Treatment for Dry Nose or Recurrent Nosebleeds Using Ponaris

Whenever the nose becomes excessively dry, especially during the winter, the nasal lining may become excessively dry leading to irritation and even nosebleeds if the nasal mucosa becomes chapped. This situation can also occur during a humid summer if lots of time is spent indoors with air conditioning. This product is also recommended to use daily for patients prone to nosebleeds due to taking a blood thinner like coumadin or plavix. Analagous to chapped lips, an oil-based nasal emollient sho…

8/07/2020 0

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Can a Deviated Septum Cause a Septal Perforation?

Over the years, I have been asked by a number of patients with  deviated septums  what problems may occur if un-corrected, especially if such patients are also suffering from recurrent  nosebleeds . In particular, can a deviated septum be the underlying trigger that causes a septal perforation to occur (purple arrow below)? Well, this blog article is to answer that very question. But first off, a little anatomy... A nasal septum is a wall that separates the right nasal cavity from the …

6/24/2019 0

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Video of Nasal Packing for Severe Nosebleed Control

Although the vast majority of nosebleeds are more annoying than life-threatening, some are so severe that an ER visit is required. At other times, nosebleeds occur not unexpectedly after sinus surgery, rhinoplasty, or some other type of nasal surgery.  The video above demonstrates how such severe nosebleeds are typically controlled with nasal packing. This procedure is most commonly performed in the ER, operating room, or ENT office. Special shout-out to Nick Gallo of Physical Therapy 101…

7/04/2018 0

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Blood Thinner Use and Sino-Nasal Surgery (Septum and Sinus Surgery)

Cross-Section showing relationship of septum, sinus, eye, and brain There is an active abhorrence between blood thinner medications and ENT surgeons. Not only do blood thinners markedly increase risk of nosebleeds which often require nasal packing   (even without surgery), but it can complicate any type of sino-nasal surgery, particularly septoplasty and sinus surgery . With septoplasty or sinus surgery (collectively called sino-nasal surgery), not only is the nasal mucosa actively c…

7/04/2017 0

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Can Headaches Trigger Nosebleeds?

Image courtesy of stockimages at  FreeDigitalPhotos.net Ignoring high blood pressure headaches which can potentially rupture blood vessels in the nose leading to a nosebleed, can headaches in and of itself trigger nosebleeds? I encounter a few patients a year who report that a particularly bad headache triggered their nosebleed, also known as epistaxis . But can this actually be true? After all, headaches are common and nosebleeds are common. As such, statistically, two common events …

3/16/2017 0

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The Recurrent Recurrent Nosebleed Treatment - Sewing the Nostril Shut!

Bad nosebleeds are quite alarming, even when it happens once. But imagine 4+ bad nosebleeds a week for years that refuses to quit no matter what is tried: • Saline nasal sprays • Afrin nasal sprays • Ponaris • Silver nitrate cauterization • Electric cauterization • Laser cauterization • Nasal packing • Skin grafts • Estrogen sprays • Vascular embolization • Sinus surgery • Septal surgery And nothing still works! This is often the situation with patients suffering from HHT (…

9/18/2016 0

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