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Nosebleeds (Epistaxis): Managing Recurring Nosebleeds with Nasal Cautery

Nosebleeds are a common part of childhood, many people experience at least one in their lifetime. Though nosebleeds can be frightening, they usually clear up quickly and are an isolated incident. However, the frequent occurrence of nosebleeds can begin to disrupt work, school and social life. If your child suffers from regular nosebleeds, the doctors at Topeka Ear Nose, and Throat are able to provide thorough explanations and recommendations regarding causes and possible treatment such as cauterization to help manage the nosebleeds. 

woman with nosebleed at docor

Common Causes of Nosebleeds Include:



Sinus infections

Frequent sneezing

Trauma to the nose

However, if nosebleeds become recurrent or troublesome, nose cautery may be recommended.

What is Nasal Cautery?

Nasal cautery, or nasal cauterization, is a procedure used to treat nosebleeds (epistaxis). Nasal cautery is where a chemical or electrical device is applied to the mucous membranes in the nose. The chemicals cause an inflammation of the arteries and veins which creates scarring. This minimizes blood flow through the vessels making them less likely to bleed. This procedure is often performed in our Topeka office with topical anesthetic. 

What to Expect on the Day of My Procedure

For the first few hours after the procedure, make sure to rest. Do not engage in any strenuous exercise or activity and try not to bend over or lift anything heavy. After that time, the patient should be able to resume normal activities.

You may experience pain or itching in your nose for several days after your procedure, which is normal. If necessary or requested, the doctor may prescribe painkillers. If not, ask about what over-the-counter pain relievers mayhelp relieve any discomfort.

Your doctor will also likely recommend an antibacterial ointment or saline nasal spray to apply to the inside of your nose. Apply this several times a day to keep the area moist and help prevent infection.

Things To Avoid

  • Do not pick or scratch at the inside of your nose. Even though it may feel itchy, touching the area is likely to cause more nosebleeds.

  • Try not to hit or bump your nose on anything, as this may cause additional bleeding.

  • Do not blow your nose for two weeks or until your doctor has told you it is OK. Stick to wiping your nose gently if you need to, as blowing your nose can cause irritation.

  • Do not take aspirin and NSAIDs like ibuprofen while you heal as they can increase the risk of bleeding.

Followup With Your Doctor

Let your Topeka ENT doctor know if you continue to experience nosebleeds or if you are not healing as expected. Contact them right away if you have a fever, experience excessive bleeding or have pain that does not improve with medication.



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