NOSE BLEEDING
Nose Bleeding may be a common phenomenon with children and even adults but it can be a frightening experience if left unchecked. While not all cases require medical attention, it is useful to know and identify what are the underlying causes.
Some of the most common causes among children include allergies, picking of nose and bleeding behind the nasal channel. If the child experiences repeated bleeding, treatment should be administered to stop bleeding. Normally, nose bleeding for children may not be deemed sinister but there are the occasional rare cases of tumour.
However, adults who suffer from frequent nose bleeding should pay particular attention. This could be due to blunt trauma such as a sharp blow to the face, foreign objects interference while nose picking, bleeding vessels or perhaps sinus infection.

Persistent bleeding could be one of the indicativesymptoms for nose tumour. DR Luke Tan from Luke Tan Head & Neck Cancer and Thyroid Surgery Centre recommends that all forms of nose bleeding should be treated rather than ignored.

While general practitioners are able to prescribe medications for nose bleeding, one should seek specialists’ help for severe cases. If bleeding persists for weeks, ENT (ear, nose and throat) specialists are able to conduct tests and evaluate if the bleeding is sinister.

For minor cases, the flow of blood normally stops when direct pressure is applied to the nose bridge. Perform this action for five minutes and this will prevent clotting. You can also tilt the head forward to reduce feeling nauseous.
If there is persistent bleeding, silver nitrate compound may be applied to the visible bleeding vessel. If there is evidence of sinus infection, antibiotics is then necessary.
For any suspected case of tumour, a scan and a nasal endoscopy have to be conducted. Only with the results from the tests, is the doctor is able to determine the severity and cause of the nose bleeding. Other early symptoms of nose cancer include:
  • Ear blockage
  • Reduction in hearing capability
  • Masses in the neck
  • Blood stains in saliva
Our nose requires delicate care. Do not pick it unnecessarily. If there is any discomfort, clean it gently with a cotton tip or tissue. Wet the nose with room temperature water and pat dry. Do not sniff, blow or rub excessively. Due to its complex bone structure and cartilage, refrain from dangerous activities that will put your nose at risk.
A/PROF LUKE K S TAN
Ear Nose & Throat Surgeon

MBBS FRCS (England) MMEDS ci FAMS (ORL)
Head & Neck Surgery (Texas, USA)
Luke Tan ENT - Head & Neck Cancer and
Thyroid Surgery Centre
3 Mount Elizabeth #14-17 Mount Elizabeth Medical Centre. Tel: 6474 6116
www.thyroidsurgery.com.sg