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PHYSICIANS' TREATMENT for Nosebleed

Categories: Respiratory Diseases

Place the patient on his side half
lying, head and shoulders raised and apply a cold compress to the

forehead, nose, and to the back of the neck. Press the end of the nose

firmly against the partition between the nostrils, for some minutes. This

presses directly upon the bleeding point, as a rule. Also, when lying in

this position, the blood does not flow into the throat so readily. Raise

the arms above the head, apply cold t
the spine or to the scrotum of men

and breasts of women. Mustard foot baths are good, injection of cold

water, or the injection of hot water, 120 F., into the nostril will often

help: Cold water, Or salt water, can be gently snuffed. Alum solution on a

cloth put in the nostril often helps. A piece of bacon cut to bits and

placed in the nostril often stops it. Vinegar injected into the nostril is

good, or you can use a cloth saturated with vinegar and placed in the

nostril. White oak bark tea, strong, is effective; juice of lemon applied

same way or injected is helpful.



How to plug the nostrils; (front or anterior nares). Do this with narrow

strips of sterilized gauze, by placing the first piece as far back as

possible, then with a narrow pair of forceps pushing in a little at a time

until the nostril is filled. The gauze should be only one-half inch wide.

If the bleeding still continues the posterior opening (nares) should be

plugged. This can be known by seeing the blood flowing down the throat

(pharynx).





How this is done? Pass a soft rubber catheter, along the floor (bottom) of

the nose until its end is seen passing down behind the soft palate into

the throat. Grasp this with a pair of forceps and pull it forward into the

mouth. Tie a stout string to the end of the catheter (about 1-1/2 feet

long) and tie the other end of the string around the centre of a plug of

lint or gauze, 1-1/2 inches long and three-quarters of an inch wide. Then

pull the catheter back through the nostril, very gently. This will pull

the plug into the posterior opening of the nose, and plug it. . Hold this

same end firmly and with a pair of forceps fill the anterior nostril with

strips (1/2 inch wide) of gauze, pushing them back to the posterior plug.

The end of the string in the mouth may be fastened to a tooth or to the

side of the cheek (if long enough) with a piece of adhesive plaster. The

plug should not be left in position more than forty-eight hours, and it

should be thoroughly softened with oil or vaselin before it is removed.

Remove the anterior part first, gently and carefully and then with cocaine

(if necessary) and more oil, the posterior plug is softened and removed by

pulling the end of the string which is in the mouth gently and slowly.



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