MADRID, DECEMBER 24 (EDITIONS) –
Virtually everyone, at some point in our lives, bleeding our nose. It is very common, especially in the extreme ages of life, in childhood and in the elderly.
"The causes differ according to the. In the case of children, it can occur, for example, by the direct impact of a bullet or by catching the nose too much; while in the elderly they are usually due to the fragility of the blood vessel wall in the nostril. In fact, with age it is easier for the blood vessel to rupture and, obviously, more in the nasal cavity, "said the Spanish Red Cross Health Plan doctor, Juan Jesús Hernández, in an interview with Infosalus.
From the medical point of view, it explains that it is an internal hemorrhage exteriorized by a natural orifice, in this case the nose. "The vast majority are self-limited, which means that within a few minutes they will be controlled. There has to be a medical problem or more traumatic medical trauma so they really complicate and need a transfer to the Emergency Department, "says the specialist.
In fact, he insists that usually, doing nothing, in about 10 minutes the nose bleeds are controlled. "The first relief that must be done is always the pressure in the bleeding well. Never connect with paper or cotton, is always contraindicated because it does not really do anything, "says the first-aid specialist.
On how to intervene in the face of a nosebleed, first and foremost after a coup, Hernández advises evaluate that there is no excessive pain after direct pressure on the nose, since in this case it will be necessary to transfer to the medical center for possible fracture.
If there is no pain, the following indication is Directly press the outer area of the nose, specifically over the bleeding pit, and more precisely than on the nose bone flange, where the fin begins of the same. "It is at this moment that you have to press, and also with your head always leaning forward." You have to press the rim, especially tilting your head down, to avoid a feeling of disgust and vomiting, which can make the situation worse, or the person chokes on their own blood and a worse problem arises, "he explains.
The Red Cross doctor states that only the doctor at the health center or rescue center will contain the nasal cavity if he deems it necessary, but should never be done by anyone other than a health care provider. Simply, as he insists, with direct pressure on the nostril bleeding in 10 minutes, the bleeding should be controlled. If it is not resolved in that approximate time, then you should go to the Emergency Department, Hernandez advises.
Another danger of To cover with cotton the bloody nostril is that this loose material hair, which in turn can affect the healing bleeding. "In some cases, in addition, there is a danger that this ball-shaped cotton will be sucked and moved to the bottom of the nostril, so not only will we have a nose bleed, but also a foreign body that will have to be removed. health, which means that the tampons represent part of a treatment that health personnel should always do, "he reiterates.
On the other hand, once the bleeding is controlled, the specialist recommends Do not blow your nose in for at least an hourbecause if you do not run the risk that the formed clot will break again, the bleeding will restart.
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Dr. Hernandez highlights a very important aspect about nose bleeds in cases of major trauma, People who are unconscious after a fall or accident, from a bleeding with altered consciousness, after a major trauma, may indicate that there is a fracture of the bones of the skull.
"This is in this case a very serious situation, you have to call 112 as quickly as possible. In addition, the affected person should be moved as little as possible, as there is a risk of doing so inappropriately and, consequently, of causing injury to the spinal cord. These fractures are manifested by bleeding from the ear or nose, or by a bruise around the eyes. Here too there would be no tamponade because if it is blocked, the intracranial pressure can be increased. But they are exceptional cases, "he warns.
On the other hand, the Red Cross take into account the people who are in pharmacological treatments that interfere in the coagulation and, therefore, that will cause that the evolution of this hemorrhage. "In these cases, the bleeding will be harder to control because I take a medication that prevents blood clots, so whenever there is bleeding, this patient always needs a faster medical evaluation, because I already take something that prevents me from clotting." , he emphasizes.