CANTIKA.COM, Jakarta – Nosebleed is bleeding from the tissue inside the nose (nasal mucous membranes) caused by ruptured blood vessels. Most nosebleeds in children occur in the front of the nose close to the nostrils. Prof. Zubairi Djoerban, an internal medicine specialist, through his Instagram account @profesorzubairi shares about the causes and ways to deal with nosebleeds.
According to him, nosebleeds do not depend on time. Can be day or night and does not depend on conditions. Nosebleeds can also occur when healthy or sick.
In some children, nosebleeds can occur because there is a collection of blood vessels that are vulnerable naturally bleeding, namely Kiesselbach’s plexus. Located at the back of the nasal septum and adjacent to the nasal bone. The bleeding in the Kiesselbach’s plexus may stop on its own.
Meanwhile, nosebleeds are difficult to stop if they occur in bleeding behind the nose and occur in the elderly, severe hypertension, or hard nasal bone trauma. Bleeding at the front of the nasal cavity can be triggered by the weather, too hot or too cold. Nasal infections and allergies can also be a cause.
In addition, the habit of picking the nostrils can also cause nosebleeds. For example rubbing, scraping, or blowing your nose too hard, so that the blood vessels burst.
People with hypertension, tumors in the nose or nasopharynx, both malignant and benign, blood disorders, hemophilia, too low platelets, dengue fever, can also cause nosebleeds.
The best solution if your child or yourself often has nosebleeds, consult an ENT doctor for a more definite check. If deemed necessary, catheterization can be performed on the blood vessels that cause nosebleeds. If a blood clotting disorder is suspected, refer to a consultant haematologist in internal medicine.
The most important way to stop a nosebleed is not to panic and wash it off with water. Pinch your nose with your thumb and index/ring finger. Slip a cotton ball rolled up like a cigarette in the bleeding nostril.
Press while continuing to pinch toward the hard bone of the nose. Hold this position for about five minutes. While pinching the nose, the child sits with the body leaning forward so that if blood flows into the mouth it is not swallowed. You can also use ice that is placed on the nostril that is bleeding at the border with the hard bone, then pressed against the upper lip.
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