Also known as Bloody nose, Epistaxis, Nasal Bleeding, and Bleeding From Nose
Epistaxis (from Greek: ἐπιστάζω (epistazo) to bleed from the nose: ἐπί (epi) - "above", "over" + στάζω (stazo) - "to drip ") or a nosebleed is the relatively common occurrence of hemorrhage from the nose, usually noticed when the blood drains out through the nostrils. There are two types: anterior (the most common), and posterior (less common, more likely to require medical attention). Sometimes in more severe cases, the blood can come up the nasolacrimal duct and out from the eye. Fresh blood and clotted blood can also flow down into the stomach and cause nausea and vomiting. It is rarely fatal, accounting for only 4 of the 2.4 million deaths in the U.S. in 1999.Source: Wikipedia
The most common causes of nosebleed are chronic sinusitis, seasonal allergies (hay fever), and bruise. Other possible causes, such as acute sinusitis, are more rare.
Within all the people who go to their doctor with nosebleed, 36% report having headache, 27% report having nasal congestion, and 27% report having cough.
Patients with nosebleed often receive complete blood count, prothrombin time assay, cat scan of head, diagnostic procedures on nose; mouth and pharynx, influenzavirus antibody assay, other non-or therapeutic procedures on nose; mouth and pharynx, other respiratory therapy and cerebral arteriogram .
|Complete blood count (Cbc)|
|Prothrombin time assay (Prothrombin time)|
|CAT scan of head (Head ct)|
|Diagnostic procedures on nose; mouth and pharynx||$96|
|Influenzavirus antibody assay|
|Other non-OR therapeutic procedures on nose; mouth and pharynx||$52|
|Other respiratory therapy||$30|
|Cerebral arteriogram (Angiography cerebral)||$2296|
The most commonly prescribed drugs for patients with nosebleed include oxymetazoline nasal, phenylephrine (duramax), silver nitrate topical each, petrolatum topical, cocaine topical, tetracaine topical product, piperonyl butoxide-pyrethrins topical, lincomycin, bioflavonoids (p-1000), isometheptene mucate, amoxapine, tranexamic acid and lidocaine-tetracaine topical .
|Silver Nitrate Topical Each|
|Tetracaine Topical Product|
|Piperonyl Butoxide-Pyrethrins Topical|
Groups of people at highest risk for nosebleed include age 75+ years age 5-14 years.