Discover the usual triggers of nasal hemorrhages and understand the causes that cause them frequently. Necessary information about the causes of nasal hemorrhages.

Epistaxis, commonly known as nasal hemorrhage, is a frequent medical condition characterized by the bleeding of the nasal cavity. Although occasional nasal hemorrhages are usually harmless and resolved by themselves, recurrent or frequent nasal hemorrhages may indicate an underlying medical problem. Understanding the causes of frequent nasal hemorrhages is crucial to effectively control and treat this condition.

There are several factors that can contribute to recurrent nasal hemorrhages. A possible cause is the dryness of the nasal membranes, which may be due to dry climates, low levels of humidity or excessive use of nasal aerosols. Drying can cause the appearance of scabs in the nasal cavity, which makes blood vessels delicate and prone to bleeding. Another frequent cause is trauma or nose injuries, which may be due to the nose, sound with strength or nasal fractures. In addition, high blood pressure, also known as hypertension, can contribute to nasal hemorrhages by excessive pressure on blood vessels of the nose.

Important information:

1. The dryness of the nasal membranes due to dry climates, low humidity and excessive use of nasal aerosols can cause frequent nasal bleeding.
2. Trauma or nose injuries, such as stoating your nose with strength or nasal fractures, can cause recurrent nasal hemorrhages.
3. High blood pressure, also known as hypertension, can contribute to nasal hemorrhages by exerting pressure on the fragile blood vessels of the nose.

Dry Air and Low Humidity

Dry air and low humidity can have a significant impact on nasal ducts, which increases the risk of nasal hemorrhages. The nostrils are covered with delicate blood vessels that can easily dry out and irritate themselves with dry air. When the air is dry, it can cause the nostrils to dry out, making them more susceptible to injuries and hemorrhages. In addition, low humidity levels can cause the mucous membranes of the nose to dry out and form scabs, making them more prone to irritations and hemorrhages.

Important information:

Dry air and low humidity are the usual culprits of frequent nasal hemorrhages. If you live in a dry climate or regularly exposed to dry environments, it is important to take measures to increase moisture of the air and keep the nostrils hydrated.

Nasal allergies and sinusitis

Sinusitis, meanwhile, refers to the inflammation of the sinuses, which are cavities full of air located inside the facial bones. This inflammation may be due to bacterial, viral or fungal infections, as well as other factors such as structural allergies or anomalies. When breasts are obstructed and filled with mucus, an ideal environment is created for bacteria or viruses to grow, which causes symptoms such as pain or facial pressure, headache and difficulty breathing through the nose.

Nasal allergies:

1. Triggered by allergens such as pollen, dust mites or pet dandruff.
2. Results in an exaggerated reaction of the immune system
3. Symptoms include sneezing, itching and nasal congestion.

Sinusitis:

1. Inflammation of the paranasal breasts
2. Caused by infections, allergies or structural anomalies
3. Symptoms include facial pain, headache and difficulty breathing through the nose

Nose Injury and Trauma

Nasal fractures: A common form of nose injury is the nasal fracture, which refers to a breakage or fissure in nostrils. These fractures can occur as a result of accidents, falls, sports injuries or physical altercations. The impact or direct trauma on the nose can cause serious bleeding, and the fracture can also cause a deviation from the septum, which further increases the probability of recurrent nasal hemorrhages.

A nasal fracture can cause pain, swelling and important bruises in the nose. In some cases, it can be accompanied by a crooked nose or difficulty breathing. It is crucial to seek medical attention immediately when a nasal fracture is suspected to avoid subsequent complications.

Cortes and nasal lacerations: Another type of nasal lesion that can cause frequent nasal hemorrhages are nasal cuts or lacerations. These lesions usually occur as a result of accidents, such as contact of sharp objects with the nose. The fragile blood vessels of the nasal lining can be easily damaged, causing hemorrhages difficult to control.

When a nasal cut or laceration occurs, it is essential to apply direct pressure on the affected area to help stop the bleeding. Going to the doctor is advisable to ensure proper wound care and minimize the risk of infection or subsequent complications.

Types of Nose Injuries and Their Impact

In addition to nasal fractures and nasal cuts, other forms of nasal injuries and trauma may contribute to frequent nasal hemorrhages. They include:

1. Nasal foreign bodies: objects housed in the nostrils can cause nasal hemorrhages due to the irritation or injury of the nasal lining.
2. Nasal polyps: no n-cancerous growths in nostrils can cause chronic inflammation and recurrent nasal hemorrhages.
3. Sinusal infections: sinuses infections can cause nasal congestion and inflammation, increasing the probabilities of nasal hemorrhages.

Understanding the different types of injuries and nasal trauma is essential to identify the possible causes of frequent nasal hemorrhages. It is important to go to the doctor if nasal hemorrhages persist or are accompanied by intense pain, difficulty breathing or other worrying symptoms.

High Blood Pressure

Frequent nasal hemorrhages, also known as epistaxis, can sometimes be a symptom or a consequence of arterial hypertension. When blood pressure is high, delicate blood vessels of the nasal cavity may be more prone to break, causing nasal bleeding. Although nasal hemorrhages may be due to various factors, such as dry air, allergies or nasal traumatisms, uncontrolled hypertension can exacerbate the frequency and severity of these episodes.

• Hypertension increases the risk of nasal hemorrhages due to the tension it exerts on the blood vessels.
• Epistaxis caused by hypertension usually occurs spontaneously and can be recurrent.
• Persistent or serious nasal hemorrhages must always be evaluated by a healthcare professional.

Note: It is important that hypertensive people adequately control their disease to minimize the risk of complications, including nasal hemorrhages. Regularly control blood pressure, take prescribed medications, adopt a healthy lifestyle and avoid triggering factors that can contribute to nasal hemorrhages are essential steps to maintain general wel l-being.

Blood clotting disorders

There are several types of blood coagulation disorders, such as hemophilia, von Willebrand’s disease and thrombophilia. Hemophilia is a genetic disorder characterized by deficiency or absence of specific coagulation factors, mainly factors VIII (hemophilia a) or IX (hemophilia B). This causes prolonged bleeding and difficulties for coagulous formation. Von Willebrand’s disease, on the other hand, is the most frequent hereditary hemorrhagic disorder and is caused by a deficiency or dysfunction of the Von Willebrand factor, a protein that plays a crucial role in coagulation. Thrombophilia encompasses a group of conditions that increase the risk of blood clot formation, such as the leiden factor V mutation or protein deficiencies C and S.

Important information:

• Blood coagulation disorders can cause excessive bleeding or a greater risk of training blood clot formation.
• Hemophilia is characterized by a deficiency of coagulation factors.
• Von Willebrand’s disease is caused by a deficiency or dysfunction of the Von Willebrand factor.
• Thrombophilia increases the risk of blood clot formation.

The diagnosis of blood coagulation disorders implies a combination of evaluation of medical history, physical exploration, laboratory tests and genetic tests. The treatment options vary depending on the specific disorder and its gravity. For example, people with hemophilia may require replacement therapy with coagulation factor concentrates, while individuals with von Willebrand’s disease can benefit from medications that stimulate the release of the Von Willebrand factor. In thrombophilia cases, anticoagulant medications can be prescribed to prevent the formation of blood clots.

The proper treatment of blood coagulation disorders implies close surveillance, periodic reviews and lifestyle modifications to reduce the risk of complications. It is important that people with these conditions collaborate closely with their health professionals and follow the recommended treatment plan to avoid excessive bleeding or complications related to blood clots.

Use of certain medications

1. Anticoagulants: medications used to prevent the formation of blood clots, such as warfarin, heparin or aspirin, can increase the risk of nasal hemorrhages. These drugs act interfering with the blood coagulation capacity, which can cause prolonged nasal bleeding.

Caution: Patients who take anticoagulants should be aware of the possible side effect of nasal hemorrhages and should consult their doctor if they experience frequent or prolonged nasal hemorrhages.

2. No n-steroidal ant i-inflammatory drugs (NSAIDs): medications such as ibuprofen and naproxen, usually used to relieve pain and reduce inflammation, can also increase the risk of nasal bleeding. These drugs can interfere with platelet function, diminishing the ability of blood to form clots and may cause nasal hemorrhages.

1. It is important that the people who take NSAIDs are aware of this possible side effect.
2. If nasal hemorrhages occur frequently or are persistent, medical advice should be sought to evaluate the need for alternative options for pain relief.

3. Di s-crushing nasal aerosols: excessive or lon g-term use of decongestant nasal aerosols, such as oximetazoline or phenylephrine, can cause chronic irritation and damage to the nasal mucosa. This irritation can cause the blood vessels of the nose to become more likely to bleed, which causes frequent nasal bleeding.

Nasal Tumors and Polyps

Causes:

There are several factors that can contribute to the development of nasal tumors and polyps. Chronic inflammation of nostrils, known as chronic rinosinusitis, is a frequent underlying cause. This condition leads to the formation of abnormal tissue growth due to prolonged irritation and inflammation. In addition, certain genetic and environmental factors can increase the risk of developing nasal tumors and polyps, although the exact cause is often unknown.

Chronic Rinosinusitis is an important risk factor of nasal tumors and polyps, since it can cause the development of abnormal growth in the nasal cavity. Genetic and environmental factors can also play a role in the formation of these growth.

Symptoms:

The symptoms of nasal tumors and polyps may vary depending on their size and location. Common symptoms include nasal congestion, difficulty breathing through the nose, frequent nasal hemorrhages, pain or facial pressure and postnasal drip. In some cases, these growths can also cause loss of smell or taste. It is important to note that, while nasal polyps are usually benign, nasal tumors can be cancerous. Therefore, it is crucial to seek medical attention for a correct diagnosis and proper treatment.

1. Nasal congestion
2. Difficulty breathing through the nose
3. Frequent nasal hemorrhages
4. Pain or facial pressure
5. Postnasal drip
6. Loss of smell or taste (in some cases)

Treatment:

The treatment of nasal tumors and polyps usually consists of a combination of medical and surgical interventions. In mild cases, medications such as nasal corticosteroids can be prescribed to reduce inflammation and reduce the size of tumors. However, if the symptoms persist or tumors are large and obstructive, surgical removal may be necessary. Endoscopic surgery of the sinuses is a frequent procedure to remove tumors and nasal polyps. It consists of using a small and flexible tube with a camera to visualize and remove tumors minimizing tissue damage.

Alcohol Consumption and Smoking: Their Impact on Health

Alcohol consumption is a very widespread practice that can have both short and lon g-term effects on the body. In the short term, excessive alcohol consumption can cause dehydration, which can contribute to the dryness of nostrils and greater propensity to nasal hemorrhages. In addition, alcohol acts as a vasodilator, which means that blood vessels widen and can increase blood flow to nasal tissues, making them potentially more prone to bleeding. It is important to note that, although occasional or moderate alcohol consumption may not have a significant impact on nasal hemorrhages, excessive or chronic alcohol abuse may increase risk.

Note: Excessive or chronic alcohol abuse can amplify the risk of nasal hemorrhages.

On the other hand, it is widely demonstrated that smoking has numerous harmful effects on health. With regard to nasal hemorrhages, smoking can affect the entire respiratory system and increase the chances of suffering regular episodes. The chemical substances present in the smoke of tobacco can irritate and damage the delicate tissues of the nostrils, which causes inflammation and greater vulnerability to the nasal hemorrhages. In addition, smoking compromises the immune system, which hinders the healing of possible injuries related to nasal hemorrhages.

Note: smoking compromises the immune system, which makes it healing the lesions related to nasal hemorrhages.

Impact of Alcohol Consumption and Smoking on Health

• Alcohol consumption can cause dehydration and widen blood vessels, increasing the risk of nasal hemorrhages.
• Excessive alcohol abuse amplifies the risk of nasal hemorrhages.
• Smoking irritates and damages nasal tissues, which causes inflammation and vulnerability to nasal hemorrhages.
• Smoking compromises the immune system, which hinders the process of healing lesions related to nasal hemorrhages.

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Author of the article

Dr.Greenblatt M.

Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont