Talk:Nosebleed

message: There seems to be a consensus that cocaine causes nosebleeds, but the article https://en.wikipedia.org/wiki/Controlled_Substances_Act#Schedule_II_controlled_substances says it's used to stop them.  — Preceding unsigned comment added by 2001:56A:F330:5A00:F04F:5281:4DFE:ADD8 (talk) 02:04, 23 August 2017 (UTC)
replies: text: Cocaine acts as a vasoconstrictor, which does indeed stop nosebleeds acutely. Long term use of cocaine may cause chronic nasal problems that may lead to nosebleeds. Prophylax (talk) 20:47, 27 April 2024 (UTC)
thread_title:  Cocaine and nosebleed 

message: I am an Ear Nose and Throat Surgeon from the UK. I have updated the article inline with current medical opinion and best practice and addressed some anatomical and conceptual misconceptions, hopefully whilst keeping the article within the scope of the layman. Many of the suggested treatments were quite anecdotal. As Wikipedia may be a patients first port of call for advice I feel it best to include only medically approved first aid measures. If anyone has any techniques they use to control their regular nosebleeds perhaps they could add them in a further section.  The picture is a little explicit but not inappropriate. Perhaps an anatomical diagram would also be useful.
Please feel free to comment. DrProwse (talk) 19:31, 9 January 2008 (UTC)
replies: text: You are empowered to provide a better one. Don't break your nose for it, though. JFW | T@lk 01:55, 21 Nov 2004 (UTC)

text: It looks like "Broken nose" redirects to "nasal fracture" now. Prophylax (talk) 20:48, 27 April 2024 (UTC)

text: Thanks! It looks like the diagram with Kiesselbach's plexus has been added Prophylax (talk) 14:41, 28 April 2024 (UTC)
thread_title: MEDICAL PROFESSIONAL REVIEW

message: There is a difference between having a picture of a potato and having a picture of some guy that may have a nose bleed.
:It is encyclopedic to have a picture. Rls probably does not like being compared to a potato. Be a good boy and leave the picture there until you're able to upload something better. Please do not harm any fellow human beings in the process. JFW | T@lk 21:08, 14 Mar 2005 (UTC)
replies: text: Are we being POV against rugby players by suggesting that getting whacked on the nose and having a nosebleed is normal in rugby? ;) BTW, AFAIK, women often (sometimes?) have nosebleeds due to pregnancy (which seems to be missing in the text content), so maybe we should have a photo of a pregnant woman with a nosebleed as well... (No, i don't have a photo.) But then there would be the association of violence in rugby and pregnancy - this could turn into a whole can of worms... Better pretend i didn't say anything. ;) Boud 23:46, 14 July 2005 (UTC)

text: If it helps at all, it didn't particularly hurt. Compared to, say, having it straightened back out anyway. Rls 13:06, August 15, 2005 (UTC)
Well, this picture grossed me out a lot.  Maybe the picture should be added at the bottom of the article wtih a disclaimer before it.  My first reaction to this article was gross because the picture is really gross, and I usually am able to tolerate things like this.    People may not be able to read and learn from this article wtih this picture here. I wanted to remove it, and it seems like many other people also wanted to too. 06:17, 15 March 2006 (UTC)

text: When you request an article on nosebleeds you get to see a nosebleed. We don't censor for this purpose. JFW | T@lk 07:17, 15 March 2006 (UTC)

text: We can have the picture , just at the bottom. 19:37, 15 March 2006 (UTC)
replies: text: When I originally objected to the photo, it was because of dude's broken nose.  But it was mostly tongue in cheek.  I think a photograph of a nosebleed is fine. Ramsquire 17:14, 5 October 2006 (UTC)

text: Get over yourself. It's the same thing as having a picture of a penis in the penis article. Or having a picture of a man or a woman in their respective articles (you should see the controversy regarding pictures on their talk pages). Go ahead, try taking it down. I'll bet that'll go over like a lead balloon. 198.30.62.212 (talk) 03:36, 18 February 2008 (UTC)
thread_title:  Note on removal of the nosebleed picture from this article 

message: In reply to the section above, I've had silver nitrate applied where the wound is, but it's acutely painful!  It's also to my understanding it can scar, thus promoting further nose bleeds.
Petroleum jelly is pretty nasty to smell (a good reason why I avoid it).
My best defense is to hit the shower (or the sink if I'm in public), and massage the nostrils from the inside with water.  It usually cauterizes in minutes, and recurrence is less frequent and mild (if at all).  It usually lasts me some days to many weeks. — Preceding unsigned comment added by 66.219.200.235 (talk) 19:31, 14 August 2005 (UTC)
replies: text: Silver nitrate is often used in a clinical setting to cauterize an obvious blood vessel that could be the source of bleed. Water does not "cauterize" a bleed. Prophylax (talk) 20:50, 27 April 2024 (UTC)

text: I believe the above commenters mean "coagulate", which is the clotting of fluid (blood). To "cauterize" means to apply heat to seal a wound (or nosebleed) by burning the tissue. Cauterization requires skill, so it's best left to trained staff. — Christopher, Sheridan, OR (talk) 00:30, 12 November 2020 (UTC)
thread_title:  Silver Nitrate vs. plain old water 

message: *I have started using a dime in between my upper lip and gums, where the middle part of my nose is. I was told that adding pressure with the dime reduces the circulation to the nose and therefore allows the wound to clot quicker/with less blood. - User not logged in: kpwa_gok
*sticking a coin in your mouth is never a good idea. Coins carry hundreds of strands of bacteria, and you are in effect giving them a free ride into your body
* Ah! I was told that the twisting a paper towel or napkin "like a Doobee" and placing it between the upper lip and gums has the same effect, cutting off a blood vessel that travels from between the front teeth to the source of the nosebleed thus assisting in the clotting process. I... guess this has helped my recent bleeds. I have seen this in other places on the web, but can't seem to find any official verification. Any of you know of a good source for this? --Dagibit 15:07, 30 January 2007 (UTC)
thread_title:  Use a dime 

message: This looks like a good ref. for refractory bleeds -- 
Jackson KR, Jackson RT. Factors associated with active, refractory epistaxis. Arch Otolaryngol Head Neck Surg. 1988 Aug;114(8):862-5.  
It's one that thought to be included when the article is cleaned-up. Nephron  T|C 23:35, 14 May 2006 (UTC)
thread_title:  Refractory bleeds 

message: "Sometimes in more severe cases, the blood can come up the sinus and out from the eye." If you have a sinus connecting your eye, there's seriously something wrong with you. This sounds like someone thinks its the maxillary sinus. The only space normally connecting the orbital and nasal cavities is the nasolacrimal duct, which isn't a sinus. I can't see how blood could possibly go up through that either unless the anterior and posterior nares were blocked.--KX36 16:47, 28 January 2007 (UTC)
replies: text: I suppose the blood could be wicked up the nasolacrimal duct. --BennyD 15:21, 30 January 2007 (UTC)
replies: text: Haemolacria? Antelan talk 05:19, 20 August 2007 (UTC)

text: That is correct. Blood can travel retrograde up the nasolacrimal duct. Prophylax (talk) 14:44, 28 April 2024 (UTC)
thread_title:  "Sometimes in more severe cases, the blood can come up the sinus and out from the eye."? 

message: Can dryness be a cause of nosebleeds? 74.112.49.141 02:16, 6 February 2007 (UTC)
replies: text: I second that question. Anybody? --Nathanael Bar-Aur L. (talk) 16:03, 27 December 2007 (UTC)

text: I know that during the dry winter months I have regular nosebleeds, which almost completely stop during the humid summer months.  Sleeping with a humidifier on seems to help keep the nosebleeds down too . . . --Stvfetterly (talk) 17:14, 9 January 2008 (UTC)

text: I would guess because dry skin is significantly easier to break?  —Preceding unsigned comment added by Petitphoque (talk • contribs) 11:28, 30 April 2008 (UTC)

text: Yes dryness is a cause of nosebleeds, which is why some people are more prone to them in the winter. Dryness makes the nasal mucosa more likely to be damaged. Prophylax (talk) 20:52, 27 April 2024 (UTC)
thread_title: Dryness: Cause?

message: Removed "It is not recommended because the removal of the gauze will remove the clot. Eventually the body will stop clotting and the nasal passages will have to be cauterized. " from treatment section. Removal of the nasal packing does not remove the clot all the time and you say it is not recommended yet you site no source. Remember the no original research policy. Nasal packings are used in emergency rooms as well as commercial products available over the counter. Joneboi 23:19, 8 February 2007 (UTC)
thread_title: Cauterization

message: Vitamin K is supposed to help the blood clot and thus prevent some nose bleeds. --165.230.46.152 13:13, 22 March 2007 (UTC)
thread_title:  Prevention 

message: Has anyone considered adding the fact that nosebleeds are often used in animated series to depict sexual perversion, particularly Japanese anime?  —Preceding unsigned comment added by 76.106.216.224 (talk) 05:51, 29 December 2007 (UTC)
thread_title:  Nosebleeds in popular culture? 

message: Hi, While I don't have a verifiable source, I don't believe in the practice of tilting the head forwards. From what I understand, the currently accepted practice is to keep the head in the neutral position. Until provided, i've added citation needed.
Also, i _did_ read a primary scientific paper showing that ice does not have any beneficial effect. I'll be looking for the reference and will post it as soon as I find it. -- Woops... okay found it, here it is.
http://www.ingentaconnect.com/content/bsc/cot/2003/00000028/00000006/art00013
I'm modifying the article, please correct me if i make any style errors.
Comments?
_James
purpleidea (talk) 17:47, 30 January 2008 (UTC)
replies: text: Correct. One should tilt the head forward (while pinching the nose) because tilting the head backwards could cause blood to go into the airway, which should be avoided. Prophylax (talk) 20:54, 27 April 2024 (UTC)
thread_title:  Head Position Incorrect 

message: I want to thank the combined editors here for helping me stop a horrendous bleeding nose. It was a surprise gusher as I have never really  had them before. Between the information here confirmed by the external link I was finally able to stop it after several hours. A trip to the hospital on a Saturday night was not going to happen. I finally packed with guaze and used ice bags to slow it down.  —Preceding unsigned comment added by 71.139.48.11 (talk) 00:42, 12 January 2009 (UTC)
replies: text: It's great that the information here was sufficient to help you stop your nosebleed! Prophylax (talk) 14:46, 28 April 2024 (UTC)
thread_title:  Thank you to all the editors here 

message: "(From the Wikpedia article Epistaxis .)"
For some odd reasons the reference given is referencing this article. I think a better source is needed for that information. -su88 (talk) 07:39, 2 February 2009 (UTC)
replies: text: I found a document with that information. For anyone who would like to verify, that pdf file is 3.6MB large; try to download it instead of opening it in a browser if your computer is slow. -su88 (talk) 08:33, 2 February 2009 (UTC)
thread_title:  "It accounts for only 0.001% of all deaths in the U.S." 

message: In the list of possible local causes for epistaxis, "Intranasal tumours" is listed on the same level as "Inflammatory reaction" or "foreign bodies" without any kind of explanation.
I do not agree with this policy. It is certainly true that intranasal tumours may be the cause for epistaxis, but this is an extremely rare and unlikely cause when compared to nose-picking or inflammatory reactions. 
All this will achieve is to concern people bleeding from the nose (an extremely current condition) that they have cancer.
Would it be possible to mention somewhere that "intranasal tumours", "heart failure"..etc are very unlikely causes to epistaxis (although possible causes)?
Thanks,
F.  —Preceding unsigned comment added by Umgambit (talk • contribs) 01:15, 9 April 2009 (UTC)
replies: text: I tried to separate the most common causes, but for many I cannot tell whether they are common or not. The formatting I did is probably very wrong. I could not find a way of adding the reference to the list without breaking the format, and put it as an external link instead. I would appreciate if someone can complete the work. -su88 (talk) 15:01, 25 May 2009 (UTC)
thread_title:  Causes for Epistaxis 

message: Links go dead; title, author and date help when they fail. Is there a tool to automate propering citations? --Lexein (talk) 06:20, 26 January 2010 (UTC)
thread_title:  Links are not cites 

message: There's an unreferenced statement at the beginning of this article stating that Attila's death was due to epistaxis, but other sources say that - due to his history of alcohol usage - he died due to portal hypertension-related esophageal variceal bleeding.
MedScape article.
Not that this is a large point of contention with the article, but for accuracy's sake, I suppose it should be noted. Jjlongoria (talk) 19:20, 27 January 2010 (UTC)
replies: text: I noticed this as well. It also mentions that he had contact with Pope Leo I shortly before his death, when Pope Leo I died 8 years before Attila the Hun. sxebill (talk) 13:29, 29 August 2010 (UTC)
thread_title:  Attila the Hun 

message: You know  a  very  effective way of  treating a  small nosebleed is too roll up a tissue and stick it up your nose not too far just enough works for me allot but not when i get a big nosebleed. btw never  block your nose  when your sneezing as  I found out it can  burst a vane  and cause  a  big long nosebleed. another  things  i notice  with my    nosebleeds is sometimes   when  my  nose  is block by snots or something that  the blood  comes up   too my  mouth.btw  sometimes   when i have a  nose bleed    blood  comes on my mouth  just hope this  info helps.  —Preceding unsigned comment added by 86.41.153.52 (talk) 21:29, 21 July 2010 (UTC)
thread_title:  tissue paper and  sneezing and other things 

message: Perhaps there should be a line including a warning to not tilt the head backward, due to the risk of blood pooling into the brain. Is this a possibility? 168.16.133.111 (talk) 22:51, 23 August 2011 (UTC)
replies: text: Blood pooling in the brain? Nope, that's nonsense. JFW | T@lk 12:58, 20 July 2017 (UTC)

text: Blood does not pool in the brain from a nosebleed. The reason to not tilt the head back is to avoid blood entering the airway. Prophylax (talk) 14:48, 28 April 2024 (UTC)
thread_title:  Additional warning? 

message: Shouldn't the title of this article be changed from Nose Bleed to Epistaxis.  In the manual of style, t says that the title should be the technical medical term and not a slang term.JEMZ1995 (talk) 18:22, 19 February 2014 (UTC)
thread_title:  Change of Title 

message: Do we need this section? After all, it is a medical article. If we allow this teenager IP obsesion with sex to infiltrate WP articles, soon we are going to have similar section on articles on fruit, seafood, makeup, ..... Yes, we have pervs in all societies, yes, we are obssessed with sex. But surely we don't need to go on about it where it does not belong. Rui Gabriel Correia (talk) 19:44, 21 May 2014 (UTC)
thread_title:  Section on society and culture 

message: The sentence "This is based on a Japanese folk belief according to which nosebleeds are signs of sexual excitement." was cited to this blog post, which I've removed. I've tried to find a better source or alternative explanation, but cannot. The closest I could find, were these threads, http://anime.stackexchange.com/questions/5193/origins-of-the-nose-bleed-in-anime-manga/22566 and http://anime.stackexchange.com/questions/39/does-the-bloody-nose-trope-necessarily-imply-a-sexual-situation which have a variety of conflicting anecdotal evidence, and links to more of the same. Hope that helps or inspires future researchers to look further... Quiddity (talk) 19:25, 15 November 2015 (UTC)
thread_title:  Japanese folk belief 

message: doi:10.1136/emermed-2015-205528 JFW | T@lk 12:57, 20 July 2017 (UTC)
thread_title:  ED management of paediatric epistaxis 

message: I am a 4th year medical student pursuing a career in emergency medicine who is enrolled in a Wikiproject course designed to enhance the quality of information of on Wikipedia through the WikiMed project. Over the next four weeks I will be editing this page to provide more up to date and succinct information of the management, epidemiology, and pathophysiology of epistaxis. Nose bleeds are very common and their management is fairly basic in most cases. I hope to clarify the steps required to manage a basic nosebleed as well as treatment options for refractory cases. 
    This article has been rated as Start-Class on the project’s quality scale and is rated as mid-importance on the project’s importance scale. I aim to improve this page by improving the level of detail using quality resources from medical databases. Here is a list of the sections I hope to improve:
    -Causes: I hope to clarify and better quantify the causes of epistaxis. As it stands, the section reads as more of a list of causes, and does not specify the most common causes. I would like to clarify the existence of common causes (such as nose picking or dry environment), as well as associated conditions that can cause nosebleeds (such as Von Willebrand). Cited sources are also absent from this section.
    -Pathophysiology: This section contains some good information on pathophysiology that can be expanded. I would like to better contrast anterior vs posterior bleeds, detailing their epidemiology and severity. I would also like to add some anatomical pictures to this section that better convey structures such as Kiesselbach’s plexus.
    -Treatment: This section contains some information regarding the basic treatment of epistaxis as well as treatment for refractory bleeding. However, I would better emphasize what patients should do (such as pressure) and should not do (such as leaning back). I would also like to emphasize when patients should seek medical management such as going to the ED. Lastly, I would like to list some more invasive treatment options that are used in the ED for refractory cases, such as the nasal rocket. Pictures of treatment options are also not shown and would help understanding.
    -Complications: I believe this page could use a section on complications of not treating nosebleeds, as well as complications of the treatment options for nosebleeds.
I look forward to editing this article. If anyone has suggestions for improvement or opinions on my plan please let me know. Thank you for your help! Mbuchko3 (talk) 22:07, 24 October 2018 (UTC)
thread_title:  WikiProject Medical Student Edit 

message: Hello, Aggie Boron here from the WikiMedicine Project here to peer review the Nosebleed article. Overall, great job! But here are some suggestions: 1) Please cite every sentence (this is something Dr. Lebowitz mentioned that we have to do) 2) Under the "cause" section, under "traumatic" -> "septal spurs", the link for septal spurs does not work I think besides the adding citations the sentences not cited, it is a great article!
Aboron93 (talk) 03:32, 14 November 2018 (UTC)
replies: text: Kayteeultra (talk) 03:58, 14 November 2018 (UTC)
thread_title:  WikiProject Medicine Peer Review 

message: A discussion is taking place to address the redirect :Nosebleed (redirect). The discussion will occur at Wikipedia:Redirects for discussion/Log/2021 January 29#Nosebleed (redirect) until a consensus is reached, and readers of this page are welcome to contribute to the discussion.  𝟙𝟤𝟯𝟺𝐪𝑤𝒆𝓇𝟷𝟮𝟥𝟜𝓺𝔴𝕖𝖗𝟰 (𝗍𝗮𝘭𝙠) 07:40, 29 January 2021 (UTC)
thread_title:  "Nosebleed (redirect)" listed at [[Wikipedia:Redirects for discussion|Redirects for discussion]]