Nose bleed acute and chronic (Epistaxis)

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Treatment options for acute nosebleeds
  • Co-phenylcaine spray
  • Nasal Cautery if bleeding site can be identified
  • Nasal packing e.g. Merocel nasal tampons
  • Consider coagulation status (warfarin etc)
  • Admit to hospital

Nosebleeds can be serious and life threatening.

For patients who have had recurrent nosebleeds consider advising the patient to:

  • Rest at home for the next 48 hours
  • Do not pick or blow nose
  • Do not bend down, strain, exercise, or lift anything heavy
  • Avoid hot food and drinks, alcohol and smoking
Editorial Information

Last reviewed: 30 November 2015

Next review: 30 November 2017

Version: 1

Approved By: high-uhb.tam@nhs.net

Reviewer Name(s): Mr Angus Cain

Document Id: TAM177