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Nosebleed2024-04-15T08:59:11+02:00

Nosebleed

You should have very frequent nosebleeds checked by a doctor.

Why can a nosebleed occur?

Most bleeding from the nose is only mild. Nosebleeds can have many causes: Allergies, infections or dehydration that causes itching and scratching of the nose. Sometimes a strong sneeze that ruptures surface blood vessels in old people and children can also cause a nosebleed. Severe nosebleeds can also occur with blood clotting disorders that run in the family or are a result of medication. Bleeding can also occur in the event of accidents such as fractures of the nose or the base of the skull. In rare cases, however, tumors, both benign and malignant, can also lead to nosebleeds. However, some bleeding is frightening and a few are even life-threatening.

Nosebleed from the front of the nose:
Most nasal bleeding starts in the lower part of the septum, the semi-rigid wall that separates the two nostrils. The septum contains blood vessels that can be torn open by a blow to the nose or a sharp fingernail. This type of nosebleed comes from the front part of the nose and starts with blood flowing from one nostril when the patient is sitting or standing.
Nosebleed from the back of the nose:
In rare cases, nosebleeds can start deep in the nose and flow down the back of the mouth or along the throat, even if the patient is sitting or standing. The source of bleeding is then in the posterior part of the nose. There are blood vessels there that can bleed extremely heavily.

What types of nosebleeds are there?
Apparently, when the patient is lying down, even anterior nosebleeds seem to flow backwards. This applies in particular when the patient coughs or blows his nose. It is important to differentiate, as bleeding from the posterior part of the nose is often worse and almost always requires medical attention. Posterior nosebleeds usually occur in elderly people, people with high blood pressure and in cases of injury to the nose or face. Anterior nosebleeds often occur in dry weather or in the winter months, as the heated, dry rooms dry out the nasal membranes. Dryness can lead to crust formation, cracks and bleeding. This can be prevented by putting a little moisturizer or healing ointment on the tip of your finger and then rubbing it into the nose, especially the middle part of the nose, the septum.

What first aid options are available?
If you or your child have a nosebleed, you can stop the bleeding by following these steps: First, make sure the patient remains calm, especially important with small children. An agitated person could bleed more than someone who is calming down and being helped. Then press all the soft parts of the nose together between your thumb and index finger. Soak a cotton ball with nasal drops (e.g. Otrivin) and insert it into the nostril. Press firmly but gently with your thumb and forefinger in the direction of the face, pressing the compressed parts of the nose against the facial bones. Hold this position for a full five minutes. Hold your head in a higher position than your heart. Sit upright or lean back a little, but keep your head up. Hold crushed ice in a plastic bag or a washcloth to your nose and cheeks.

What else can you do if you have a nosebleed?
Many doctors recommend lubricating/moisturizing creams or ointments. Several daily applications may be necessary, but applying the product every evening before going to bed is normally sufficient. If the nosebleed persists, you should contact your doctor. Through endoscopic control (using a light source in a cylinder), your doctor can find the problem in the nose, which can then be corrected. He or she may recommend cauterization (sealing) of the blood vessel that is causing the trouble

What if it bleeds again?
To avoid renewed bleeding after the actual bleeding has stopped, you should not scratch your nose or blow your nose vigorously. Don’t strain yourself and don’t lift heavy things! Keep your head higher than your heart. Use a humidifier during the dry winter months! If you are still bleeding, you should clean your nose of any blood clots and use nasal drops such as Otrivin. If the bleeding does not stop despite repeating these measures, it is advisable to consult an ENT specialist.

Frequently asked questions

Here we answer the most frequently asked questions

Which medications have dry mouth as a side effect?2024-04-15T08:59:15+02:00

High blood pressure medication, antidepressants and opioids can lead to
lead to dry mouth. However, dry mouth can also be caused by
medication can be strengthened.

What symptoms can occur when the mouth is dry?2024-04-15T08:59:15+02:00

The flow of saliva is important for the mucous membranes of the mouth
and throat. If too little saliva is produced, this can lead to noticeable and
disturbing changes in the oral mucosa: Taste disturbances,
Changes in speech, dry mouth, burning tongue, dry mouth
Lips, bad breath and difficulty swallowing.

What is the cause of a cholesteatoma?2024-04-15T08:59:15+02:00

A cholesteatoma is often caused by an inflammation of the middle ear or a malfunction of the Eustachian tube. This usually results in negative pressure in the middle ear. A so-called epitympanal retraction of the eardrum can occur.

Normally, the Eustachian tube conducts air from the back of the nose into the middle ear. This regulates the normal pressure in the middle ear. An allergic reaction, a cold, a cleft lip and palate, radiation or sinusitis can impair the normal function of the Eustachian tube. A vacuum can develop in the middle ear. The vacuum created sucks in parts of the eardrum that have been weakened by inflammation. This can then be the precursor of a cholesteatoma. Very rarely, there are also congenital cholesteatomas. However, the most common cause of cholesteatomas is ear infections.

Can I park in front of the practice?2024-04-15T08:59:13+02:00

Parking spaces are now available free of charge at the HNO-Center Lucerne. Just ask about the new parking facilities behind the practice if you have an appointment during consultation hours. We will be happy to help you.

Are the operations at the practice on Hünenbergstr. carried out?2024-04-15T08:59:09+02:00

In the practice on Hünenbergstr. we have a practice operating theater that we only use for minor procedures. In principle, we perform all surgical procedures either as outpatients at the Villa Eiche Day Clinic or as inpatients at the Obwalden Cantonal Hospital.

What treatment options are there for dry mouth?2024-04-15T08:59:15+02:00

First of all, the exact diagnosis must be determined. When
another disease is the cause of the dry mouth, the first thing to do is to
the other disease can be treated. If you have diabetes mellitus, you must
the blood sugar level must be adjusted first. If there is a
nasal septum curvature is present, then you should consult a specialist for
Ear, nose and throat diseases discussed about a nasal partition correction
become. Drinking plenty of fluids also has a positive effect, as does the
Use of a humidifier. In the case of nicotine consumption, nicotine consumption should also be
be stopped.

How can Sjögren’s syndrome be diagnosed?2024-04-15T08:59:14+02:00

The body produces antibodies that can be detected in the blood. The antibodies against Sjögren’s syndrome can be determined with a blood test.
(SS-A and SS-B antibodies). Through a microscopic examination
a tissue sample taken from the inside of the lips, the specialist for
ear, nose and throat diseases can prove the diagnosis of Sjögren’s syndrome.

What are the causes of dry mouth?2024-04-15T08:59:13+02:00

The causes of dry mouth can vary.
As part of the natural ageing process, the number and quality of
of the saliva-producing cells. Obstructed nasal breathing can also be a
Increase dry mouth. Occasionally, dry mouth is also a
Symptom of another disease. Saliva production may be reduced
for autoimmune diseases, diabetes mellitus, hepatitis C,
Parkinson’s disease, Alzheimer’s disease and HIV. Also hormonal causes (menopause)
or nicotine abuse can lead to a dry mouth. In Sjögren’s syndrome
dry mouth is often accompanied by dry eyes.

What do I do if I have an enlarged thyroid?2024-04-15T08:59:15+02:00

Sometimes nodules can develop in the thyroid gland. The growth
the knot can sometimes be slow or fast. Patients who have a
have undergone radiotherapy in the head or neck area are particularly prone to
to develop thyroid disease. If the nodes are
growth, it is usually advisable to surgically remove the
thyroid gland.

A thyroid dysfunction or a thyroid nodule is called
diagnosed by taking a medical history and performing an examination.
is carried out. In particular, your doctor will examine your throat and
ask you to lift your chin to allow the thyroid gland to protrude more.
During the examination you will be asked to swallow, which will
helps to feel the thyroid gland and the nodules in it. Depending on
If necessary, arrange for further investigations. In most cases, an ultrasound examination
of your neck and thyroid and laboratory tests of the thyroid gland.
blood to check thyroid function. Likewise, a
thyroid scintigraphy with radioactive iodine may be necessary. Your
doctor performs a fine-needle examination of the thyroid gland, an X-ray examination of the
chest or, in rare cases, computerized tomography or MRI examination for
consider necessary

What are the treatment options for snoring?2024-04-15T08:59:14+02:00

Uvulo-palato-pharyngoplasty (UPPP) is a surgical procedure that is used to treat severe snoring caused by sleep apnea. The procedure is based on shortening the loose tissue of the palate, in particular the elongated uvula (uvula of the palate). The aim of the operation is to tighten the soft palate on the one hand and to shorten the soft palate while preserving the natural soft palate muscle (uvulae muscle) on the other. The front of the mucous membrane of the uvula is removed and sutured to the palate in such a way that the uvula is shortened. As a result, the uvula no longer rests on the base of the tongue. This expands the air passage. The procedure is associated with a short inpatient stay of one to three days. In very rare cases, risks may occur during this procedure. These risks include infections, bleeding, impaired wound healing, post-operative bleeding, speech impairment in the form of open nasal passages, dental damage, temporary to permanent difficulty swallowing and the very rare risk of thrombosis (embolism) during an operation under anesthesia. The ability to swallow is restricted for around 14 days after the procedure, as pain may occur. The pain will be easily treatable with medication. Antibiotic treatment is typically not necessary. In addition to these surgical measures, accompanying, non-surgical measures should be considered by the patient. In addition to these measures, it is important to maintain a healthy and sporty lifestyle in order to achieve good muscle tone and reduce weight. Medication that causes drowsiness, such as sedatives, sleeping pills or antihistamines, should no longer be taken at night. Alcohol should also be avoided as a matter of principle. You should also sleep on your side rather than on your back. A slight tilt of the head upwards usually has a positive effect. A normal sleep rhythm is just as beneficial. Alcohol should be avoided about 4 hours before going to bed and heavy meals about 3 hours before.

Are nasal tamponades inserted during nasal surgery?2024-04-15T08:59:08+02:00

In principle, the insertion of nasal tamponades is not necessary when correcting the nasal septum or correcting the outer nose. How long will I be unable to work after a rhinoplasty? In the case of rhinoplasty surgery or correction of the nasal septum, the patient is usually unable to work for around 14 days.

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