Understanding and Managing Excessive Bleeding: Causes, Symptoms, and Remedies

Introduction

Excessive bleeding, whether from the nose or other parts of the body, can be a concerning symptom that requires attention. This article aims to provide insight into the causes, symptoms, and potential remedies for such conditions. Understanding these aspects can help in seeking appropriate medical advice and treatment.

Causes of Excessive Bleeding

There are various potential causes of excessive bleeding, including hormonal imbalances, blood clotting disorders, and high blood pressure. One of the commonest haematological causes of abnormal vaginal bleeding is von Willebrand disease, a bleeding disorder that affects the ability of blood to clot properly.

Diagnosing Excessive Bleeding

Given the complexity of various bleeding conditions, it is crucial to consult with medical professionals for proper diagnosis and treatment. Blood tests and imaging tests, such as an abdomen ultrasound and coagulation factors, can help determine the underlying causes. Some of the blood tests that may be conducted include complete blood count (CBC), blood tests for blood clotting (BT, CT, PT, APTT, TF, Fibrinogen, D-dimer, T3, T4, TSH), and liver function test (LFT).

Treatment Options for Excessive Bleeding

Medical Treatment

Severe or prolonged bleeding may warrant specific medical treatments. For example, the use of Norethisterone Acetate 5mg, three times daily for 20 days, and Tranexamic acid 500 mg, three times daily for 5 days, have been recommended for managing heavy bleeding. Additionally, taking iron and folic acid supplements can help address anemia, which can be a symptom of excessive bleeding.

Professional Consultation

Consulting with an endocrinologist or a senior gynaecologist is often necessary to determine the exact cause of excessive bleeding and to provide appropriate treatment. For nosebleeds, it may be advisable to consult a doctor and have it cauterized. Additionally, having your blood pressure checked can be crucial, as high blood pressure can contribute to frequent nosebleeds.

Managing Nosebleeds

Nosebleeds can be a painful and embarrassing experience, but they can often be managed with the right steps. Here is a step-by-step guide to managing nosebleeds:

Prepare for a nosebleed by having an ice pack, a box of tissues, and a garbage can nearby. Sit down and take several tissues to scrunch into two large balls.

Breathe in and blow your nose hard several times into the first wad of tissues to remove as many blood clots as possible.

Hold the second wad of tissues with three fingers, pinch your nostrils together with your thumb and forefinger, and hold the wad under your nostrils to absorb any blood.

Pinch the soft part of your nose below the bridge for at least five minutes. This helps to compress the blood vessels and stop the bleeding.

Apply an ice pack across the bridge of your nose between your eyebrows. This helps to constrict the blood vessels and provides relief.

Tilt your head slightly forward and relax. This helps prevent blood from running down the back of your throat.

This technique, which was demonstrated to the author by an ER doctor, has been found to be highly effective in stopping nosebleeds. The key is to remove any blood clots and apply pressure to the soft part of the nose for adequate time to allow the blood vessels to constrict.

Conclusion

Excessive bleeding, whether from the nose or other parts of the body, is a symptom that requires prompt medical attention. Understanding the possible causes and following the recommended steps for managing nosebleeds can help reduce pain and prevent further complications. It is essential to seek medical advice to address the root cause of the bleeding.