Skip to main content

Featured post

Can't Burp? R-CPD Specialist Treatment | London & Essex

  Can’t Burp at All? How R-CPD Quietly Causes Daily Bloating and Discomfort in East London, Brentwood and Essex For most people, burping is a completely automatic, secondary bodily function that they take for granted. But if you are one of the many adults across East London, Brentwood and Essex who has never been able to burp , you know exactly how isolating and uncomfortable it can be. Perhaps you have spent years trying to explain to doctors or family members that you literally "can't burp," only to be dismissed with advice to "change your diet" or take over-the-counter indigestion remedies at a chemist in Redbridge. You might experience a strange, loud "gurgling" sound in your throat after eating, followed by painful bloating that makes it difficult to fit into your clothes by evening. If you have silently struggled with these symptoms, it isn't "just you." You may be suffering from a highly treatable medical condition known as Retrogr...

Why do I get nose bleeds?







What is nose bleed or epistaxis?
Inside of the nose is lined by mucosa which is very rich in blood vessels. One of the main functions of the nose is to humidify the air we breathe in and out.  Humidication is naturally achieved by mucous cells lining the nose. Blood vessels can become weak due to dryness, high pressure behind the vessels or hormonal changes.

What are different kinds of nose bleeds?
In simple terms, one can have an anterior nose bleed or posterior nose bleed. Anterior nose bleed is when most of the blood comes out through the nostril and some you spit out. Posterior nose bleed is when you spit most of the blood and little comes out through nostril.

Why do children have nose bleeds?
It is very common for children between 2 to 10 to have nose bleeds.
Dry weather during summers and dry air indoors during winters due to heating tends to dry nasal mucosa. Dry nasal mucosa, in turns, makes it itchy for children to rub their nose and lead to nose bleeds. It is also common for children with allergies to have nose bleeds. In some cases, children can get a nose bleed due to trauma.

What to do when children get a nose bleed?
The first thing to do is "keep calm." Make the child sit on a chair and slightly lean forward. Ask them to breathe through the mouth and then gently pinch the soft part of the nose for 10 mins. You can use some ice on the forehead.  You should see your GP if your child has frequent nose bleeds. The child may need to be seen by an ENT specialist for examination and management.



What happens when an ENT specialist sees children for the nose bleeds?

Typically ENT specialist will take a full detailed history and use a special camera to examine the nose to look for the site of nose bleed. He may recommend simple measures like managing allergy, using an antibiotic cream or emollient, using saline drops or spray. If this does not work, then he may recommend nasal cauterization. 

Nasal cauterization is a procedure performed on nasal mucosa using a chemical stick or electrical cautery to stop the bleeding.

If performed under local anaesthetic, the surgeon will spray the inside of the nose with decongestant and anaesthetic medication.

Medication will numb the nose in a couple of minutes. After this, with a special chemical stick, the surgeon will apply the chemical on the bleeding point. The whole procedure takes 15-20 minutes and can be done in the clinic on the same day of consultation. 

In some cases, the surgeon may recommend the procedure to be done in theatre under general anaesthetics. 

After the nasal cautery, the child can still have some spotting. You will be advised to continue with nasal cream and saline drops for two weeks. In case the child gets nose bleeds from both nostrils, the surgeon may decide to do the worse side first and manage the other side after a few weeks.

Why do teenager boys get nose bleeds?
All teenager boys, if they get one-sided nose bleed need to be seen by ENT surgeon for camera examination of the back of the nose.
Endoscopy is done to rule out vascular swelling at the back of the nose.


Why is a nose bleed common during pregnancy?
During pregnancy, the body tends to retain more water and have hormonal changes. Hormonal changes can have an impact on the lining of the nose, making it more prone to nose bleed.

Why do adults get a nose bleed?
Like children, adults can also get nose bled due to dry nose, allergy and sinusitis. In some cases, high blood pressure or nasal tumour (cancerous or non-cancerous) can cause a nose bleed. 
If you are taking blood thinners, it is good to have a discussion with your GP for alternative blood thinners.
If you get a one-sided nose bleed, with/ without facial pain, with/without nasal obstruction, with/ without eye pain, you need to be seen by ENT specialist for urgent nasal endoscopy and scanning of the nose to rule out a nasal tumour.


Mr Gaurav Kumar
Consultant Ear Nose Throat Surgeon

To Book Appointment

Online Booking


Call 07494914140

info@entsurgeonclinic.co.uk

Helping patients with specialist expertise and kindness


Disclaimer: For general information, always seek medical advice from your treating consultant


Popular Post

Private Pediatric Coblation Tonsillectomy London & Essex | Mr Gaurav Kumar

Private Pediatric Coblation Tonsillectomy London & Essex | Mr Gaurav Kumar Coblation Tonsillectomy for Children: A Gentler, Less Painful Option in London and Essex When a child suffers from chronically enlarged tonsils that disrupt their breathing at night, or recurrent bouts of tonsillitis that cause high fevers and missed school days, surgical removal is often the most effective long-term solution. However, the prospect of a traditional tonsillectomy can make many parents incredibly anxious, primarily due to concerns over post-operative throat pain and a lengthy recovery period. Fortunately, modern surgical advancements have introduced a technique designed specifically to address these concerns: Coblation Tonsillectomy . If you are looking into private treatment options for your child outside of overstretched local NHS waiting lists, understanding how this gentle technology works can help you make an informed choice. This guide breaks down the benefits of coblation and how famil...
Read more

After your Epley manoeuvre — patient information leaflet

  What this leaflet tells you This leaflet explains what to expect after the Epley (canalith repositioning) manoeuvre for posterior-canal BPPV, what you should and shouldn’t do, and when to seek help.   1. Quick summary — what the Epley did The manoeuvre moves tiny particles (otoconia) out of the balance canal of your inner ear and back into a place where they don’t cause spinning (vertigo). Most people feel much better after one or a few treatments. However BPPV can come back (recurrence is common).   2. How you may feel immediately afterwards You may feel dizzy or off-balance for a few minutes to a few hours; nausea is possible.   Some people feel better straightaway; others get gradual improvement over days.   Rarely ,you may have brief recurrences of vertigo — this does not always mean the manoeuvre failed.   3. Activity and posture — what the evidence says Good news: High-quality studies and recent guidelines show that strict he...
Read more

Septoplasty vs Septorhinoplasty: What’s the Difference and Which Surgery Do You Need?

  Septoplasty vs Septorhinoplasty: Understanding Your Nose Surgery Options Difficulty breathing through the nose can significantly affect sleep, exercise, work and overall quality of life. Some patients also feel unhappy with the appearance of their nose following injury, previous surgery or natural development. Two commonly discussed procedures are septoplasty and septorhinoplasty . Although the names sound similar, the operations are designed to treat different problems. This guide explains the differences between these procedures, when surgery may be appropriate, and what patients should expect during recovery. What is the nasal septum? The nasal septum is the internal wall that separates the two nasal passages. Ideally, it sits centrally and allows air to flow evenly through both sides of the nose. However, many people have a deviated septum , where the septum bends to one side. A deviated septum can cause: Persistent nasal blockage Difficulty breathing through th...
Read more

Adult Tonsillectomy Recovery: Day-by-Day Guide After Tonsil Surgery

  Adult Tonsillectomy Recovery: What to Expect Day by Day Adult tonsillectomy can significantly improve quality of life for people struggling with recurrent tonsillitis, chronic sore throats or repeated throat infections. However, recovery after adult tonsil surgery is often more uncomfortable than many patients expect. Understanding the normal stages of recovery can help reduce anxiety and allow patients to prepare properly before surgery. This guide explains what adults commonly experience after tonsillectomy, how to support recovery safely, and when to seek urgent medical advice. Why is adult tonsillectomy recovery difficult? The tonsils sit in an area that moves constantly during swallowing, eating and speaking. After surgery, the throat heals gradually over approximately two weeks. Adults generally experience: Significant throat pain Pain when swallowing Ear pain (referred pain from the throat) Tiredness and reduced energy Disturbed sleep Temporary bad brea...
Read more

Ossiculoplasty Surgery - Restoring Your Hearing

  Ossicular Reconstruction (Ossiculoplasty) Patient Information Leaflet 1. Why am I being offered ossicular reconstruction? You have hearing loss caused by damage or disruption to the ossicles — the three tiny bones in the middle ear ( malleus, incus, and stapes ) that transmit sound from the eardrum to the inner ear. This damage may be due to: Chronic ear infections Cholesteatoma Previous ear surgery Long-standing eardrum perforation Trauma or erosion of the hearing bones Ossicular reconstruction (ossiculoplasty) is a surgical procedure designed to improve hearing by rebuilding this sound-conduction mechanism. 2. What is ossicular reconstruction? Ossiculoplasty involves repairing or replacing one or more of the hearing bones using either: Your own tissue (e.g. reshaped ossicles or cartilage), or A biocompatible prosthesis (most commonly titanium) The operation is usually performed alongside: Eardrum repair (tympanoplasty), and/or Mastoid surgery (especially if cholesteatoma i...
Read more

"Naseptin: Powerful Defence Against Nasal Bacteria!"

  Everything You Need to Know About Using Naseptin Nasal Cream   If you've been dealing with nasal issues, you may have come across Naseptin nasal cream as a potential solution. Whether you suffer from recurrent nasal infections (vestibulitis), nose bleeds or simply need some relief from nasal dryness, Naseptin can be a valuable aid. In this blog, we'll cover everything you need to know about using Naseptin nasal cream to ensure you get the best results from this trusted product.   Unlocking the Power of Naseptin Nasal Cream: A Guide to Its Versatile Uses   Naseptin nasal cream, a powerful ally in nasal health, holds the key to treating infections caused by staphylococcal bacteria. This versatile cream offers much more than meets the eye, and we're here to shed light on its incredible benefits! 🌟 👃 Kicking Nose Infections to the Curb: Say goodbye to those troublesome nose infections! Naseptin comes to the rescue, targeting staphylococcal bacteria and...
Read more

Private Chronic Sinusitis Treatment in London & Essex | Mr Gaurav Kumar

  Chronic Sinusitis: When "Just a Cold" Becomes a Long-Term Problem Most of us have experienced the misery of a sinus infection—the pressure behind the eyes, the stuffed-up nose, and the dull headache. Usually, these symptoms clear up within a week or two. However, for some, the inflammation never truly goes away. When symptoms persist for 12 weeks or longer , it is clinically defined as chronic sinusitis . This condition can significantly impact your productivity, sleep quality, and general well-being. This guide explains when you should move beyond over-the-counter remedies and see an ENT specialist. What is Chronic Sinusitis? Sinuses are air-filled cavities in the skull located around the nose and eyes. They produce mucus that drains into the nose. Chronic sinusitis occurs when the lining of these cavities becomes swollen and inflamed, blocking the normal drainage pathways. This leads to a buildup of mucus, creating an environment where bacteria or fungi can thrive. Signs ...
Read more

Chronic Throat Clearing and Globus Sensation: Causes, Symptoms and When to See an ENT Specialist

  Chronic Throat Clearing and Globus Sensation: Why Does It Feel Like Something Is Stuck in Your Throat? Many people occasionally clear their throat during a cold or allergy flare-up. However, when throat clearing becomes frequent or constant, it can become frustrating, socially embarrassing and uncomfortable. Some patients also describe a persistent feeling of a “lump” or tightness in the throat, even though swallowing food and drinks may still feel normal. This sensation is known as globus sensation . In many cases, these symptoms are linked to irritation or inflammation affecting the throat and voice box. Common causes include laryngopharyngeal reflux (silent reflux), voice strain, postnasal drip or muscle tension . This article explains the common causes of chronic throat clearing and globus sensation, when to seek ENT advice and what treatment may involve. What is globus sensation? Globus sensation refers to the feeling that something is stuck in the throat, despite the...
Read more

Earbuds vs Over-Ears: Which One Is Silently Damaging Your Hearing?

Headphones are no longer an occasional accessory—they’re part of daily life. From early-morning podcasts to late-night playlists, our ears are spending more time under acoustic load than ever before. But a question keeps coming up in clinics, classrooms, and conversations around ear health: Are earbuds worse for your hearing than over-ear headphones? Let’s move beyond opinion and aesthetics. By looking at sound pressure levels , hygiene , and long-term listening behaviour , we can reach a clear, evidence-informed conclusion. 1. Sound Pressure Levels: Distance Matters More Than You Think The single most important factor in headphone-related hearing risk is the amount of sound energy that  reaches the inner ear . Earbuds (In-Ear Headphones) Sit millimetres from the eardrum Deliver sound directly into the ear canal Require lower absolute power , but often result in higher sound pressure at the cochlea Users tend to increase volume in noisy environments (commuting, g...
Read more

Private Vertigo & Vestibular Balance Treatment London & Essex | Mr Gaurav Kumar

  Vertigo and Balance Disorders: When to Seek Specialist Vestibular Care Feeling dizzy, unsteady, or experiencing a sudden sensation that the room is spinning around you can be deeply unsettling. Because balance relies on a delicate relationship between your eyes, sensory nerves, and the inner ear, a disruption in any of these areas can severely impact your day-to-day life, confidence, and independence. When dizzy spells become frequent or are triggered by simple head movements, a comprehensive assessment at a specialist ENT vestibular service is crucial to identify the root cause and start targeted rehabilitation. Understanding the Inner Ear Balance System The inner ear houses the vestibular system, a complex network of fluid-filled canals and sensors that detect gravity and head movement. When an infection, injury, or natural aging process disrupts this system, the brain receives conflicting signals, resulting in vertigo—the false perception of movement. The most common inner ear...
Read more