Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Epistaxis history and symptoms
Introduction
Overview
Overview
The hallmark of epistaxis is nosebleed. History of nose-picking, facial trauma, hypertension and coagulopathy may be found. The less common symptoms of epistaxis include fainting, dizziness, and hypovolemic shock.
History
History
Patients with epistaxis may have a positive history of:[1]
- Trauma
- Allergy symptoms
- Bleeding in other areas
- Common cold
- Foreign bodies
- Nose-picking
- Neoplasia
- Coagulopathy
- History of nasal irritation
- Previous epistaxis
- Rhinorrhea
- Sinus/tooth pain
- Some factors may worsen the nose bleeding or act as triggers such as: nose blowing habit, excessive coughing, which may happen in chronic obstructive pulmonary disease, straining, as happens in case ofconstipation and benign prostatic hyperplasia, and lifting heavy objects.[2]
- Refractory nosebleed or profuse bleeding may be suggestive of posterior epistaxis.
Less Common Symptoms
Less Common Symptoms
- Heavy epistaxis can cause hypovolemia. As a result, dizziness and fainting can be symptoms of epistaxis.[3]
References
References
- ↑ Krulewitz, Neil Alexander; Fix, Megan Leigh (2019). “Epistaxis”. Emergency Medicine Clinics of North America. 37 (1): 29–39. doi:10.1016/j.emc.2018.09.005. ISSN 0733-8627.
- ↑ Beck R, Sorge M, Schneider A, Dietz A (2018). “Current Approaches to Epistaxis Treatment in Primary and Secondary Care”. Dtsch Arztebl Int. 115 (1–02): 12–22. doi:10.3238/arztebl.2018.0012. PMC 5778404. PMID 29345234.
- ↑ Diamond, Linda (2014). “Managing epistaxis”. Journal of the American Academy of Physician Assistants. 27 (11): 35–39. doi:10.1097/01.JAA.0000455643.58683.26. ISSN 1547-1896.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Liudvikas Jagminas, M.D., FACEP [2] , Amir Behzad Bagheri, M.D.