When to call hemophilia treatment center Management

 Nosebleed which lasts longer than 10 minutes . of Nosebleeds

 Nosebleed related to head injury/ trauma

 More than 3 nosebleeds in one day

 Signs or symptoms of anemia: pallor, decreased energy, pale mucous membranes, increased heart rate

BLEEDING & CLOTTING BLEEDING & CLOTTING DISORDERS INSTITUTE DISORDERS INSTITUTE Peoria , Illinois 61614 Ph: 309-692-5337 Fax: 309-693-3913 www.ilbcdi.org www.ilbcdi.org

Why do nosebleeds happen? Nosebleed management Treatment options

The most common cause of nosebleeds is injury,  Blow your nose gently to remove mucus and but this does not necessarily mean a punch in the Over the counter options: clots which will interfere with hemostasis. (The nose. Forceful sneezing or blowing, rubbing, or soft, stringy, jelly-like clots are not effective in  NasalCease™--A nasal pack inserted into the picking a dry, itching or “stuffy” nose can cause stopping the bleeding. They allow blood to con- nose for 30 minutes. To order online: bleeding. The membranes of the nose may be- tinue to ooze and interfere with the formation of come dry and crusty when the humidity in the a solid, effective clot.) http:/www.nasalcease.com. house is low in winter, particularly at night and  WoundSeal®-- when nasal congestion leads to mouth breathing.  Tilt your head forward. You want the blood to Topical powder to stop Colds and allergies cause swelling and drying of come out so you can tell when the bleeding has bleeding. Put powder on applicator and apply the membranes, making them more susceptible stopped and so you don’t get clots in the back of to bleeding mucous membrane of nostril. to bleed from slight injuries. your throat. Prescription treatment options:

Are nosebleeds serious?  Aminocaproic Acid/Amicar  DDAVP/Stimate Bleeding from the nose can be a common site of  Factor replacement product as directed by blood loss, especially in people with a bleeding hemophilia treatment center (HTC). disorder. Recurrent or prolonged nosebleeds can be the reason a person is referred to a hematolo- When bleeding has gist for evaluation. Nosebleeds can be a minor stopped, gently apply a inconvenience or can be a major event which small amount of saline requires medical attention in the emergency room or hospital. gel, saline nasal spray,

or Vaseline into the  Using a Kleenex or washcloth –apply firm pres- What are some ways to prevent nostril. This will help sure to both sides of the nose. Keep the pres- to keep the membranes sure firm and constant for a minimum of 5 nosebleeds? soft and moist, and minutes.  Keep nasal membranes moist. Humidifiers prevent the formation and vaporizers can help and place small  Release the pressure to see if the bleeding has of hard crusts which amount of Vaseline or nasal saline in nostrils stopped. Blow out any soft clots gently. If the might crack and restart bleeding continues, reapply the pressure for at bedtime. the bleeding. another 5 minutes. Continue these steps until  Avoid smoke exposure the bleeding stops.  Avoid nose picking or forceful blowing  If the bleeding has not stopped, additional  Avoid any known allergens treatment may be indicated.  Keep fingernails short to avoid accidentally scratching inside of nose