Epistaxis-treatment

To treat epistsaxis, first some general measures are used. The patient is asked not to panic as this will raise the blood pressure and aggravate the situation.The nose is tightly pinched. This will control epistaxis from the little's area. Pressure should be firm and be applied for at least 10 minutes while keeping the head in the neutral position and spitting out any blood which flows into the mouth. There is no benefit to pinching the bridge of the nose or to tilting the head backwards or forwards. Swallowing excess blood can irritate the stomach and cause vomiting.

Ice should be applied over the nose to promote vasoconstriction.

The use of local vasoconstrictor drops like oxymetazoline, xylometazoline or phenyepherine instilled in the nose in the form of drops or spray can help in simple bleeds. On can also use calcium alginate mesh to promote coagulation.