Articles on bleeding

Bleeding in Early Pregnancy

Dr. Pallavi Vasal, Gynecologist/Obstetrician
Vaginal bleeding in early stages of pregnancy is common. It can be due to many reasons.The important causes  are-1) IMPLANTATION BLEEDING- bleeding due to attachment of the newly formed fertilized mass of cells which are destined to form the baby to the womb. It usually occurs at the time of expected period. It is normal and is not heavy bleed.2) MISCARRIAGE- 1 in 5 pregnancies(20%) has the risk of miscarriage in the first three months. Most miscarriages occur as a "one -off"(sporadic) event and there is a good chance of having a successful pregnancy in the future. Most common cause is chromosomal problems. Chromosomes are tiny thread like structures which make our body cells. Risk of miscarriage increases with increasing age, health problems like poorly controlled diabetes and lifestyle factors like smoking and heavy drinking. It can be managed by -                   (a) Expectant management- Letting the nature take its course                   (b) Medical management- Taking tablets                   (c) Surgical management- Having an operation called D & E(dilatation and evacuation)Depending on your case doctor will offer you treatment most suitable for you.3) ECTOPIC PREGNANCY- It is when the pregnancy is growing outside the womb; usually in the fallopian tubes. A pregnancy cannot survive in this situation and sadly cannot lead to birth of a baby. You may have symptoms like abnormal bleeding, pain in lower tummy, pain in the tip of the shoulder, upset tummy, severe pain/collapse. If you had previous ectopic, previous surgery over fallopian tube, using progesterone only pills for contraception, IUD/Coil, IVF, are more than 40 yrs or smoker you are at high risk of having an ectopic pregnancy. It can be managed in three ways-(a) Expectant management- Letting nature take its course, but with serial blood tests for beta HCG (pregnancy hormone) and ultrasound monitoring (b) Medical management- with injection Methotrexate which is an anti cancer drug which also dissolves the pregnancy tissue. This is also given with proper monitoring and serial blood tests and ultrasound. (c) Surgical management-usually done laparoscopically (key hole) surgery and removal of the tube may be required.Your doctor will offer you treatment according to your condition considering all pros and cons.4) MOLAR PREGNANCY- It is much rarer condition where the placenta is abnormal. Once diagnosed this pregnancy needs to be terminated and requires long follow-ups.5) LOCAL CAUSES- Can be due to local injury, cervical (neck of the womb) erosion.When you see your doctor for bleeding in early pregnancy, your doctor will offer you-A) Consultation and Examination- which will include details of your symptoms, date of last menstrual period and your medical history. Vaginal examination to see where the bleeding is coming from. A vaginal examination will not cause you to miscarry.B) Tests-            Urine test to confirm pregnancy            Test for Chlamydia             Blood tests to check your blood group and pregnancy hormone (beta-hcg) levelsC) Ultrasound - Either Transvaginal or Tranabdominal Scan. Repeat scan may be necessary after 7-10 days if the pregnancy is very small or has not been seen.WARNING SINGS-1) Heavy bleeding2) Severe pain not relieved by pain reliving drugs3) Smelly vaginal discharge4) Shivering or flu like symptoms5) Feeling faint6) Have pain in your shoulderIf you have any of the above , please consult your doctor immediately.

Top 5 Causes & Home Remedies to Treat Bleeding Gums

Dr. Surabhi Mahajan Malhotra, Dentist
Have you ever experienced sudden bleeding from mouth while eating or brushing? We often mistake that the blood is coming from teeth. Our teeth never bleeds, its the gums which bleed.This is an early sign of gingivitis (also known as pyrohhea). Some of the causes of bleeding gums are as follows:1. Plaque deposition – Generally deposits are seen in between the teeth & the gum area. This results in pocket formation & loosening of the gums. When gums are loose they tend to bleed easily. Even slight pressure of brush or finger may cause bleeding.2. Medical conditions like diabetes, heart disease, scurvy etc. may cause bleeding gums. Deficiency of vitamin C may trigger bleeding. Also seen more in bleeding & clotting disorders.3. Hard Brushing-  Sometimes using hard or worn off brush may lead to bleeding gums.4. Ill fitting dentures or mouth ulcers 5. Hormonal changes during pregnancy or menstruationHome remedies for bleeding gums 1. Maintain a good oral hygiene. Brush & floss daily.2. Use a soft bristled tooth brush. Change your brush after it is worn off.3. Incorporate a lot of vitamin c in your diet. Foods like amla, oranges are a good source. 4. Do warm saline rinses (warm water with a pinch of salt) after every meal.5. Massage your gums with fingers gently.Bleeding gums may be an early sign of gingivitis & should not be ignored. A professional dental scaling would be required. If left untreated it may proceed to severe inflammation of gums & further cause bone loss.Do not ignore bleeding gums. Make sure you visit your dentist for the correct diagnosis because prevention is always better than cure.

Seven Natural Methods to Prevent Bleeding Gums.

Dr. Prashant Ojha
Gum bleeding is very common now a days.  But most of the natural treatments at home can go a long way toward improving your oral health and stopping bleeding gums. like1) Clove oil - massage the gums with clove oil or just chew a piece of clove. it may cause burning sensation,but very helpful to prevent bleeding gums.2) Peppermint oil- peppermint oil (chamomile tincture). these oils are very beneficial for teeth and gums health. it has been used to treat gingivitis with positive outcomes.3) Tea tree oil- tea tree oil has anti-bacterial property . .tea tree oil is derived from the leaves of melaleuca alternifolia, it is soothing on application and eases away pain you may have on your gums. 4) Citrus fruits-  vitamin c is very important for the overall health of delicate gum tissue, because the vitamin c helps to prevent collagen from breaking down. without collagen, gums become extra tender, and thus susceptible to bleeding  orange, lemon,strawberries and kiwis,nuts and seeds,apples, celery, and other low-acid, fibrous foods and cabbage are the best and rich sources of vitamin c. use plenty of them.5) Probiotic Milk- It is rich in calcium and, therefore, can be used as an effective home remedy for bleeding gums.  It reduce symptoms of gingivitis and help heal and restore damaged bone tissues.6) Aloe Vera- It is very useful against inflammation of gums. It destroys bacteria responsible for gingivitis. It also helps in speeding up of the process of healing. Massage the aloe Vera gel into the gums. Aloe vera contains many potentially active constituents: Vitamins, enzymes, minerals, sugars, lignin, saponins, salicylic acids, and amino acids. Polysaccharides are considered to be the active ingredients of Aloe's anti-inflammation and immune-modulation effects.7) Saline Solution-  It improves blood circulation in mouth and reduces swelling. Using a saline solution to rinse in the morning and evening will effectively cure and prevent bleeding gums . Its high osmolality reduces inflammation and can be microbicidal. Warm saline rinses have been used successfully in post extraction cases. We have also been using it in post surgical periodontal cases for many years and the results have been excellent.

Blood in Stool

Dr. Kumar Parth, Gastroenterologist
Blood in the stool means there is bleeding somewhere in your digestive tract. It may be a local bleed or may be bleeding from digestive tract (stomach, small/Large bowel) Bleeding may be associated with / without pain.Common diseases which accounts for bleeding have been summarize below with their presentations.PILES (HEMORRHOIDS) – One of the most common causes for lower Gastrointestinal bleed.Presentation: Most of them are painless and often seen following passage of stool with quantity ranging from 2ml -100 ml /day.Causes:  Most common – following constipation (passage of hard stool), during pregnancy,drug induced. Generally happens due to swelling of blood vessels (veins) along the anal canal and erosion to that leads to bleeding.Most of the early piles are managed by medicines, but once get chronic (recurrent attacks) may need surgical cure.FISSURE –IN –ANO – A small cut or tear in the tissue lining the anus similar to the cracks that occur in chapped lips or a paper cut.Presentation: Always be associated with pain while passage of stool.Bleeding is not much as seen in Piles (Generally stool is blood stained, with few drops of blood following passage of stool.Causes: Passage of hard stool, following constipation, during pregnancy, prolong immobilization(Bed ridden patients, local injury.Generally get cured with medicines and lifestyle modifications, may need surgical cure when becomes chronic/severe pain with bleeding.FISTULA-IN-ANO - An ano-rectal fistula (Fistula-in-Ano) is an abnormal communication between the anus and the Peri-anal skin.Causes: Anal canal glands situated in anal canal afford a path for infecting organisms to reach the intramuscular spaces. Fistulas can occur spontaneously or secondary to a Peri-anal (or Peri-rectal) abscess.Presentations: Mucus/ pus discharge from inside of anus or from surrounding skin of anus,associated with / without painDIVERTICULAR DISEASE- Diverticula are small pouches that project from the colon wall. Usually diverticula don't cause problems, but sometimes they can bleed or become infected, then require surgical care.COLITIS  - Inflammation of the colon.Among the more common causes are infections or inflammatory bowel disease (Autoimmune causes), namely Ulcerative colitis /Crohns diseases.Managed with Immuno-suppressant medicines, but may require surgery when gets complicated / cancerous changes.POLYPS:These are out pouching of mucosa of anal canal, when get eroded with hard stool causes bleeding. Polyps may be simple or may be cancerous.CANCERS OF ANAL CANAL: Mostly seen after age of forty. May present with active bleeding (mostly painless) or present as occult bleeding (patient presents with Anemia (low hemoglobin), and on stool examination shows presence of RBCs (blood cells). Few patients present  as recent  onset of constipation, particularly who didn’t had constipation before.Basic Evaluation Needed: Local examination of area by Physician, Chemical Tests of stool for Occult (Hidden) bleeding, Colonoscopy (scope passed from anus up to junction of small and large bowel to see entire colon and part of small intestine. Scanning (CT Scan/MRI) may be helpful following colonoscopy if suspicion of cancer arises.Courtesy: Dr. Kumar Parth(MBBS; MNAMS; FMAS; FAIS; FACRSI  (Colo-Rectal Surgery)DNB; FSGE (Surgical Gastroenterology)Consultant Surgical Gastroenterologist (Bangalore), drkparth9@gmail.com, WWW.DRPARTHGASTRO.COM

Your Solution to Bleeding Gums

Dr. Khushbu J. Virvadia, Dentist
One fine morning when you woke up from sleep and started brushing your teeth, you realised that you were spitting a slight amount of blood with the foam. After a while, you may notice the bleeding even while eating or at times spontaneously.If you’re wondering why your gums bleed, here is the solution with understanding related to its causes,treatment and prevention.Bleeding gums are caused by inadequate plaque removal. Plaque contains germs-a bacterial biofilm which accumulates around your gum line and attacks  the healthy tissue around the teeth,this will cause the gums to become inflamed and irritated ,which may then  bleed when brushing or flossing.This is called GINGIVITIS and is the first sign of gum disease. Gum disease usually isn't painful, so many people don't know they have it until it advances.Top 10 Causes of Bleeding gums1. Poor oral hygiene-most common causeGums may bleed when they get inflamed and this occurs when people fail to keep their teeth clean. A lot of people don`t brush or floss properly and this leads to build up of plaque and tartar on the teeth. The gums get irritated and are red, swollen and painful.The gums may then bleed at the slightest provocation.2. Malpositioned teethThis may make cleaning teeth very difficult through routine brushing and may lead to gum bleeding. The crooked teeth can also lead to food getting trapped between two teeth. This again causes the gum to become inflamed and bleeding.Sometimes ill-fitting dentures and faulty dental appliances can lead to gum bleeding too.3. Trauma to the gumsThis may occur due to overzealous brushing or using a hard bristled toothbrush which may traumatize the gums.4. Medications Certain medications such as aspirin,clopidogrel etc. which are given to patients at risk of heart attacks or stroke, drugs given for epilepsy, cancer chemotherapy etc. may cause the gums to bleed.5. Hormonal changes in womenThese occur at various stages in a woman’s life such as when she reaches puberty, during pregnancy orthe postmenopausal phase. These changes also occur regularly during her periods or during use of oral contraceptive pills and during any hormone replacement therapy.These hormonal changes increase the chances of bleeding from the gums.Some other systemic causes:6. Vitamin C deficiency7. Hormonal diseases like diabetes mellitus,8. Bleeding disorders  and coagulation defects.9. Liver disease10. CancersTREATMENT & PREVENTION:1. Brush your teeth at least twice each day- Make sure you follow proper brushing technique. If you're not sure what to do, ask your dentist for a quick lesson at your next appointment.Use a soft/medium bristle toothbrush which is gentle on your gums.Change your toothbrush every 3 months.2. Floss daily- It doesn't take more than a few minutes, but flossing may be the most important thing you can do to prevent gum problems now and in the future.3. Rinse with mouthwash- Use an antiseptic mouthwash prescribed by dentist,it helps kill bacteria that cause gum disease.Gum astringent gels prescribed by dentist  can also be used to massage gums. A rinse of warm salt water can help soothe swollen gums that bleed easily.4. Eat a well-balanced diet- A balanced diet, including plenty of vitamin C and calcium, may minimize the likelihood you'll have gum problems.5. Drink plenty of water- Drinking water, especially after eating, can help wash food off your teeth and make it less likely that bacteria will form plaque-damaging gum.6. Schedule a professional dental cleaning– Getting your teeth clean bi annually goes in a long way for having  a good oral health.7. Advance Gum Care- Routine cleanings are for people with healthy teeth and gums. Infected gums require specialized care, often utilizing advanced instruments and medicaments as well as treatment protocols that are specifically tailored for the periodontally involved patients..Some of the commonly carried out treatments are -curettage,root planning,or some flap surgeries with bone graftings in advanced cases.8. Say no to tobacco- gums may bleed if you smoke cigarettes or use other tobacco products, try to quit.9. Be relaxed- Being stressed out raises levels of the stress hormone cortisol, increasing the likelihood of inflammation throughout your body,including in your gums10.Schedule an general health check up- To determine if dental health is not the underlying issue causing your bleeding gums. A complete physical examination and blood work can help determine the cause of your bleeding. Treatment will vary accordingly.

Hemorrhoids - the Bleeding Devil in Your Body

Dr. Deepak Rathi, Ayurveda
Hemorrhoids (Piles)  are one of the most common condition to affect humans, having been mentioned many centuries ago. The first descriptions of problems associated with hemorrhoids are found in the Bible, and the occupation of proctology apparently was established then as well.If you have hemorrhoids, you are not alone. They are a common problem. In fact, hemorrhoidal tissues are a natural part of the body. Most of the time you do not notice them as they help during bowel movements. But if these tissues become swollen or inflamed, they can cause uncomfortable symptoms.The good news is that hemorrhoids can be treated.What are Hemorrhoids (Piles)Hemorrhoids - commonly known as piles - are swollen blood vessels (veins) which develop inside and/or outside the anus. They are felt as lumps around and inside the anus . The lumps are formed by increased pressure on blood vessels in the area, causing them to enlarge and swell. If they become infected, they can cause bleeding, pain and discomfort and require medical attention.Causes of Hemorrhoids (Piles)The exact cause of piles is not known. One theory is that it is due to weakness of the tissues that connects the anal cushions to the muscle layers underneath. Due to this weakness, the anal cushions slide out of their normal place and down the back passage.You have an increased risk of getting piles if you: Have Constipation – this is the most common cause which leads to straining during defecation. Straining leads to pressure on blood vessels causing them to swell, elongate and slide down the anal opening. Eat a low-fibre diet- Lack of dietary fibre can cause hard stools, constipation and straining. Spend too much time in the toilet and holding the urge when you have to go. Have long-lasting (chronic) diarrhoea.Are pregnant - due to the effect of hormones on the blood vessels, plus the increasing weight of the baby within your abdomen. Are Overweight.Lift heavy weights. Have a family history of piles. Have cancer or growths in your pelvis or bowel, which may put pressure on your abdomen. Old age- Ageing reduces the efficiency of the circulation.Types of Hemorrhoids (Piles)There are two types of hemorrhoids: Internal hemorrhoids - these occur inside the anus - Usually painless External hemorrhoids - these appear outside the anus - may become painfulHemorrhoids are also classified by the Degree of prolapse (dropping outside the anus), their size and if they are infected : GRADE I - hemorrhoids bleeds but do not prolapse (do not come outside the anus while passing stools) GRADE II - hemorrhoids prolapse on straining and then reduce by itself (go back inside the anus by itself) GRADE III - hemorrhoids prolapse on straining and do not reduce by itself and may require manual reduction (have to push it back inside the anus by using your fingers) GRADE IV - prolapsed hemorrhoids are trapped outside the anus and may become strangulated, infected and painful.Symptoms of HemorrhoidsBright red blood spots in the toilet or on the toilet paper. Heavy bleeding during defecation (During Passing Stools) Itching and discomfort around the anus. Feeling of a lump or mass near the anus which may be painful or painless. Discharge around the anus and soiling of clothes. Pain while passing stools and after passing stools. Feeling of incomplete evacuation of your bowels.The most frequent complaint in true Hemorrhoid is Painless bleeding, which usually appears early in the course of the disease. See your doctor if you have blood in your stool. Hemorrhoids could be the problem, but bloody stool could also be a symptom of something far more serious, like colon cancer. ComplicationsIf Hemorrhoids are ignored and no treatment is given to cure them, they can lead to- Iron Deficiency Anaemia (from heavy bleeding) Weakness Prolapse of whole hemorrhoidal tissue outside the anus.How a diagnosis is madeIn most cases, diagnosis is easily made by a thorough history taking and on physical examination by your doctor. In advanced cases some tests may be required like Anoscopy (Proctoscopy) , Sigmoidoscopy and Colonoscopy.It is never a good idea to diagnose the condition yourself. Always consult an Expert.Treatment Options Multifold approach is essential for correct treatment of existing condition and to prevent the recurrence. This includes: Lifestyle Modifications Oral medication: as prescribed by your doctor. These can be used to temporarily treat small bleeding piles. Analgesics: For temporary relief, if pain is present. Laxatives: to keep the bowel clear. Oral medicines: to regularise digestive system and to enhance healing. Topical treatment (Creams and Ointments): as prescribed by your doctor (Avoid prolonged use) Herbal Medicines (Ayurvedic Medicines): Ayurvedic Medicines are very effective treating hemorrhoids. Very effective control in bleeding and pain can be achieved through medicines. Cold pack applied to anal area Hot sitz bath in tub for 20-30 minutes twice daily. Kshar Sutra Therapy: This is the best treatment available for hemorrhoids, anal fistula, anal fissure and pilonidal sinus. By this technique, Kshar Sutra is placed right at the root of hemorrhoidal tissue and the whole hemorrhoid is ligated with Kshar Sutra. Blood supply to the existing hemorrhoid is cut off and hemorrhoid will shed off after some days. Kshar Sutra that is placed at the root of hemorrhoid will help to prevent the recurrence of the disease. Surgery : Many kind of surgical techniques are present Sclerotherapy (Injection Therapy): Sclerotherapy is a popular form of hemorrhoid treatment whereby a chemical agent is injected into the hemorrhoid to cause it to shrink and go away. Rubber Band Ligation- A rubber band is placed on the haemorrhoid so as to cut off the blood supply and shedding off the hemorrhoid Infra Red Coagulation- Infra red rays are used to kill hemorrhoids Cryosurgery – Very low temperature is used to shrink the hemorrhoids Surgical Excision – Hemorrhoids are cut off using a knife. Stapler surgery – Used in rectal prolapse And Many more.....Keep in mind that your treatment differ depending on your symptoms and the location of your hemorrhoid. 

First Aid for Bleeding

Dr. Yogesh Kumar, Ayurveda
Looking at blood can often lead to squeamishness and nausea in most people who are not used to seeing blood but bleeding is one of the commonest medical emergencies. It is most frequent among children below 15 years and reduces thereafter. Almost 37.9 million visits to the emergency department are for injuries.           Bleeding or haemorrhage is oozing of blood from any body part. An injury to the skin, like a cut, wound or blunt trauma like being hit by a ball can lead to bleeding. In the case of a cut, the bleeding is visible externally as oozing and is termed as external bleeding. In cases of blunt trauma, there might be an injury to deeper tissues and organs leading to internal bleeding. This might be appreciable as a bluish black swelling at the site of injury and is called as a haematoma.  Humans have been blessed by a chemical mechanism wherein once there is an injury the enzymes automatically start making the blood thicker to stop bleeding. This is called as clotting. The thickened blood (clot) seals off the wound and prevents further blood loss. But this mechanism gets affected by various factors including the weather and thus is not completely reliable. Since too much blood loss can lead to shock and fainting, it is necessary that bleeding be stopped at the earliest by all possible measures. Thus, immediate action is a must; a wait and watch policy must not be adopted under any circumstance. Knowing the reasons behind the actions helps understand why it is being performed and helps in customisation in an emergency. Causes of bleeding:•Cuts with sharp or pointed instruments like knives, razors, sharp metal edges, nails, animal bites etc. •Bruises with blunt instruments like heavy objects, hitting a wall/vehicle, falls, etc. •Internal bleeding due to blunt blow causing the haematoma. How to arrest bleeding1. CleanWash your hands before handling the wound, as far as possible. If the wound looks dirty, wash it a little under cold, running water with soap and mild rubbing.2. PressurePress down a clean towel or any cloth directly on the oozing wound and apply firm pressure for 20 minutes to stop the bleed. If no cloth is available, then press the site of bleeding with the palm. Press till bleeding stops. Do not remove the cloth even if it gets soaked and blood oozes through. Add another cloth on top and continue applying pressure.   3. Avoid movementHold the limb/part still to reduce bleeding. Make the person lie down on flat ground. 4. ElevationRaise the injured limb/ part whenever possible. Elevate the lower half of the body slightly above the head to prevent fainting.5. TourniquetIn the case of an injured limb, tie tightly a cloth/wire/tube etc 2-3 inches above the wound, around the limb. This will act as a tourniquet and stop blood flow to the wound. Make sure you untie it within 30 minutes. If bleeding has stopped, remove it. Repeat this after a 5-minute interval if the wound continues to bleeds. Keeping the tourniquet on for too long will cause the limb to start swelling; thus, untying every few minutes is a must.  6. Ice packApply ice on the wound on and off throughout the next 24 to 48 hours. This will reduce the blood flow to the site of injury and slow down the bleed. It will reduce the swelling that forms later.  7. Pain medicationTake a painkiller like paracetamol (acetaminophen) if there is a pain. Do not take aspirin or ibuprofen. They will increase the bleeding.   8. Calling helpCall for help or rush to the nearest doctor or hospital if the bleeding is severe or accompanied by intense pain/swelling. If the victim takes blood-thinning medications, then see a doctor immediately. If the bleeding was due to an animal/human bite or from junked instrument, you might need to get a tetanus shot too.  9. Post-bleeding careOnce the bleeding stops and is followed by a haematoma or bruise the next day, apply hot water packs daily to promote wound healing. If there is a scab, apply the antibiotic treatment and fresh gauze dressing each day.  Recovery Pain, tenderness subsides in 2-3 days while the bruise will take about 2 weeks to clear out.

Are You Troubled by Bleeding Gums? Here Are Its 7 Major Causes

Dr. Amit Berani, Dentist
It has long been said about links between bleeding gums and heart diseases. Though this has not been proved, the linking is due to similar nature of inflammation processes in the two cases. Tooth decay bacteria found in the mouth have been found in the inner walls of heart blood vessels. Good reason to take care of your teeth, isn’t it?Bleeding gums are more commonly seen in adults as an indication of a disease. And females are more prone to such infections; wherein released toxins cause inflammation and erosion of the gums.7 Causes Of Bleeding Gums: Oral AlertGingivitis, wherein a red line of blood can be noticed on the gum line. This might seem insignificant to many, but medical science has recorded direct relation of this to other forms of diseases like leukemia.Injury from trauma, like insertion of a foreign object in the mouth may lead to internal injuries. Or it may be caused by a physical blow, improper brushing, picking of tooth and so on.Bleeding gums can also be caused by chemicals in soft drinks, junk food, mouth fresheners, off-the-shelf dental whiteners and medicines. So when you hear someone warning you “…avoid outside food…” there is always that element of caution in it…Poor dental care and oral hygiene can lead to diseases that in turn can lead to bleeding gums. Discomfort may be caused by dental plaque formation, cavities, retracted gums, infections like mouth sores and weak gums.Blood disorders like hemophilia, clotting disorders, leukemia and thrombocytopenic purpura, etc. too can lead to gums bleeding. As well as excessive medication for procedures like chemotherapy can lead to bleeding from gums.Then there are bad food habits and unhealthy lifestyles that can cause bleeding in gums. Bad food habits lead to nutritional deficiencies that further lead to poor gums.Hormonal changes during pregnancy is another reason why women suffer from bleeding gums.Bleeding From Gums Is A Growing ConcernData from the Centers for Disease Control and Prevention in the US brings out an alarming trend for Oral and Dental Health. It says, that16% of children between the ages 6-19 years go with untreated dental caries while24% of adults (20-64) live with untreated dental caries and81% of children (2-17 age) have visited a dentist last year as compared toJust 61% of adults (61%) with a dental visitThe situation in urban India might be quite similar. With more people joining the fast lane of life, bleeding gums has become one of the major causes for a visit to a dentist. And good dental care will need to be accorded high priority by everyone, for better health and happier living.

My Child's Nose Is Bleeding!

Dr. Rajesh Kr. Bhardwaj
Nose Bleeds (Epistaxis) is a very common problem in children and one of the commonest causes for bringing a child to the Emergency of a Hospital.The causes may be because of- Simple nose picking- Sinus infection- Foreign Body in the Nose- Bleeding disorders- Nasal tumours - especially the Juvenile Angiofibroma which occurs in male childrenThe First Aid in case of a Nose Bleed in a child is to do the following- make the child sit on a chair and lean forward - making the child lie down will cause the blood to trickle to the back of the throat and may cause choking- Pinch the nostril and ask the child to breath through the mouth. Reassure the child- Apply some ice over his nose - this will help to constrict the blood vessels and stop the bleedingThis usually stops the bleeding in a majority of cases.Subsequently, the child must be shown to an ENT Specialist who will carefully evaluate the child to look for the cause. Some blood tests or maybe a CT scan may be ordered.The main stay of the diagnosis and treatment is the nasal endoscope - a quick nasal endoscopy will, in most cases reveal the location and cause of the bleeding.Conservative treatment usually works. However, in the presence of recurrent nose bleeds a nasal endoscopy evaluation with cauterisation of the bleeder may be required.An early opinion of the ENT specialist is important because sometimes the cause may be more serious and in that case an early diagnosis is very important.