Nosebleed (Epistaxis) and its Homeopathic Management

        Epistaxis is bleeding from the inside of the nose. It is commonly called as nose bleed by common people. Epistaxis is seen in all age groups – children, adults, and older people. Epistaxis is not a disease, it is only a sign of an underlying local or systemic cause. The cause of epistaxis is many from simple fingernail trauma to papilloma and carcinoma. But many times the cause of epistaxis is not clear. The most common site of epistaxis is the Little’s area, which is situated in the anterior inferior part of the nasal septum just above the vestibule. The Kiesselbach’s plexus here is the reason. The epistaxis may be anterior or posterior where the blood flows back into the throat.

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Management:

        During case taking, ask about the mode of onset, duration of bleeding, frequency of bleeding, amount of blood lost, side of the nose from where bleeding occurs, any bleeding tendency in the patient or his family, history of known medical conditions like hypertension, mitral valve disease, etc., and about the history of drug intake.

        Most of the time the bleeding occurs from the Little’s area and it can be controlled by pinching the nose with the thumb and index finger for 5 minutes. Cold compress should be applied to the nose. It will cause reflex vasoconstriction. Make the patient sit up with a back rest. Record any blood loss through spitting or vomiting. Always try to find out the cause and treat the underlying condition. Keep a check on the pulse, BP, and respiration.

        Though there are many medicines used to treat epistaxis, some important homeopathic medicines used in the treatment of epistaxis are listed below with their indications.

Crotalus horridus:

        Hemorrhagic diathesis. Oozing of blood from ears and nose. Crotalus horridus stops epistaxis occurring at the onset of zymotic and septic diseases or in broken down constitutions. It is also used in vicarious menstruation.

        The blood is dark and fluid. It is decomposed and has lost all powers of coagulation. Blood clots are not usually detected in hemorrhage of Crotalus.

<right side, morning and evening, in spring, warm weather, on awaking, jar.

Phosphorus:

        Hemorrhages are frequent and profuse, pouring out freely and then ceasing for a time. The blood is very fluid and takes a long time to clot. Chronic catarrh with small hemorrhages. Vicarious menstruation. Nasal polyps, bleeding easily.

<evening, weather changes either hot or cold, physical or mental exertion, warm food or drink

>cold food and drink, open air, washing with cold water.

Erigeron canadense:

        Bright red hemorrhage from the nose, aggravated by the slightest movement. Profuse bright red blood. Hemorrhages with violent irritation of rectum and bladder. Nose bleed instead of menses.

Hamamelis virginiana:

        Profuse epistaxis, the flow is passive, non-coagulable, with tightness in the bridge of the nose and considerable pressure in the forehead. It is also indicated in hemophilia and traumatic hemorrhages.

Arnica Montana:

        Epistaxis after every fit of coughing. Dark fluid blood. Traumatic hemorrhages. Nosebleed in growing children.

Mercurius solubilis:

        Epistaxis, the blood coagulates, dark, clotted, and profuse.