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Epistaxis

Bleeding from the nose. Nosebleeds involve bleeding from the inside of your nose. Many people have occasional nosebleeds, also known as epistaxis. Nosebleeds may be scary, but generally are a minor annoyance. Frequent nosebleeds are those that occur more than once a week. Epistaxis can occur in any age group or population.

Causative factors for epistaxis:

The most common causes of nosebleeds are.

  • Nosebleeds can occur spontaneously when the nasal membranes dry out and crack. This is common in dry climates, or during the winter months when the air is dry and warm from household heaters.
  • Drying of the nasal membranes and nose picking (digital trauma)
  • Trauma to the face can cause nasal injury and bleeding. The bleeding may be profuse, or simply a minor complication
  • The incidence of nosebleeds is higher during the colder winter months when upper respiratory infections are more frequent.
  • Allergic and non-allergic rhinitis
  • Hypertension (high blood pressure)
  • Alcohol abuse
  • Less common causes include tumors and inherited bleeding problems
  • Hormonal changes during pregnancy may increase the risk of nosebleeds.
  • Acute and chronic sinusitis
  • Some Chemical irritants also cause epistaxis
  • Deviated nasal septum
  • Nasal sprays, such as those used to treat allergies, if used frequently. There are two types of epistaxis.
    • An anterior epistaxis is the most common and most easily treatable.
    • A posterior epistaxis is less common and more serious, generally requiring emergency treatment.

Symptoms

Blood oozing from the nostrils usually originates in the anterior nose and is bright red. Blood from the back of the throat originates in the posterior area and may be dark or bright red.Nose bleed is generally unilateral, except when it’s due to dyscresia or severe trauma. In severe cases of nosebleed, blood may seep behind the nasal septum; it may also appear in the middle ear and in the corners of the eyes. Associated clinical effects depend upon on the severity of bleeding. Moderate blood loss may produce light-headedness, dizziness, and slight respiratory difficulty,  severe hemorrhage cause hypotension, rapid and bounding pulse, dyspnoea, and pallor.

How to diagnose epistaxis?

Diagnosing epistaxis and its root cause begins with taking a thorough personal and family medical history, including symptoms, and completing a physical examination. This includes looking up the nose with a special lighted instrument called a rhino scope. Taking a blood pressure reading and a series of blood pressure readings can reveal if hypertension is present, possibly causing or contributing to epistaxis. Depending on the suspected cause, tests can include , drug testing, blood tests, allergy skin testing, and imaging tests, such as X-ray, CT scan, nuclear scans, and MRI. A diagnosis of epistaxis and its cause can easily be delayed or missed because epistaxis may be mild or intermittent and for other reasons. For information on misdiagnosis, refer to misdiagnosis of epistaxis.

How Homoeopathy helps to cure epistaxis?

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat nose bleed but to treat its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to manage nose bleed that can be selected on the basis of cause, sensations and modalities of the complaints.  For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of nose bleed.

Commonly indicated Homoeopathic remedies:

Mellilotus: profuse epistaxis, nose stopped up, dry must breath through mouth. Hard clinckers in nose. Sick headache relieved by epistaxis. Congestion and hemorrhages seem to be a special manifestation of this drug. Epistaxis bright red color with high reverend violent congestion of head and face.

Phosphorus: Epistaxis instead of menses. Epistaxis with fan like motion of nostrils.Periostitis of nasal nones.Foul smelling odour from nose. Chronic catarrh with small haemorrhage .Nasal polyps bleeds easily. Patient is anemic, pale waxy bloodless appearance.
This is the case regards to Mrs.Reshma, 30yrs old, house-wife. She is suffering from bleeding from since 6months.Bleeding especially at night.She is not having any previous injuries and illness. She is having history of frequent coryza with nose block, burning, fissures in nostrils and dryness in nose, offensive discharge from nose. She is having recurrent skin eruptions on legs and toes especially on exposure to hot. Patient is fatty, slow, restless, extremely irritated and impatient. Other mind symptoms are aversion to work and constantly change her mood.Appetiteis normal but she is having gastric problem with distention of abdomen and severe constipation. Menses regular but offensive leucorrhoea before and after menses. She dislikes warm food especially milk. All symptoms are worse after exposure to heat. In this case Graphitic is the indicated remedy. After 2doses of Graphitis-200 bleeding from nose 80% decreased I repeat another 2doses epistaxis completely decreased

Other indicated remedies: Arnica, Erigeron, Cantharis, Ipecoc,Crotalus.haridus etc.

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