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Epistaxis in Princeton and Monroe, NJ

Everyone experiences nosebleeds at least occasionally; however, nosebleeds that often recur or do not stop may require medical attention. Board-certified otolaryngologist Dr. Scott Kay, FACS, of Princeton Otolaryngology Associates, can treat epistaxis in patients living in and around the Central New Jersey area, including Princeton, Monroe and Plainsboro.

What is Epistaxis?

Put simply, epistaxis is a nosebleed. There are two types of epistaxis: anterior and posterior. Anterior epistaxis is most common, and results from damage to the septum, which is the area of the nose between the nostrils. It is characterized by blood that typically comes out of only one nostril. A posterior nosebleed is more serious and develops when blood vessels high and deep inside the nose burst. This causes blood to flow into the mouth and down the throat.

What Causes Epistaxis?

Anterior nosebleeds can be caused by:

  • Dryness of the nasal cavity
  • Bumping or hitting the end of the nose against a foreign object
  • Sinusitis
  • Allergies

A posterior nosebleed is usually caused by extreme trauma to the nose or a serious illness such as leukemia, hemophilia or hypertension. Cocaine users sometimes suffer from posterior nosebleeds, since snorting this drug damages mucous membranes and cartilage inside the nose.

Benefits of Epistaxis Treatment

Getting treatment for posterior epistaxis is important since this type of nosebleed does not normally stop on its own. If left untreated, you may experience severe blood loss, which could lead to serious complications such as shock or heart attack; in extreme cases, it can even cause death.

How is Epistaxis Treated?

Anterior epistaxis is treated at home by pinching the nostrils together and tilting the head forward. Hold this position for several minutes until the blood flow stops, breathing slowly through your mouth while doing so.

If you experience posterior epistaxis, keep your head elevated higher than your heart and tilted slightly forward. Attempt to stop the bleeding by using the above method of squeezing the nostrils together. After that, you should seek medical attention.

In Dr. Kay’s office epistaxis is usually treated with chemical cauterization following identification of the location of bleeding.  This may require nasal endoscopy.  In rare circumstances eletrocautery or radiofrequency cautery is used.  The import message is that Dr. Kay will do everything in his power to stop the bleeding and not place any packing in the nose.  Thus afterwards there is minimal discomfort and minimal down time.

Preparing For Epistaxis Treatment

Not much can be done ahead of time to treat a nosebleed except to remain calm. If you are treating a child, speak softly and try to prevent him or her from picking at the nose until bleeding stops.

Epistaxis Treatment Recovery

After bleeding stops, avoid blowing your nose for about an hour afterward to prevent re-bleeding. If you receive emergency treatment, you will be provided with further instructions before your release.

How Much Does Epistaxis Treatment Cost?

At-home treatment methods are free while those that require a medical professional will vary in cost based on the reason for your nosebleed. We accept most insurance plans along with cash, personal checks, major credit cards and CareCredit® financing.

Is Epistaxis Treatment Right for Me?

Any time you experience a posterior nosebleed, you should visit a physician for treatment, as this condition indicates an underlying serious condition. Likewise, if you have recurring anterior nosebleeds, you should undergo an examination to determine their cause.

Why Choose Princeton Otolaryngology Associates For Epistaxis Treatment?

In the event your epistaxis is caused by a serious condition, you can benefit from the extensive training Dr. Scott Kay received during his fellowship in Facial Plastic and Reconstructive Surgery at Shadyside Hospital. He has also received fellowship training in facial nerve reanimation and endoscopic surgical techniques, and is considered to be one of New Jersey’s leading otolaryngologists.

What to Expect During Your Consultation for Epistaxis Treatment

Dr. Kay will most likely examine your head and nose to determine if there are serious injuries. To stop the bleeding, as mentioned above he will cauterize the guilty blood vessel.

Posterior epistaxis is often very serious, which is why it should be treated promptly. Do not delay — contact Dr. Scott Kay of Princeton Otolaryngology Associates in the Central New Jersey area today – serving the communities of Princeton, Monroe and Plainsboro and other nearby communities.

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