Advice after your nerve block for surgery
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Epistaxis
This is the name given to nosebleeds. Nosebleeds are common in children. They are usually mild and easily treated. Sometimes bleeding can be more severe but this is usually in older people or in those with other medical problems such as blood disorders.
What causes nosebleeds?
Nosebleeds are common because the small blood vessels inside the nose are very delicate. These blood vessels can rupture easily for no apparent reason. This happens commonly in children.
The commonest site for a nosebleed to start is in Little’s area. This is situated just inside the entrance of the nostril on the nasal (the middle harder part of the nostril). Here the blood vessels are particularly fragile and are prone to rupture. This area is more likely to bleed with the following:
- Picking the nose
- Colds and blocked stuffy noses as hay fever
- Blowing the nose
- Minor injuries to the nose
Most nosebleeds usually involve mild bleeding and are easy to stop.
Treatment
Sit up and tilt the head slightly forward.
With a finger and thumb, pinch the lower fleshy end of the nose completely blocking the nostrils. Usually if light pressure is applied for 10-15 minutes the bleeding will stop.
If available, a cold flannel around the nose and front of face may help.
The cold helps the blood vessels to shrink down and stop the bleeding.
Once the nosebleed has stopped it is best not to pick the nose or try and blow out any of the blood remaining in the nostrils, as this may cause another nosebleed.
If bleeding is heavy or is does not stop within 20-30 minutes then seek medical attention.
Occasionally the nose needs to be packed by a doctor to stop the bleeding.
In some people nosebleeds are a recurring problem and may need to have the bleeding point cauterised. This seals the affected vessels so that they do not break so easily. It is usually a minor and straightforward procedure. In most cases this can be performed under local anaesthetic in the clinic, but some cases will need to be performed under general anaesthetic.
After a Nose Bleed
Following a significant nose bleed, it is advisable to do the following:
- Rest as much as possible
- Do not touch, pick or blow the nose
- Keep hot drinks to a minimum
- Avoid straining when going to the toilet
- Avoid heavy lifting
- Avoid spicy foods
Conclusion
Epistaxis can be a significant health risk and prompt and effective treatment is essential. Please feel free to phone for further advice regarding this common problem.
If nasal bleeding reoccurs within a week of being seen on the ENT ward/clinic, please contact staff on the number below:
Frimley Park Hospital: Short Stay Surgery ward Direct No: 0300 613 3216
F1 (children’s ward) 0300 613 4252
Contact us
If you have any queries relating to this information, please contact the Ear or nose and throat (ENT) service.
About this information
Service:
Ear, nose and throat (ENT)
Reference:
G/040
Approval date:
23 February 2026
Review date:
1 February 2029
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Important note
This page provides general information only. It is developed by clinical staff and is reviewed regularly every 3 years for accuracy. For personal advice about your health, or if you have any concerns, please speak to your doctor.