A minor anterior nosebleed may resolve on its own with conservative treatment. Monitoring medications and adjusting dosage may minimize bleeding episodes.
Management of bloody nose can include use of a cold compress, pinching the alae against the septum for 15 minutes, and nasal application of antibiotic. For recurrent, heavy bleeding, packing may be used (eg, Merocel tampon) to achieve hemostasis. Other methods include cautery or nasal balloon catheters. Treatment of recurring posterior epistaxis is more complex and may require hospitalization.
Heparin-induced thrombocytopenia (HIT) is a type of drug-induced thrombocytopenia that typically occurs 5-10 days after the initiation of heparin therapy and is diagnosed using the 4 Ts score (thrombocytopenia, timing, thrombosis, and other causes of thrombocytopenia).
R04.0 – Epistaxis
249366005 – Bleeding from nose
- Incidental finding
- Infections – human immunodeficiency virus (HIV), hepatitis C virus, Epstein-Barr virus, Helicobacter pylori, bacterial sepsis with disseminated intravascular coagulation
- Alcohol use disorder
- Nutrient deficiencies – vitamin B12, folate, copper
- Primary immune thrombocytopenia
- Post-transfusion purpura
- Myelodysplastic syndromes
- Aplastic anemia
Last Updated: 03/28/2019