20
Patient Information
Table 6. Interventions for an Identified Anterior Nasal
Bleeding Site
Frequent Questions Emollient application Vasoconstrictor use
What are my options for
each category?
Application of emollient
creams or ointments.
Application of
oxymetazoline (Afrin
™
)
or other vasoconstrictors
by using nose sprays or
applying to cotton that is
inserted in the nose.
What risks are involved? is is well tolerated with
no significant risks, other
than the possibility of
causing bleeding during
application.
ese medications can
cause complications
in some people with
other health issues, such
as hypertension and
glaucoma. Repeated
use may lead to loss of
efficacy, nasal obstruction,
or excessive dryness of
the nasal lining (rhinitis
medicamentosa).
What are the benefits? ese ointments do not
stop active bleeding but
are useful for preventing
rebleed.
Low cost, non-invasive.
Little cost, and these
strategies provide rapid
control of active bleeding.
is can be done by
individuals with minimal
instruction.
What are associated costs? Small costs of the emollient
agent.
Small costs of the
vasoconstrictor agent.
Who else can I talk to
about treatment for my
nosebleeds?
is should be discussed
with your primary
care provider and an
otolaryngologist, if one
is seen.
Your primary care
provider or an ear, nose,
and throat specialist
(otolaryngologist) may
help you understand how
to apply this therapy.
