Aarogya Homeopathy

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Nose Bleed (Epistaxis)

Most nosebleeds are not serious and can be stopped with home treatment. Most nosebleeds occur in the front of the nose (anterior epistaxis) and involve only one nostril.
Epistaxis is commonly known as nose bleed. Though common in occurrence, it is rarely life threatening.   It has peaks of incidence at age 2-10 and 50-80 years. The majority of people will have had at least one nosebleed on at least several occasions. Although the sight of large amounts of blood can be alarming and may warrant medical attention, nosebleeds are rarely fatal.

How does nose bleed occur

The causes of nosebleed can be local or systemic, although nosebleed may occur without obvious cause. The mucosa of the nose has many small blood vessels which warm the air as it enters the nose. This lining is very fragile and thus whenever these small blood vessels rupture, epistaxis occurs.
Epistaxis can be divided into two categories:

  • Anterior-It is more common and may be less serious.
  • Posterior- This is less common and requires medical attention.


Causes of nosebleed

The nosebleed occurs because of many reasons which can be either local diseases(causes that are due to a pathology of specific part) or systemic diseases(diseases that effect a number of organs at a time) . Epistaxis occurs in children usually due to local causes. The local causes of bleeding from nose are listed below

  • Picking the nose.
  • Colds and blocked stuffy noses such as with hay fever.
  • Nasal or sinus infections
  • Blowing the nose
  • Blunt trauma to the nose
  • Cocaine use
  • Middle ear barotrauma as in scuba diving or aircraft


Systemic causes of nose bleed are as given below

  • High blood pressure (Hypertension).
  • Heart failure due to increase venous pressure.
  • Anemia.
  • Medications-  warfarin, aspirin, clopidogrel (also known as ‘blood thinners’) and anti-inflammatory tablets.
  • Alcohol(due to vasodilation).
  • Liver diseases such as cirrhosis of liver.
  • Blood dyscrasias.
  • Pregnancy (rare, due to hypertension and hormonal changes).
  • Vascular disorders.
  • Vitamin C and Vitamin K deficiency.
  • von Willebrand's disease.
  • Recurrent epistaxis is a feature of Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu syndrome).
  • Mediastinal compression by tumours (raised venous pressure).


First aid in case of nosebleed

  • Stay calm and reassure the patient.
  • Sit upright and bend forward slightly.
  • Squeeze firmly over the soft part of the nose just above the nostrils. Hold for 10 minutes and then release the grip slowly.
  • Breathe through your mouth while the nostrils are pinched.
  • Do not blow your nose once the bleeding has stopped.
  • Do not swallow the blood if it goes into mouth while nosebleed.
  • Put a cold pack or cold cloth over your forehead or the bridge of the nose.


Home care to prevent nose bleed

  • Take rest for 12-24 hours after epistaxis.
  • Avoid hard blowing or sneezing or nose picking.
  • Sneeze with the mouth open.
  • Avoid Aspirin or other NSAIDS.
  • Avoid hot and spicy foods.
  • Avoid dust stuff and damp weather.
  • Avoid fat during attached and use warm water.


Homeopathy Remedies for nose bleed

  • Aconite nap: It is indicated if caused by exposure to cold draft or dry cold wind. The symptoms being coryza, frequent sneezing, chilliness, restless sleep, full hard pulse and anxiety. Sudden and violent attack of disease- symptoms. Frequent thirst for large quantity of water. Very fearful and fear of death.
  • Antim tart: Wheezing respiration, moist rales throughout the chest, cough appears to be loose, but no phlegma is raised. Agg. from warm Amel. Aversion to milk. Desires for sour. Thirstless. Violent short, dry, continual distressing cough, worse at night and drinks and sour. by expectoration.
  • Belladonna: fever on lying down. Coldness of lower extremities and hotness of upper extremities. Affected parts are red, heated, buming and oversensitive.
  • Bryonia alb: Very severe cough, and hurts the head and distant parts of the body. The patient presses the head or chest during coughing andcough is worse after meal but no expectoration. The patient is susceptible to hot. Dry white- coated tongue. Takes large quantity of cold water at long intervals. Angry and ailments from anger and cold after warm.
  • Carbo veg: Profuse, yellow, expectoration, dyspnoea, much rattling in chest and buming. Concomitant with diarrhoea and ‘distension of abdomen. Amel. by eructation. Agg.- from milk. Desires for salt and sweets.
  • Hepar sulph: For loose, choking rattling cough with moist rales, the expectoration is yellow, hoarse voice, very sensitive to cold. Agg. From cold and at night. The patient is very chilly, hurry, restless and oversensitive. Desires for sour and pungent foods. All discharges are with sour dour.
  • Ipecac: The rales are londer and coarser with much coughing, which does not being out the sputum. Tendency to vomiting and nausea hemorrhage and difficult respiration, patient is thirstless with clear tongue.
  • Kali carb: When sharp stitches in the chest along with dyspnoea, choking cough and great weakness. Agg. at midnight after and cold. The patient is fat, chilly, oversensitive and weak. Desires for sweets and sour.
  • Kali bich: Where the mucus is tough and difficult to raise. Agg. from cold and periodically at specific day or season. The patient is very chilly, altemative rheumatism and phlegmatic condition.
  • Lycopodium: Worse from stretching the arms, Stooping and lying down on the left side, from eating or drinking cold things. Agg. from 4 p.m. —8 p.m. The patient is chilly, angry, greedy and lazy. Affected on right side. Desires for warm food, drinks and sweets.
  • Phosphorus: Paroxysmal cough with pain below chest, suffocative pressure in the upper part of chest with constriction of larynx, hoarseness with mucus rales, bloody and sputum purulent having or salty or sweetish taste. The patient is lean, very sympathetic, restless, absent minded, sharp intellect and susceptible to hot. Fear of darkness and thunder-storm. Unable to lye on left or affected side.
Updated: April, 1 2015

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