Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Nosebleeds (also known as epistaxis) are common and are generally temporary. Most nosebleeds can be controlled within 10 to 30 minutes and can be cared for at home.
Bleeding can occur on one, or both, sides of the nose. Your blood might flow out of your nose and/or down the back of your throat. Bleeding can last for a few seconds or a few minutes or longer and range from a few drops to a rapid flow.
Nosebleeds usually stop when a blood clot forms. The blood clot is loosely attached to the mucous membranes. An increase in blood pressure can loosen the clot and your nose will start bleeding again.
Contact us immediately or go to the Emergency Department if you have a severe nosebleed. If your nosebleed lasts longer than 30 minutes, or if you see blood rushing or pulsing out of one or both nostrils, you are dealing with something more serious than a common nosebleed. We will want to examine you as soon as possible to determine causes and to intervene, as necessary. Sometimes a severe nosebleed signifies an underlying condition, such as bleeding disorders, high blood pressure, or hardening of the arteries.
Your nosebleed might be associated with:
Your nosebleed might be caused by dry air:
Dry air causes the nasal mucous membranes to become dry and irritated. The cilia (hair cells lining the membrane of the nose) may dry so that nasal secretions are not swept to the back of the nose for swallowing, but stay in the nose and become crusted and scabbed.
As the nasal mucous membrane dries, it becomes thin and develops cracks, which expose underlying nasal blood vessels, particularly the front of the septum (the wall that divides the nose into two sides). An increase in blood pressure from coughing, sneezing, blowing, straining, or just turning over in bed, can cause a blood vessel wall to rupture and a nosebleed results.
Certain medications may cause or increase your nosebleeds:
Most nosebleeds can be treated at home. If you have an active nosebleed, sit down, relax, and breathe through your mouth. Pinch your nostrils closed firmly with your thumb and finger. Do this for at least 5 to 10 minutes. If this doesn't stop the bleeding, lightly blow the blood out of your nose and continue to apply constant pressure for another 10 minutes. If the bleeding continues for 30 minutes, call us right away. If you get dizzy, faint, vomit blood, or if blood is spurting or gushing from your nose, please go directly to the Emergency Department.
If you have had surgery or have a history of nosebleeds, you can reduce nosebleeds by moistening the air you breathe and changing or reducing some of the medication you take. This can help reduce nasal dryness, crusting and scabbing in your nose and can eventually eliminate nasal bleeding. Here are the steps we recommend to moisten the air:
During your visit, your doctor may look into your nose. Occasionally, your doctor may use a scope with a camera to look into the back of your nose. This is not a painful procedure, and is not done with every visit.
If your doctor finds prominent blood vessels on your septum, s/he may cauterize these vessels for you in clinic to help prevent further nosebleeds. This is not a painful procedure. It involves touching the vessels or bleeding area in your nose with silver nitrate. Silver nitrate is a chemical that burns away the small spot. A scab will form there, so it is very important to moisturize the nose (described above) well for at least 2 weeks to prevent re-bleeding.
Occasionally, you may need to come back to cauterize the other side of the nose if prominent vessels are found on both sides of the nose.
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.