nose is a protuberance in vertebrates that houses the nostrils, or nares, which admit and expel air for respiration. ... A nostril is one of the two channels of the nose, from the point where they bifurcate to the external opening. ... The term sinus (Latin for bay, pocket, curve or bosom) is used in various contexts. ... For the Beck song, see Nausea (song). ...

Contents

Etiology

The cause of nosebleeds can generally be divided into two categories, local and systemic factors. This page is a candidate to be moved to Wiktionary. ...


Local factors

  • Anatomic deformities
  • Chemical inhalant
  • Inflammatory reaction (eg. acute respiratory tract infections, chronic sinusitis, allergic rhinitis and environmental irritants)
  • Foreign bodies
  • Intranasal tumors (Nasopharyngeal carcinoma in adult, and nasopharyngeal angiofibroma in adolescent males)
  • Nasal prong O2
  • Nasal spray
  • Surgery (such as septoplasty and endoscopic sinus surgery)
  • Trauma

A soda bottle after being filled with blue paint for the means of solvent abuse in Townsville, Australia. ... Nasopharyngeal angiofibroma (also called juvenile nasopharyngeal angiofibroma) is a histologically benign but locally aggressive vascular tumor that grows in the back of the nosal cavity. ... Nasal sprays are used for the nasal delivery of a drug or drugs, generally to alleviate cold or allergy symptoms. ... Trauma can represent: Physical trauma, an often serious and body-altering physical injury, such as the removal of a limb. ...

Systemic factors

Aspirin or acetylsalicylic acid (acetosal) is a drug in the family of salicylates, often used as an analgesic (against minor pains and aches), antipyretic (against fever), and anti-inflammatory. ... Warfarin (also known under the brand names of Coumadin, Jantoven, Marevan, and Waran) is an anticoagulant medication that is administered orally or, very rarely, by injection. ... Clopidogrel (IPA: ) is a potent oral antiplatelet agent often used in the treatment of coronary artery disease, peripheral vascular disease, and cerebrovascular disease. ... Drunkenness, in its most common usage, is the state of being intoxicated with ethyl alcohol to a sufficient degree to impair mental and motor functioning. ... The blood vessels are part of the circulatory system and function to transport blood throughout the body. ... This article needs cleanup. ... Dyscrasia (from Greek Dyskrasia, meaning bad mixture), in Ancient Greek medicine, is the imbalance of the four humours, and was believed to be the direct cause of all disease. ... A sphygmomanometer, a device used for measuring blood pressure. ... Although hematological malignancies are a form of cancer, they are generally treated by specialists in hematology, although in many hospitals oncology specialists also manage these diseases. ... For other forms of hypertension, see Hypertension (disambiguation). ... In medicine, infectious disease or communicable disease is disease caused by a biological agent (e. ... Malnutrition is a general term for the medical condition caused by an improper or insufficient diet. ... Anemia (AmE) or anaemia (BrE), from the Greek () meaning without blood, refers to a deficiency of red blood cells (RBCs) and/or hemoglobin. ... The term narcotic, derived from the Greek word for stupor, originally referred to a variety of substances that induced sleep (such state is narcosis). ...

Pathophysiology

All nosebleeds are due to tears in the mucosal lining and the many small blood vessels it contains. Fragility or injury may cause the tears, while inflammation, coagulation problems and other disorders may make the injury harder to repair.


Treatment

The flow of blood normally stops when the blood clots, which may be encouraged by direct pressure and reducing the blood pressure in the head by sitting upright with the head tilted forward for about 10 minutes. Tilting the head back is not advised, as it can lead to blood flowing into the respiratory system, and possibly resulting in vomiting or death. Petroleum jelly is sometimes applied to stop the blood from seeping out of and prohibit the loss of moisture in the nasal cavity. However, the jelly can drain into the lungs producing a buildup that leads to lipoid pneumonia. [1] The coagulation of blood is a complex process during which blood forms solid clots. ... Direct pressure is a procedure in first aid for reducing blood loss from a wound by applying pressure to the injury. ... Petroleum jelly or petrolatum is a semi-solid mixture of hydrocarbons. ...


If other techniques do not work, an anterior packing is a possible remedy. An anterior pack works by applying pressure from the inside of the cavity, thus stopping the bleeding. This procedure can be performed at home for minor nosebleeds by gently packing tissue or gauze into the nasal cavity. Nasal sponges[2] are readily available at most drugstores and supermarkets. A box of tissues Another Box of Tissues. ... For the Japanese Hardcore Punk Band, see Gauze. ... Pharmacy (from the Greek φάρμακον = drug) is the profession of compounding and dispensing medication. ... Exterior of a typical British supermarket (a Tesco Extra) Exterior of typical North American supermarket (a Safeway) This Flagship Randalls store in Houston, Texas is an example of an upscale supermarket. ...


If bleeding continues, seeking emergency medical attention is important. Continued bleeding is an indication of more serious underlying conditions.[3]


Chronic epistaxis resulting from a dry nasal mucosa is often treated by spraying saline in the nose up to three times per day. There are also non-petroleum based gels that can be used. In medicine, saline is a solution of sodium chloride (a substance also commonly known as table salt) in sterile water, used frequently for intravenous infusion, rinsing contact lenses, and nasal irrigation (or the yogic practice called jala neti). ...


Persistent epistaxis is an indication for urgent medical consultation. Nasal packing, cryosurgery, electrocautery or application of trichloroacetic acid are options that may be used in severe epistaxis. Cryosurgery (cryotherapy) is the application of extreme cold to destroy abnormal or diseased tissue. ... Hot cauters were applied to tissues or arteries to stop them from bleeding. ... In organic chemistry, the chloroethanoic acids (trivial name chloroacetic acids) are three related chlorocarbon carboxylic acids: chloroethanoic acid (chloroacetic acid), CH2ClCOOH dichloroethanoic acid (dichloroacetic acid), CHCl2COOH trichloroethanoic acid (trichloroacetic acid), CCl3COOH As the number of chlorine atoms increases, the electronegativity of that end of the molecule increases, and the molecule...


It is uncommon to die from bleeding through nosebleeds. A famous person who is reported to have died from a nosebleed was Atilla the Hun. However, damage to the maxillary artery can lead to rapid blood loss via the nose and presents difficulty in treatment; pressure, vasoconstrictor and rhinocort occasionally proving ineffective. Embolization or ligation of the artery, risking damage to the facial nerves, may be the only solution. Exsanguination is the fatal process of total blood loss. ... For other uses, see Attila (disambiguation). ... The maxillary artery is the larger of the two terminal branches of the external carotid artery. ... Vasoconstriction is the constriction of blood vessels, in other words, when the lumen narrows. ... Budesonide is a corticosteroid for the treatment of asthma, non-infectious rhinitis (including hay fever and other allergies), and for treatment and prevention of nasal polyposis. ... A non-surgical, minimally-invasive procedure involving selective occlusion of blood vessels by purposefully introducing emboli to treat such conditions as aneurysms, epistaxis, and uterine fibroids. ...


Nevertheless, severe protracted nosebleeds may cause anemia due to iron deficiency. Anemia (AmE) or anaemia (BrE), from the Greek () meaning without blood, refers to a deficiency of red blood cells (RBCs) and/or hemoglobin. ...

Look up Nosebleed in
Wiktionary, the free dictionary.

Wikipedia does not have an article with this exact name. ... It has been suggested that French Wiktionary be merged into this article or section. ...

Famous nosebleeds

Attila the Hun, a legendary commander and the founder of an empire, is reputed by the contemporary historian Priscus to have died of a nosebleed after his wedding. However, the nosebleed only proved to be fatal as the blood ran down Attila’s throat causing him to choke to death. This occurred as a result of Attila the Hun being intoxicated and walking into a beam. The impact knocked the famous leader unconscious, and caused his nose to bleed. Ironically, his new wife watched him die, too terrified to call for help. Attila (AD 406 - 453), also known as Attila the Hun was Khan of the Hun people from 434 until his death and leader of the Hunnic Empire. ... Priscus (left) with the Roman embassy at the court of Attila, holding his ΙΣΤΟΡΙΑ (History, which the painter has incorrectly spelled ΙΣΤΩΡΙΑ). (Detail from Mór Thans Feast of Attila. ... Attila (AD 406 - 453), also known as Attila the Hun was Khan of the Hun people from 434 until his death and leader of the Hunnic Empire. ... The Drunkenness of Noah by Giovanni Bellini Drunkenness, in its most common usage, is the state of being intoxicated by consumption of ethyl alcohol to a degree that mental and physical facilities are noticeably impaired. ...


Andrew W.K.'s album I Get Wet depicts himself with a bloody nose on the cover. Many music retailers covered the image with a black sticker. This article or section does not adequately cite its references or sources. ... I Get Wet is the debut album from metal solo artist Andrew W. K.. The album is a full-volume, all-climax rock/metal affair, complete with pounding guitars and background synths. ...


Nosebleeds feature on the Icelandic band Sigur Rós's 2005 album, Takk. Sigur Rós ( ) is an Icelandic post-rock band with melodic, classical and minimalist elements. ... Takk. ...


Nosebleeds in fiction

In anime and manga (Japanese-originating animation style), it is very common to see sexually/romantically-aroused characters suffering nosebleeds, sometimes intense ones. Sometimes referred as the Japanese Slapstick, this rarely occurs in real life, but is based on a Japanese "old wives' tale", which states that becoming sexually excited can cause nosebleeds.[citation needed] Such occurrences are generally played for laughs and signify "loserhood" and/or virginity. This conception regarding nosebleeds also exists in Chinese culture. The main cast of the anime Cowboy Bebop (1998) (L to R: Spike Spiegel, Jet Black, Ed Tivrusky, Faye Valentine, and Ein the dog) For the oleo-resin, see Animé (oleo-resin). ... Manga )   (pl. ... An old wives tale is a wisdom much like an urban legend, supposedly passed down by old wives to a younger generation. ... Look up loser in Wiktionary, the free dictionary. ... This article or section does not adequately cite its references or sources. ... Chinese culture has roots going back over five thousand years. ...


The English trip-hop musician Tricky makes a reference to sexual arousal causing nosebleeds in the song "Abbaon Fat Tracks" in his 1995 record Maxinquaye. For other uses, see Tricky (disambiguation). ... Maxinquaye is the debut album of Bristol, England rapper/producer Tricky, released in 1995. ...


Detective Conan involves a high school detective shrinking into a child from the ingestion of APTX-4869 from a crime syndicate. He currently lives with his "friend" Ran whom he actually loves, as so does she, but they refuse to admit it. She is unaware of his real identity, and often treats him like a kid. Because of this, there have been occurences when he has taken baths with her. When she mentions it, he gets a severe nosebleed. He also got a nosebleed when she mentioned her trip to a hotspring with him. Poster for Countdown to Heaven, the fifth Detective Conan movie Case Closed, known in Japan as Detective Conan (名探偵コナン, Meitantei Konan), is a detective manga and anime series by Gosho Aoyama (青山 剛昌), published in Weekly Shonen Sunday magazine. ...


One more example is from the American show Beavis and Butt-head, where Beavis gets punched three times in the nose, resulting in a nosebleed; the lack of intelligence from both characters and Butt-head's insane ideas results in Beavis suffering great losses of blood before they purchase tampons to stem the blood flow. This article or section does not adequately cite its references or sources. ...


In the show Everybody Loves Raymond episode "Mozart", Robert quit piano lessons given by his mother because it caused him to have nosebleeds. At the end of the show, Robert is shown playing the drums with his brother, Ray, beside him with tissues when his nose bleeds. He is shown tilting his head backwards, which is NOT advised but was the theory in previous times. Everybody Loves Raymond, sometimes referred to as Raymond, or ELR was a long-running American sitcom broadcast on CBS from 1996 to 2005. ...


In the movie The Ring, victims get nosebleeds after having seen the videotape.


In Michael Frayn's three-act play Noises Off, Frederick Fellowes gets nosebleeds whenever he sees instances of violence.


In Aqua Teen Hunger Force episode "Antenna", Carl is paid to watch an alien TV show, which is really just a recording of two aliens stacking boxes, while he tilts his head back. This results in his head growing large and losing lots of blood by a nosebleed. Despite this, he continues after he gets yelled at by the aliens on the TV to "Tilt your head back!" In the end of the episode, the effect happens to Meatwad and Frylock as they watch a live recording of Master Shake doing stand-up comedy. Aqua Teen Hunger Force (also known as ATHF or simply Aqua Teens) is an American animated television series shown on Cartoon Network as part of its Adult Swim late-night programming block. ...


Famously in the second series of UK sitcom "The League of Gentlemen" the entire town of Royston Vasey suffers from chronic nosebleeds as a result of eating 'the special stuff' from Hilary Briss' Butchers shop. The 'special stuff' being human flesh!


References

  1. ^ http://www.mayoclinic.com/health/petroleum-jelly/AN00947
  2. ^ http://www.seal-on.com
  3. ^ http://www.nlm.nih.gov/medlineplus/ency/article/003106.htm

See also

Kiesselbachs plexus aka Kiesselbachs area (Wilhelm Kiesselbach, 1839-1902, German laryngologist), area in the anteroinferior part of the nasal septum, supplied by the sphenopalatine, greater palatine, superior labial and anterior ethmoid arteries. ... The phrase nosebleed section is applied tongue-in-cheek to those seats of a public arena, usually an athletic stadium or gymnasium, that are highest and, usually, farthest from the desired activity. ...

External links

  • National Library of Medicine - Describes causes, solutions, and prevention of nosebleeds
  • stop-nosebleeds.org - describes the Thumbs Up alternate method of stopping nose bleeds

  Results from FactBites:
 
Nosebleed - Wikipedia, the free encyclopedia (1075 words)
A nosebleed or nose bleed, medically known as epistaxis, is the relatively common occurrence of hemorrhage (bleeding) from the nose, usually noticed when it drains out through the nostrils.
There are several causes for the nosebleed including trauma (such as hitting the nose), fracture (broken nose), pressure (such as may be caused by altitude), anticoagulant (anti-clotting) medication, excessively dry air, excessive nose-picking, allergic rhinitis and high blood pressure among the elderly.
This occurred as a result of Attila the Hun being intoxicated and horizontal during the onset of the nosebleed.
nosebleed - definition of nosebleed - Labor Law Talk Dictionary (386 words)
A nosebleed, medically known as epistaxis, is a relatively common affliction wherein there is hemorrhage (bleeding) from the nose, usually noticed when it drains out through the nostrils.
There are several causes for the nosebleed including trauma (such as hitting the nose), fracture (nosebreak), altitude, severe stress, weakness of blood vessel, excessive dryness, spontaneous hemorrhage among children, and hypertension among the elderly.
Attila the Hun is reputed to have died of a nosebleed after his wedding.
  More results at FactBites »

 
 

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