Recurrent epistaxis may be a blood pressure problem. In the elderly, hypertensive epistaxis is more common. The diagnosis of this disease is mainly based on the high blood pressure before and after the onset, no nasal and systemic diseases, fatigue, cold can be induced. In the treatment of hypertensive epistaxis, besides local hemostasis, the most important thing is to actively control blood pressure.
Life examples
Mr. Chen usually has a lot of social activities. In recent months, he always has nosebleed for no reason. After drinking, his situation is even worse. A few days ago, Mr. Chen's nose was bleeding again. Mrs. Chen was worried about her husband's blood disease, so she accompanied him to the hospital. No obvious abnormality was found in blood test and nasal examination. The doctor told Mr. Chen that his epistaxis was caused by high blood pressure. He suggested that he go to the internal medicine department for treatment. As long as the blood pressure is controlled well, the epistaxis will be good.
Doctor's words
In the elderly, hypertensive epistaxis is more common. The diagnosis of this disease is mainly based on the high blood pressure before and after the onset, no nasal and systemic diseases, fatigue, cold can be induced. In the treatment of hypertensive epistaxis, besides local hemostasis, the most important thing is to actively control blood pressure.
The causes of epistaxis can be roughly divided into systemic factors and local factors. Among them, systemic factors include: hypertension, arteriosclerosis (more common in the elderly); blood system diseases, such as hemophilia, thrombocytopenic purpura, leukemia, aplastic anemia; liver coagulation dysfunction; hypersplenism; fever; aerial work; premenstrual women, etc. Local factors include: nasal trauma, nasal benign diseases (such as nasal septum deviation, hemorrhagic and necrotic polyps), nasal tumors (such as hemangioma, malignant tumor), and vascular dilatation in the front of nasal septum.
According to the characteristics of epistaxis and the age of patients, we can roughly infer the cause of epistaxis. For example, if the middle-aged and elderly people have a large amount of epistaxis and are not easy to stop themselves, before bleeding, there is a pulsation in the nose, and they have a history of hypertension, it can be preliminarily judged as the rupture and hemorrhage of the lateral venous plexus of the posterior segment of the nasal cavity caused by hypertension. If the middle-aged and old people have a small amount of bleeding in the nasal cavity or blood in the nasal mucus, which lasts for a long time and does not self heal, it is necessary to consider whether there is tumor growth. In the morning, if there is a return of blood and nasal mucus with neck swelling, it is necessary to be alert whether there is lymph node metastasis of nasopharyngeal carcinoma.
The amount of bleeding in hypertensive epistaxis is large and it is not easy to stop itself. Nasal convergence treatment often can not completely stop bleeding. It often needs gelatin sponge, oil gauze and other nasal packing to stop bleeding. Individual patients also need to stop bleeding by filling the front and rear nostrils. If conditions permit, electrocoagulation can also be performed under the nasal endoscope. At the same time of local treatment, antihypertensive drugs should be used to control blood pressure at normal level. At the same time, appropriate amount of traditional Chinese medicine for clearing heat and cooling blood can also be taken. Due to the unclear vision during epistaxis, in order to prevent missed diagnosis, it is suggested that the patient should have a nasal examination after the blood stop, so as to exclude the bleeding caused by other nasal diseases (such as tumor, etc.).
To prevent hypertensive epistaxis, we should pay attention to the following five points
Baijiu should control blood pressure, especially when it is cold, cold and temperature. It should pay more attention to monitoring blood pressure and prevent excessive fluctuation of blood pressure. Secondly, patients with hypertension should try to eat less fried foods, eat more fresh vegetable & fruit and drink less liquor as much as possible. Third, try to do less breath holding action (such as blowing the horn, etc.), constipation should be treated as soon as possible, in order to prevent excessive breath holding leading to nasal vascular rupture; fourth, do not eat too much warm and dry tonic; fifth, be careful to use drugs with pressor effect, such as furosemide nasal drops, in order to prevent high blood pressure leading to nasal vascular rupture and bleeding.
After reading the above content, we should have some understanding of the problem that recurrent epistaxis may be a problem of blood pressure. Today we will introduce it here. More topics about cardiovascular health will be introduced in the following articles. Welcome to check. Wish you a happy life!