My husband, Gerry,  has suffered from nosebleeds for over 20 years so we have had some experience in dealing with them over the years.  A nosebleed can come from two separate areas and it’s important to determine ASAP which area is involved.

The first is an ‘anterior’ nosebleed.  90% of all nosebleeds fall into this category.  The bleeding originates from the blood vessels on the nasal septum just inside the nose.  The Doctor has no trouble seeing this area clearly with an instrument.   An anterior nosebleed is usually relatively easy to control and only in a rare case would it mean a trip to the hospital.  If a person has had their nose cauterized numerous times, then the nosebleed might be more difficult to stop using the normal methods.

The second type is a ‘posterior’ nosebleed.  This type is much less common and would account for the other 10% of nosebleeds.  This type of bleed originates from an artery in the very back of the nose.  They tend to occur more often in the elderly.  This area cannot be seen with an instrument. They can be very difficult to control in the home environment and usually require admission to hospital with follow up management by an ear, nose and throat specialist.

My husband suffers from anterior nosebleeds and these are the type that we are experienced in handling.  However, in the last month I have unfortunately had three posterior ones.  During the last occasion, I happened to be in a restaurant washroom when it began and I was so thankful that I was already in a place where I could lean over the sink.  The blood was flowing so heavily that it forced itself through the other nostril and I was choking on it going down the back of my throat.   I was constantly having to spit the blood out.  Not a pretty sight, I can assure you!  It looked like a scene from a horror movie!!

This nosebleed necessitated calling an ambulance.  The attendants spent  l/2 hr. with me to get it to stop.  They wanted to take me to the hospital to have my nose packed, but as we were visiting another City, I declined.

So as you can see, there is definitely a big difference between the two types of nosebleeds.  One out of every seven people will, at some time in the life, have a nosebleed. (I am talking here about an anterior type).  They occur more often during the winter months, especially where the climate is dry and cold.  They are most common in children 2-10 years of age and adults between 50 - 80 yrs.  They occur more often in the morning.  This could be because we have been sleeping for 7-8 hours in a dry environment.

It is highly recommended that you keep that environment as moist as you can, especially in the dry, cold winter months.  When you do have to blow your nose, make sure you do it as gently as possible.  You can keep your nostrils moist with vaseline, especially before you go to bed at night.

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