Epistaxis (Nose Bleed), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Epistaxis, Diagnosis and Treatment and Related Diseases

A Nose bleeds easily because it is very vascular
The blood vessels are very thin and superficial
They can be damaged easily by injury or sneezing
Rarely is a nose bleed dangerous or life threatening

Most nose bleeds are mild and nose pressure can stop the flow
The rare dangerous nose bleed comes from the upper posterior nose
Where the blood usually drips down the throat and can start choking
Blood thinners can cause dilution of blood and bleeding

Bleeding can also occur from injury to nose and the brain
Avoid smoking which cause irritation to nasal mucosa and vein
Alcohol cause dilation of blood vessels and increase the blood pressure
Avoid foreign bodies in the nose and nose picking for pleasure

If simple pressure do not stop the nose bleeding
The doctor has to put gauze in nose and start nose packing
Bleeding can be stopped with silver nitrate cauterization
Or cryosurgery to make the blood vessels frozen

-An original poem by Kenneth Kee

This week I had a patient who has suddenly sneezed out blood in the yellow mucus from his nose.
This persisted for a few days.
His wife and mother were worried.
Being educated he went to consult an ENT surgeon to examine the cause of bleeding from his nose.
An MRI of his nose showed pus discharge present in the left maxillary sinus.
There was no evidence of any malignancy.
He was reassured by the ENT surgeon and told that it was merely an infection that causes the bleeding.
He was given a course of strong antibiotic and antihistamine.
The bleeding from the nose did not stop so he decided to see me.
Since nothing was given to stop bleeding, in addition to his medicine I gave him some pseudoephedrine which is a blood vessel constrictive.
The bleeding stopped but the yellow mucus persisted so I advised to have a washout of his sinuses to clear the pus.
He saw another ENT surgeon who agreed to do an operation of his sinuses to remove the pus.
He developed the sensation of dizziness which occurred after the operation on his sinuses to remove bloody pus.
He felt the dizziness worse when moving from the lying to the upright position.
Whether it was the after effect of the anesthesia or the operation itself, he was certainly paler than usual and feeling tired.
He was told to return to his ear-nose and throat surgeon for a review including X-ray of his sinuses and a full blood count.
His blood tests showed evidence of mild anemia (low hemoglobin) and low red blood cells count possibly from the loss of blood from the sinusitis and during the operation.
He was told to take Iron with folic acid and multivitamins to build up his blood, stemetil (prochlorperazine) for his dizziness and told to have adequate rest and eat more red meat.
In the meantime his MRI showed evidence of mucosal thickening of the sinus walls and evidence of mild infection.
An antibiotic gel was inserted into his sinuses to try to clear the sinus infection.
In spite of all these measures he still felt dizzy but not as bad as previously.
Since there was no evidence of malignancy, I tried to reassure him and not to worry too much as stress and worry by itself can cause the dizziness.
At this present moment he has stopped bleeding from his nose but is still feeling weak and giddy.

A Nosebleed is said to have happened when the nose starts to bleed from the inner mucosa or lining of the nose.
Nose bleeds are fairly frequent particularly in children.
The medical name is epistaxis.
When a nose bleed occurs, blood flows from one nostril or occasionally both nostrils.
It can be heavy or light and persist from a few seconds to 0 minutes.
Most nosebleeds are minor and normally stop spontaneously.

TABLE OF CONTENT
Introduction
Chapter 1 Epistaxis
Chapter 2

• Language: English
• Publisher: Kenneth Kee
• Release date: Aug 4, 2019
• ISBN: 9780463055564

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Epistaxis

(Nose Bleed),

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2019 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Epistaxis, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Epistaxis)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Nose Bleeds

A Nose bleeds easily because it is very vascular

The blood vessels are very thin and superficial

They can be damaged easily by injury or sneezing

Rarely is a nose bleed dangerous or life threatening

Most nose bleeds are mild and nose pressure can stop the flow

The rare dangerous nose bleed comes from the upper posterior nose

Where the blood usually drips down the throat and can start choking

Blood thinners can cause dilution of blood and bleeding

Bleeding can also occur from injury to nose and the brain

Avoid smoking which cause irritation to nasal mucosa and vein

Alcohol cause dilation of blood vessels and increase the blood pressure

Avoid foreign bodies in the nose and nose picking for pleasure

If simple pressure do not stop the nose bleeding

The doctor has to put gauze in nose and start nose packing

Bleeding can be stopped with silver nitrate cauterization

Or cryosurgery to make the blood vessels frozen

-An original poem by Kenneth Kee

This week I had a patient who has suddenly sneezed out blood in the yellow mucus from his nose.

This persisted for a few days.

His wife and mother were worried.

Being educated he went to consult an ENT surgeon to examine the cause of bleeding from his nose.

An MRI of his nose showed pus discharge present in the left maxillary sinus.

There was no evidence of any malignancy.

He was reassured by the ENT surgeon and told that it was merely an infection that causes the bleeding.

He was given a course of strong antibiotic and antihistamine.

The bleeding from the nose did not stop so he decided to see me.

Since nothing was given to stop bleeding, in addition to his medicine I gave him some pseudoephedrine which is a blood vessel constrictive.

The bleeding stopped but the yellow mucus persisted so I advised to have a washout of his sinuses to clear the pus.

He saw another ENT surgeon who agreed to do an operation of his sinuses to remove the pus.

He developed the sensation of dizziness which occurred after the operation on his sinuses to remove bloody pus.

He felt the dizziness worse when moving from the lying to the upright position.

Whether it was the after effect of the anesthesia or the operation itself, he was certainly paler than usual and feeling tired.

He was told to return to his ear-nose and throat surgeon for a review including X-ray of his sinuses and a full blood count.

His blood tests showed evidence of mild anemia (low hemoglobin) and low red blood cells count possibly from the loss of blood from the sinusitis and during the operation.

He was told to take Iron with folic acid and multivitamins to build up his blood, stemetil (prochlorperazine) for his dizziness and told to have adequate rest and eat more red meat.

In the meantime his MRI showed evidence of mucosal thickening of the sinus walls and evidence