Home

Causes of unilateral epistaxis

Nosebleeds (also called epistaxis) can occur easily because of the location of the nose and the close-to-the-surface location of blood vessels in the lining of your nose. Most nosebleeds can be handled at home, but certain symptoms should be checked by a physician Epistaxis (nosebleeds): What causes it? Blood vessels inside the nose are superficial and easily damaged, particularly in Little's area where numerous arteries... Local causes of damage to the blood vessels may include: Trauma — injury from nose-picking, nasal fractures, septal... Trauma — injury.

A suspected blood clot was seen in the left middle turbinate on anterior rhinoscopy, although endoscopic examination showed that the possible clot was a living leech. After lidocaine nasal spray.. Local causes of epistaxis included nasal neoplasia (n = 35), trauma (33), idiopathic rhinitis (20), and periapical abscess (2). Systemic causes included thrombocytopenia (12), thrombocytopathia (7), coagulopathy (3), hypertension (2), and vasculitis (1) cause for unilateral epistaxis.. Here we present two cases of unilateral epistaxis due to leech infestation. CASE REPORTS: CASE 1 A sixty-three-year old male presented with a histor

Nosebleeds (Epistaxis): Types, Causes, Treatment & Preventio

Unilateral epistaxis is commonly due to foreign bodies, vascular trauma or benign or malignant neoplasm2. Parasitic infestation is a rare cause, the most important being myiasis. Leech infestation (Hirudiniasis) has not been mentioned as a common cause of unilateral epistaxis in the text books Common causes for unilateral nasal bleeding in adults are benign or malignant tumors and deviated nasal septum. Here we present two cases of recurrent unilateral nasal bleeding due to leech infestation. Though it is not a common cause for nasal bleeding, a clinician should suspect leech infestation for a recurrent nasal bleeding specially in tropical countries like Nepal CONCLUSION: It is concluded that nasal Hirudiniasis (nasal leech infestation) is a cause of unilateral epistaxis in areas like Muzaffarabad, Azad Kashmir and Abbottabad, where leeches are a common inhabitants of fresh water streams Unusual cause of unilateral epistaxis: nasal leech infestation. Author(s) : Ghimire, A. ; Acharya, A. Author Affiliation : Department of ENT, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Epistaxis is usually benign, self-limiting and spontaneous. The majority of nosebleeds are caused by simple trauma. Although most incidents are not life-threatening, they can cause significant parental concern when they occur in children. Occasionally a nosebleed indicates a more serious underlying disease Epistaxis - red flag symptoms. Dr Suneeta Kochhar provides an overview of red flag symptoms to look for in a patient with epistaxis Other causes of nosebleeds include: Acute sinusitis (nasal and sinus infection) Allergies. Aspirin use. Bleeding disorders, such as hemophilia. Blood thinners (anticoagulants), such as warfarin and heparin. Chemical irritants, such as ammonia. Chronic sinusitis. Cocaine use Systemic causes included thrombocytopenia (12), thrombocytopathia (7), coagulopathy (3), hypertension (2), and vasculitis (1). Dogs with local causes were more likely to have unilateral than bilateral epistaxis, but 11 of 21 (52%) dogs with systemic disorders also had unilateral epistaxis

Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed history and physical examination generally determine the cause of the.. Causes. Causes of epistaxis include trauma, complications of pneumonia, pulmonary abscess, pulmonary infarction, exercise-induced pulmonary hemorrhage, foreign bodies in the nostrils, neoplasia, sinusitis, nasal polyps, systemic diseases, ethmoid hematoma and guttural pouch mycosis as well as other diseases and conditions All patients whose epistaxis was due to leech infestation were included in the study regardless of age and sex. Results: A total of 38 such cases presented with nasal Hirudiniasis as a cause of unilateral epistaxis. 29 were male and 09 female. All of the patients related their problem to the intake of fresh water of stream origin

Epistaxis (nosebleed) is a common condition with a bimodal age distribution, occurring more frequently in the young and the old. 90% arise at Little's area of the anterior septum, the location of the Kiesselbach plexus. Precipitating factors include dry weather and other causes of nasal mucosal i.. Recurrent epistaxis in children could be caused by a foreign body, especially if the nosebleeds are accompanied by symptoms of unilateral nasal congestion and purulent rhinorrhea. Delayed epistaxis in a trauma patient may signal the presence of a traumatic aneurysm Epistaxis is often a simple and readily treatable condition. However, given the potential consequences of a significant bleed, GPs should have an understanding of the causes, potential risks and emergency management. Discussion. Epistaxis can be classified into anterior or posterior bleeds, the former being the most common A surprising cause of unilateral nasal obstruction and epistaxis: nasal septal schwannoma Schwannomas of the head and neck are the most common form of benign nerve sheath tumours, most commonly arising in the form of vestibular schwannomas

Head trauma, such as rupture of the longis captis muscle or the rectus capitus, or a basihyoid fracture can all cause epistaxis Many other causes were found less commonly and included fibrous dysplasia, mucocoele, lymphoma, schwannoma, ameloblastoma, pleomorphic adenoma, myxoma and squamous cell carnioma Epistaxis, or bleeding from the nose, is a common complaint. [ 1] It is rarely life threatening but may cause significant concern, especially among parents of small children. [ 2] Most nosebleeds are benign, self-limiting, and spontaneous, but some can be recurrent. Many uncommon causes are also noted A 63 year-old female with a history of hypertension, diabetes, and deep venous thrombosis on warfarin presents with epistaxis. She noted the spontaneous onset of nose bleeding 15 minutes prior to presentation. She had attempted compression but symptoms persisted so she was brought to the emergency department

Abstract. Read online. Common causes for unilateral nasal bleeding in adults are benign or malignant tumors and deviated nasal septum. Here we present two cases of recurrent unilateral nasal bleeding due to leech infestation It is commonly referred to as a nosebleed. Epistaxis in dogs can be extremely unsettling for the pert owner. Most acute or sudden nosebleeds are caused by simple trauma or by upper respiratory tract infections. Other causes of epistaxis in dogs can be more serious and require immediate treatment

Causes Background information Epistaxis (nosebleeds

  1. That's when dry heat in homes and buildings can cause drying, cracking, and crusting inside the nose. Nosebleeds can be caused by many things, such as dry air, nose picking, and allergies. In many cases, no specific cause for a nosebleed is found. Have your child sit up and lean forward slightly
  2. Nasal septal schwannoma is a rare tumor. It causes complaints such as nasal congestion, nosebleeds, and headaches. There are many diseases such as nasal polyps, antrochoanal polyp, chronic rhinosinusitis, concha bullosa, inverted papilloma, and retention cyst with schwannoma diagnosis. The diagnosis is made histopathologically, and the treatment is surgery. In this case report, we presented a.
  3. Common causes for unilateral nasal bleeding in adults are benign or malignant tumours and deviated nasal septum. Here we presented two cases of recurrent unilateral nasal bleeding due to leech infestation. Though it is not a common cause for nasal bleeding, a clinician should suspect leech infestation for a recurrent nasal bleeding specially in tropical countries like Nepal

Epistaxis, or nosebleed, is a common presenting complaint that occurs in up to 60% of the adult population. It has a bimodal age distribution, occurring commonly before age 10 or between the ages of 45 and 65. 1,2. Epistaxis may be categorised as anterior or posterior depending on the origin of bleeding within the nasal cavity Unilateral Epistaxis List of authors. Yueng-Hsiang Chu, M.D., Although leech infestation is not a common cause of nasal bleeding, it should be considered when an exposure . . Epistaxis is one of the commonest ENT emergencies. Although most patients can be treated within an accident and emergency setting, some are complex and may require specialist intervention. There are multiple risk factors for the development of epistaxis and it can affect any age group, but it is the elderly population with their associated morbidity who often require more intensive treatment. (3-5) We report a new case of this rare finding as a cause of unilateral epistaxis. A 9-year-old boy presented with a history of intermittent right epistaxis of 1 week's duration following recent contact with a stream. The bleeding had progressively worsened during the week. The patient had no history of frequent runny nose, nasal obstruction. Unilateral epistaxis. CLWG News. Fondati will present the diagnostic challenges in dermatology, when CanL could be the probable cause of skin problems in the dog. First Live Webinar on the Canine Leishmaniosis of 2021. The first Live Webinar on Canine Leishmaniosis of 2021, free access, that will be held March 10th, 2021, starting from 1:30.

Unilateral Epistaxis NEJ

  1. antly unilateral nasal discharge, large volume hemorrhage from the guttural pouch of a horse with unilateral guttural pouch mycosis will cause bilateral epistaxis
  2. Vocal cord paralysis has several causes and can be bilateral or unilateral. Unilateral vocal cord paralysis is most common. Approximately one third of unilateral vocal cord paralyses are neoplastic, one third are traumatic, and one third are idiopathic. * Epistaxis of any cause is more common among patients with bleeding disorders (eg.
  3. The main causes of acute epistaxis in children are: Trauma - e.g. nose picking, sneezing, rubbing, coughing, injury to nose; Mucosal irritation - e.g. dry air, URTIs, steroid use; Clotting abnormalities - either hereditary or acquired. Epistaxis is usually the major presenting feature of common clotting abnormalities such as Von-Willebrand's disease or genetic conditions such as.
  4. gly benign symptoms, which makes them difficult to diagnose early. Awareness of sinonasal tumours as an entity and familiarity with the key and often misinterpreted symptoms is essential for early diagnosis. This.
  5. or injury to your nose. changes in humidity or temperature causing the inside of the nose to become dry and cracked. Occasionally, bleeding can come from the blood vessels deeper within the nose. This can be caused by a blow to the head, recent nasal surgery and hardened arteries (atherosclerosis)
  6. All patients whose epistaxis was due to leech infestation were included in the study regardless of age and sex. RESULTS A total of 38 such cases presented with nasal Hirudiniasis as a cause of unilateral epistaxis. 29 were male and 09 female. All of the patients related their problem to the intake of fresh water of stream origin
  7. Epistaxis, or nasal bleeding, has been reported to occur in up to 60 percent of the general population. 1 - 3 The condition has a bimodal distribution, with incidence peaks at ages younger than.

Prevalence, clinical features, and causes of epistaxis in

PDF) Unusual Cause of Unilateral Epistaxis: Nasal Leech Epistaxis Nosebleed - Causes, Symptoms, Treatment, Diagnosis Epistaxis or Nose bleeding. Epistaxis, nasal hemorrhage, nosebleed, bloody nose Difference Between Epistaxis and Hemoptysis | Difference Between PDF) Unusual Cause of Unilateral Epistaxis: Nasal Leech Epistaxis (nosebleed) - The Royal Berkshire NHS Foundation Trust Epistaxis Nosebleed - Causes, Symptoms, Treatment, Diagnosis. which cause of epistaxis is most likely to be malodorous? ozena. term that we use for the malodorous discharge from the nose of a horse with an ethmoid hematoma. guttural pouch mycosis. horse has intermittent, unilateral epistaxis over the past few months. suddenly it has a very voluminous bilateral epistaxis. what is most likely the cause While epistaxis is a very common spontaneous problem, rarer etiologies such as neoplasms or vascular malformations must always be in the differential diagnosis, particularly if additional symptoms such as unilateral nasal obstruction, pain, or other cranial nerve deficits are noted Schwannoma of the nasal cavity is an uncommon presentation of this pathology and specifically Schwannoma of the nasal septum is a rare presentation of this well understood disease process. We present the case of a 31-year-old Eastern European male who presented with unilateral nasal obstruction, congestion and epistaxis of 3 months duration

Epistaxis, or nose bleed, is common but the exact prevalence is unknown as most cases are self limited and rarely come to the attention of the medical community. Epistaxis, though, can be severe and life threatening especially in patients with posterior bleeds and in patients with multiple comorbidities Diplopia & Epistaxis & Unilateral-proptosis Symptom Checker: Possible causes include Orbital Floor Fracture. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search Unilateral Nosebleeds in a Canine. Unilateral nosebleeds in canines are nosebleeds that occur in either the left or right nasal passage. When these bleeds occur, dogs usually sniffle or sneeze before blood is present. When the nosebleeds, also known as epistaxis, begin, the blood may drip, or be sprayed by sneezing or abrupt outward breaths

Unusual cause of unilateral epistaxis: nasal leech

Nasal Hirudiniasis--an unusual cause of epistaxis

PPT - Diseases of respiratory system EPISTAXIS (NOSE BLEED) PowerPoint Presentation - ID:4501576

Elisa M. Mazzaferro, MS, DVM, PhD, Diplomate ACVECC A 12-year-old, 25.5-kg, spayed female German shorthaired pointer was presented to the emergency service for recurrent unilateral nasal discharge and acute onset of epistaxis. HISTORY Lifestyle The dog was 1 of 3 dogs in the household. She was: An indoor/outdoor pet that had not traveled. A 55-year-old Chinese woman presented with a 3-week history of unilateral left-sided epistaxis and nasal obstruction. She had swam in a freshwater stream 1 month prior to the onset of symptoms. Endoscopic examination revealed a live leech at the left middle meatus with a large part of its body inside the left maxillary antrum. Local anaesthetic was applied to anaesthetise the leech and. We report a case of severe unilateral epistaxis requiring surgical arrest of bleeding, via endoscopic sphenopalatine artery ligation and anterior ethmoidal artery ligation. This followed recreational nasal insertion of St John's wort (Hypericum perforatum) Arm Pain & Epistaxis & unilateral foot swelling Symptom Checker: Possible causes include Hemophilia. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search

PPT - Diseases of respiratory system EPISTAXIS (NOSE BLEED) PowerPoint Presentation - ID:5968119

Leech infestation in the nose or nasopharyngeal region is a rare occurrence. The most common known cause is drinking water from natural water sources like ponds and rivers. Its hidden location of attachment in the nasopharynx and its uncommon occurrence make it easy to miss during diagnosis. We present a case of a 61-year-old male patient with recurrent unilateral epistaxis without any. Ghimire A, Acharya A. Unusual cause of unilateral epistaxis: nasal leech infestation. Journal of the Nepal Medical Association. 2008 Jan-Mar; 47(169): 38-40: Résumé: Common causes for unilateral nasal bleeding in adults are benign or malignant tumors and deviated nasal septum

Nosebleed (Epistaxis)

Epistaxis: Key concepts & clinical approach -Dr. YK Amdekar. Dr YK Amdekar writes on epistaxis, a condition that causes bleeding from the nostrils, nasal cavity or nasopharynx. While it is often the result of benign causes, at times it may represent more serious diseases. In this article, he discusses common investigations, treatment, and. Epistaxis: Basics. Epistaxis is a common presenting complaint to the Emergency Department. [ Shay, 2017; Damrose, 2006 ] Affects ~30% of children 0-5 years of age. Affects ~50% of children 5 years and older. Occurs year long not just in the winter and may be worse during allergy seasons. [ Shay, 2017

Epistaxis - red flag symptoms GPonlin

Anterior epistaxis is characterized by unilateral, steady, nonmassive bleeding. In contrast, posterior epistaxis generally arises from the posterior nasal cavity through branches of the. Nasal packing generally slows or causes cessation of haemorrhage, failure to control haemorrhage should prompt urgent ENT review. Recurrent unilateral epistaxis should prompt further investigation to rule out neoplasm. Nose bleeds occur in those who are beginning to have feeling of lust or who are getting the signs of manliness Epistaxis is the most common cause of unscheduled (emergency) admission within otolaryngology. 1 Its true incidence in the general population is unknown as most cases are self-limiting and do not require any medical input. The recent British Rhinological Society consensus recommendations on epistaxis identified a presentation to hospital rate of 25,000 cases per year. 2 In the adult population.

An elderly person with unilateral epistaxis should be investigated for malignancy. Foreign bodies may cause bleeding. Unilateral blood stained discharge with foul smell in a child should arouse suspicion of foreign body. Nasal Bleeding Due To Systemic Causes. Hypertension important to exclude neoplasia as a cause for unexplained recurrent unilateral epistaxis. MANAGEMENT The traditional management of acute epistaxis entails identification ofthebleeding pointbyusing a head mirror or other light source. If a bleeding pointislocalised,thenchemicalorelectrocauteryis performed. If unsuccessful, further managemen

Nosebleeds Causes - Mayo Clini

Answer. Benign and malignant tumors can manifest as epistaxis. Affected patients may also present with signs and symptoms of nasal obstruction and rhinosinusitis, often unilateral. Intranasal. ferred to ourclinic after a 3-month history of unilateral nasal obstruction, swelling and sporadic, short lasting episodes of epistaxis. He had noticed a swelling of his right lateral nasal wall. On examination there appeared to be a large, right-sided nasal polypoidal mass, which seemed to be occluding most of the right nasal airway All patients whose epistaxis was due to leech infestation were included in the study regardless of age and sex. Results: A total of 38 such cases presented with nasal Hirudiniasis as a cause of unilateral epistaxis. 29 were male and 09 female. All of the patients related their problem to the intake of fresh water of stream origin Help us improve the data and information in HERDIN. HERDIN record number : NCR-JRRMMC-0104120201084 specific nasal symptoms like unilateral nasal obstruction, rhinorrhoea, hyposmia/anosmia, headache and epistaxis[13]. T scan usually shows hypodense areas in the centre with pe-ripheral rim of contrast enhancement[14]. Histopathology is considered as the most confirmatory diagnostic tool which reveal

Epistaxis in Cats (Nose Bleeds) | Pets4HomesEpistaxsis mh

condition in cattle, making the diagnosis of the cause is difficult. This article will discuss about the condition causing epistaxis in cattle and its possible diagnosis. Keywords: Epistaxis, ruminants, bleeding disorders Introduction Epistaxis is defined as acute haemorrhage or nose bleed in which bleeding occurs from th surprising cause of unilateral nasal obstruction and epistaxis: nasal septal schwannoma Journal of Surgical Case Reports , Mar 2014 Cadd, Brandon , Offiah, Curtis , Alusi, Ghassa A Rare and Unusual Cause of Epistaxis Atenolol 50mg once a day). However, since his epistaxis persisted and was getting worse, he was referred to the ENT outpatient as a case of hypertension with epistaxis. The individual gave no history of pain, sneezing, nasal discharge or altered smell sensation. There wa Epistaxis may be due to bleeding from the anterior or posterior nasal passage. Anterior epistaxis may be treated by pinching the nares closed for 10 full minutes. If pinching is unsuccessful and the bleeding site is visible and localized, the next step is to use cautery, followed by nasal tamponade if cautery is unsuccessful or not indicated The leech is an endoparasite for man and may cause various complications. Foreign bodies in the nasal cavity are commonly encountered as a cause of epistaxis; however, nasal leech infestation as a cause of unilateral persistent epistaxis is very rare. Herein, we presented a case who had epistaxis for 2 week

Case Study: Unilateral Epistaxis - Asia Veterinary Diagnostics

Management of Epistaxis - American Family Physicia

After imaging and biopsy, the diagnosis of nasal septal schwannoma was made on histological examination. This diagnosis of a unilateral nasal mass in a young man provides an opportunity to discuss the varied presentations of schwannoma as well as to examine to possible causes of nasal and septal masses in this demographic Epistaxis secondary to nasal inflammation can happen in these infants. Juvenile nasal angiofibroma is a rare cause of severe epistaxis that is usually seen in adolescent boys. Any child who presents with unilateral severe nasal bleeding should be evaluated for the possibility of a neoplastic condition such as a nasal angiofibroma A nosebleed is bleeding from tissues inside the nose (nasal mucus membranes) caused by a broken blood vessel. The medical word for nosebleed is epistaxis. Most nosebleeds in children occur in the front part of the nose close to the nostrils. This part of the nose has many tiny blood vessels. These can be damaged easily In a 5 year old child, most common cause of unilateral epistaxis is. 95 views August 12, 2015 E.N.T. miscellaneous. 0. Atul Tiwari 206.24K Posted August 13, 2015. In a 5 year old child, most common cause of unilateral epistaxis is [A]. Foreign body [B]. Polyp [C]. Atrophic rhinitis [D]. Maggot's Being a pulmonary disorder, this should in theory cause a bilateral epistaxis, however because such small volumes of blood (<50 ml) are often present at the nostrils (most of the pulmonary hemorrhage is swallowed), the epistaxis may be unilateral

Epistaxis EquiMed - Horse Health Matter

the most useful adjunctive modality in cases of epistaxis. The procedure may enable the lesion responsible to be directly visualised or the location of haemorrhage to be determined (eg, in the lower airways or paranasal sinuses), particularly if recent epistaxis has occurred. Even if only unilateral epistaxis has been observed, both nasa Purulent (odorous) nasal discharge (unilateral) Physical examination: Percussion over sinuses to detect fluid Nasal endoscopy: Nasomaxillary drainage angle visible in middle meatus Sinoscopy: Via portals described for trephination Radiography: Confirmation of fluid within sinus using latero-lateral and dorso-ventral radiograph

Nasal Hirudiniasis--an unusual cause of epistaxi

Etiology a- Epistaxis occurs commonly in the horses and may be due to lesions in nasal cavity, nasopharynx, guttural pouch or lungs. b- Hemorrhage lesions of nasal cavity, nasopharynx and guttural pouch usually cause unilateral epistaxis, while blood originating from the lungs is discharged from both nostrils and not the mouth because of the long soft palate. In clinical picture unilateral epistaxis is predominant symptom, but haemoptysis and signs of nasal obstruction . Repeating unilateral epistaxis which was seen in our patient should always raise suspicion on nasal malignancy, and besides anterior rhinoscopy, optic examination of the both nasal cavities should be performed They are primarily cutaneous, mainly found in the subungual region of young adults, but they may occur anywhere. Nasal glomus tumors are extremely uncommon and they manifest with symptoms such as stuffiness, rhinorrhea, epistaxis, and pain. We present a case of nasal glomus tumor, arising from the nasal septum, that was surgically removed with. Epistaxis in dogs may be acute or chronic and may affect one nostril (unilateral epistaxis) or both nostrils (bilateral nose bleed). The causes of epistaxis may include: Trauma to the head, which will cause bleeding, typically from only 1 nostril. A foreign object that is trapped in the nose of the pet. Dental infection that affects the root of. Underlying disorders (eg, allergies, foreign bodies, conjunctivitis) are treated. The use of artificial tears paradoxically lessens reflex tearing when dry eyes or corneal epithelial defects are the cause. Congenital nasolacrimal duct obstruction often resolves spontaneously. In patients < 1 year, manual compression of the lacrimal sac 4 or 5.

PPT - ENT PowerPoint Presentation, free download - ID:1185689PPT - ENT emergency PowerPoint Presentation, free download - ID:2282993

Epistaxis - Etiology BMJ Best Practice U

As Agin et al reported nasopharyngeal leech infestation was presented with epistaxis and hematemesis. 14 And also, Ghimire and Acharya reported unilateral nostril epistaxis caused by leech infestation. 19 Estambalel et al also reported hematemesis and severe anemia due to a pharyngeal leech in a Kenyan child 20 and vaginal bleeding has also. Background: Epistax is a common otorhinolaryngological emergencies worldwide. This study determined the pattern, causes/risk factors, treatment and outcome of nasal bleeding in Ido Ekiti, Nigeria. Materials and Methods: This was a retrospective study of patients managed for epistaxis in the Federal Medical Centre, Ido Ekiti, Nigeria, from January 2005 to December 2010

Physical Assessment: Nose Flashcards | Quizlet

The arteries that supply Kiesselbach's plexus (responsible for anterior nosebleeds). Schematic arterial supply of the sinonasal cavity. The majority of the posterior epistaxis episodes arise from the septum. The arterial branches involved in epistaxis include the internal maxillary artery, the facial artery, and the ophthalmic artery All patients whose epistaxis was due to leech infestation were included in the study regardless of age and sex. A total of 38 such cases presented with nasal Hirudiniasis as a cause of unilateral epistaxis. 29 were male and 09 female. All of the patients related their problem to the intake of fresh water of stream origin. The mean duration of. Epistaxis is common and affects >10% of us in our lifetimes. Children present with epistaxis for a number of reasons, many different to adults. Unfortunately, physics underpins most of these causes. The nose is a very vascular part of the head and neck, owing to its function in humidifying air as it is breathed in Objective In addition to rhinoscopy, computed tomography of paranasal sinuses (CT) may be performed on patients with primary unknown cause of severe epistaxis (SE) or recurrent epistaxis (RE) to further assess the potential cause of bleeding. The aim of this study was to evaluate CT findings during the work-up of intractable epistaxis patients. Methods 6937 patients were treated in our. Neoplasm is a rare cause of epistaxis however presence of unilateral symptoms such as nasal obstruction, epistaxis and pain or hypoaesthesia in the distribution of the second branch of the trigeminal nerve should be treated with suspicion, especially because early diagnosis is an essential prognostic factor Most epistaxis in children is minor and is easily managed with direct compression of the nasal alae for 5 to 10 minutes. For more significant or recurrent epistaxis other techniques might include vasoconstrictor nose drops, cautery with 75 percent silver nitrate, topical sealants or glue, nasal packing, or balloon catheters