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Epistaxis (Nosebleed)

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21 Cautery Nonspecific supportive measures Cautery can be done with either chemicals or electricity, under local anesthesia in the office setting in most cases. Young children and uncooperative patients may require sedation or general anesthesia for cautery. Keeping the nose moist with nasal saline and humidifier use and preventing trauma to the nose by avoiding picking or rubbing. Cautery usually is performed using local anesthesia, which may cause reactions. Even with anesthesia, the procedure may be painful. Excessively vigorous or extensive cautery may damage the nasal lining and septum. Bleeding may recur, leading to repeat cautery or other treatments. Sedation or general anesthesia, if needed, has risks as well. None, aside from a delay in more definitive treatment. Usually provides prompt and oen lasting control of a bleeding site. May allow for healing of the bleeding area and help prevent future nosebleeds. Professional fee (and facility fees if needed) for office visit and cautery procedure. Costs of nasal saline sprays and/or humidifiers. Your primary care provider may be capable of discussing and performing this procedure. An otolaryngologist can provide further information if needed. Routine follow-up with your primary care provider should still be obtained if you have additional bleeding or any other questions.

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