Nosebleeds occur quickly and unexpectedly — most commonly as a result of dryness in the air, which in turn causes rupturing and cracking the dry nasal membrane.  Sinus infections and allergies can also trigger nosebleeds, as well as trauma to the nose.  Sometimes it can simply be just a wandering young finger.
Nosebleeds from dryness will naturally occur more often in the winter, when people are moving from frigid to heated air. Â If there is a history of epistaxis in the family, it is likely to show up again in young ones. Â Hypertension can contribute to epistaxis. Â Those who work around chemical fumes or smoke might be susceptible. Â People on blood thinners such as Coumadin may also be at higher risk for a nosebleed.
The most immediate trick is to pinch the nostrils to stop the blood flow. Â Reclining back the head will also help slow the blood flow. Â Hold the nostrils pinched together for at least 10 minutes before looking to see if the bleeding has stopped. Â A humid environment will help ease the dryness of the sinus membranes, as will a nasal lubricant which may be suggested by your physician. Â For more stubborn nosebleeds, a physician might recommend packing the nasal cavity with gauze or even performing surgical cauterization of the offending blood vessels in the nose.
If the bleeding does not slow down in a few minutes or the blood loss is abnormally large, causing weakness or dizziness, seek emergency medical care right away.
For more information on nosebleeds, see the following websites:
eMedicine Information Overview of Epistaxis
WebMDÂ Nosebleed First Aid
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