Epistaxis risk factors

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Epistaxis Microchapters

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Editor in Chief: Liudvikas Jagminas, M.D., FACEP [1] Phone: 401-729-2419, Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D.

Overview

Occasionally, nosebleeds may indicate other disorders such as bleeding disorders or high blood pressure. Frequent nosebleeds may also be a sign of hereditary hemorrhagic telangiectasia (also called HHT or Osler-Weber-Rendu syndrome). Blood thinners such as Coumadin, Plavix, or aspirin may cause or worsen nosebleeds.

Risk Factors

There is not enough evidence that hypertension is a risk factor for epistaxis. The role of lowering blood pressure to control and prevent epistaxis remains controversial.

References

  1. Krulewitz, Neil Alexander; Fix, Megan Leigh (2019). "Epistaxis". Emergency Medicine Clinics of North America. 37 (1): 29–39. doi:10.1016/j.emc.2018.09.005. ISSN 0733-8627.
  2. Douglas, Richard; Wormald, Peter-John (2007). "Update on epistaxis". Current Opinion in Otolaryngology & Head and Neck Surgery. 15 (3): 180–183. doi:10.1097/MOO.0b013e32814b06ed. ISSN 1068-9508.

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