• Epistaxis Causes

  • Common causes of Epistaxis:
    • Local trauma: Any trauma to the nasal area, blunt or a blow, picking at the nose, fall..
    • Drying of nasal mucosa: This is more common in cold weather wherein the mucosa dries up forming crusts leading to itching and bleeding when picked at.
    • Nose anomalies - nasal polyps, deviated nasal septum
  • Less common causes of Epistaxis
    • Local infections - vestibulitis, sinusitis, rhinitis
    • Foreign bodies - especially in toddlers can tear the mucosa and cause bleeding
    • Systemic illnesses - Hypertension, SLE (Systemic Lupus Erythematosus)
    • Arteriosclerosis - Loss of elasticity and hardening of arterial walls may cause Epistaxis.
    • Coagulopathy/Bleeding disorders- DIC (Disseminated intravascular coagulation), hemophilia, von willebrands disease
    • Malignancy - Abnormal growth of tissue projecting from the nose can cause bleeding.
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