Vascular Sclerotherapy
Whoever suffers from constant nosebleeds and feels that their quality of life is affected by them can prevent future bleeding from the nose by obliterating the vessels at the tip of the nose with laser treatment. Sclerotherapy also takes place if the nosebleed does not stop on its own. Sclerotherapy is usually carried out when the ENT physician has diagnosed a vascular anomaly in the nose, which often leads to nosebleeds.
This abnormal vessel is then sclerosed by laser. In addition to the laser method, sclerosing chemicals such as trichloroacetic acid or silver nitrate can also be used to cauterize the vessel. Another method is electrocoagulation, in which the vessels are closed by burning.
This is also routinely used during operations to stop bleeding from small vessels. Sclerotherapy only takes place if the source of bleeding is also localized, otherwise a tamponade is performed. If both methods fail, the vessel can be clamped with a clip as a last resort. This variant is usually performed by radiologists.
Drugs
If the nosebleed cannot be stopped by the methods listed above, medication is used. Vasoconstrictive nasal drops, such as xylometazoline, are usually used for this purpose. Rarely is a blood clotting disorder responsible for frequent and severe nosebleeds.
High blood pressure can also cause frequent nosebleeds. Both causes should be treated with medication to prevent frequent nosebleeds. Medication itself can also cause nosebleeds. These include, in particular, those that inhibit blood clotting and are intended to prevent blood clots. For example, ASA (aspirin), ibuprofen, clopidogrel and some antibiotics and psychotropic drugs reduce the number of platelets, making bleeding easier.
Prophylaxis
A too dry nasal mucosa increases the probability of blood vessels bursting. It is therefore advisable to keep the mucous membrane constantly moist. The easiest way to moisten the nasal mucosa is to use a saline nasal spray.
Alternatively, mineral ointment or Vaseline can be applied to the mucous membrane of the nose with a cotton swab in the evening. Frequent airing in the home also prevents the mucous membranes from drying out due to the dry heating air, especially in winter. Violent drilling in the nose, as well as strong blowing should be avoided 1-2 days after the nosebleed, otherwise there is a risk of the wound tearing open again. There are many different homeopathic remedies that can successfully eliminate nosebleeds.
