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When dealing with a nosebleed, doctors typically advise against using regular tissue paper for packing, as it easily breaks apart, leaving residue in the nasal cavity or, in some cases, leading to accidental inhalation into the respiratory tract, particularly in children. Instead, cotton or durable tissues that don't disintegrate, such as soft cloth tissues, are preferable for nasal packing.
Blocking the nasal passage with an appropriate material is a practical self-rescue method, but it requires proper technique. Simply blocking the nasal passage to prevent blood from flowing out may create a clot, which can apply some pressure to the bleeding point. However, this pressure is often insufficient, and the clot may trigger the fibrinolytic system beneath it, leading to temporary cessation of bleeding, which may restart after a short time. Therefore, simply blocking the anterior nostrils is not a scientifically sound method.
For more effective nasal packing, it's advised to insert the packing material slightly deeper. In children, the bleeding point, known as Kiesselbach’s plexus, is located deeper within the nasal cavity, rather than in the more superficial nasal vestibule. By packing deeper into the nasal cavity, closer to the actual bleeding point, the effectiveness of the compression is increased.
To push the packing material deeper into the nasal cavity, pressing the nasal alae firmly can also help. For even greater compression, a soft, elastic material can be placed beneath the nose before pressing the alae, making the pressure more stable and effective. The correct way to press is to apply firm upward and inward pressure on the nasal alae, which directly compresses Kiesselbach’s plexus. This pressure helps the artery form a stable clot or thrombus, effectively stopping the bleeding. Generally, 15 minutes of firm pressure is sufficient to temporarily control bleeding, particularly from the anterior part of the nose.
This method, known as nasal packing, is the simplest way to stop nosebleeds. When performed by a doctor, the packing is more accurate and applies the necessary pressure. Typically, the packing material is removed after 48 hours, allowing the blood vessels to heal naturally and fully.
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