What should I do if I have a nosebleed due to high blood pressure?
Dec 03, 2022
Source: Cainiu Health
Dr. Xu Gang
Introduction
For nosebleeds caused by high blood pressure, if the bleeding is heavy and does not stop, hemostasis can be achieved by packing the nasal cavity with Vaseline gauze or hemostatic sponge, or through vascular embolization. Treat the underlying condition—commonly prescribed medications for hypertension include propranolol hydrochloride tablets and nifedipine sustained-release capsules. Additionally, topical anti-infective agents such as erythromycin ointment or chlortetracycline ointment may be used locally to prevent infection.
Elevated blood pressure causing nosebleeds can generally be improved through hemostasis, treatment of the underlying condition, infection prevention, and other methods.
1. Hemostasis: If a nosebleed caused by high blood pressure is severe or does not stop spontaneously, immediate measures should be taken to control bleeding. Under medical guidance, the nasal cavity may be packed with Vaseline gauze or hemostatic sponges to apply pressure and stop the bleeding. If necessary, vascular embolization may be recommended by a physician.
2. Treatment of the underlying condition: Patients with nosebleeds due to high blood pressure should actively treat the primary disease under medical supervision. Commonly used antihypertensive medications include propranolol hydrochloride tablets and nifedipine sustained-release capsules.
3. Infection prevention: Nosebleeds associated with high blood pressure are typically caused by rupture of capillaries in the nasal mucosa. This often results in open wounds within the nasal cavity. Without timely treatment, these wounds are susceptible to microbial infections. It is advisable for patients to use topical anti-infective agents under medical guidance, such as erythromycin ointment or chlortetracycline ointment.
In addition, other remedies such as nasal application of menthol oil or liquid paraffin may also help improve symptoms. Patients are advised to follow their doctor's instructions for proper treatment.
