Originally Posted by ruff2tuff123
Hey guys I've been having this problem where any time i get a good punch to my nose it bleeds, It hasn't been like this at all since I started boxing (3 years ago) and I have taken some very solid punches to the nose before and it hasn't bleed either, anyways, I was wondering if there was anyway I could make the bleeding stop besides not getting punched. Thanks
Bleeding of the nose is also known as epistaxis
. The majority of nose bleeding actually comes from a network collection (plexus) of arteries, called Little’s area
There are a number of causes of course and trauma is one of the commonest reasons. In children, this may be due to picking of the nose, or even foreign bodies like beads. Other common causes are allergy and environmental exposure to extremes of heat and dryness.
Systemic problems like high blood pressure, post-sinus infection, drugs and clotting disorders can also increase the risk of more severe bleeds. Your history seems to suggest that these are not the issues in your case.
A likely explanation for your ease of bleeding is the repetitive trauma over a shorter time period, with less time for healing. Another one would simply being struck in a different manner or simply in a different position, with different distribution of the forces or different arteries being avoided or struck. Managing it?
In terms of management, some of the advice is actually quite divided. While some references say that application of things like Petroleum Jelly/Vaseline work, others say there is little or no proof to support it. I was always under the impression that it’d be useful! Anyway, I see no harm in giving it a trial – nothing to lose! Consensus seems to be that nasal sprays do help somewhat in reducing nosebleeds. However, I believe that this may be only in reference to dry environments or those sensitive to allergens.
So Pin’s suggestion is very sensible, it is essentially the function that most nasal sprays provide – humidification and reducing effects of allergens. In all honesty, I’m not so sure about the lemon juice, as I’ve not heard of it before Jolly. The same goes with rubberizing the nose, I’ve not heard of that one either. Massaging of the nose would be a long term method, of course. Performing it just before a fight is likely to be a no-no, as it’ll most likely vasodilate the blood vessels and increase chance of increased bleeding if struck! Been hit!
When you are in the process of bleeding, pinching just below the bony ridge and leaning forward is probably the best option. Doing this for about 10 minutes will aid clot formation and reduce chances of you swallowing blood. Applying some ice to the bridge of the nose should help, although there is also some conflict on this treatment. Packing, on the other hand is not recommended. It increases chances of introducing infection, bleeding restarts with removal and there is a chance of retaining contents in the nose as a foreign body.
Alternatively, continuous bleeding may need chemical cauterization. I’ve used it before it clinical settings and it seems quite effective. I once had to take a tissue swab sample for a lady downstairs, who had a severe, sexually transmitted infection. She bled profusely after a gentle scraping with the specimen brush. While most patients would stop bleeding quickly, or only have light bleeds, this patient had little signs of stopping! So I applied some silver nitrate to the area and it worked wonders very rapidly. This can also be used in nose bleeds, but given that it is painful, some topical anaesthetic might be used before applying to the nose. Of course, it’d best be done by your friendly medico! Verdict?
I’m afraid I’m out of other ideas or suggestions at the moment, but I’ll try get back to you if I have anything mate. What I suggest is a short break to allow better healing before commencing any more training or bouts. In all honesty though, the face is quite vascular and bleeding is usually quite profuse when it starts. Because of vascularity, the face also heals very fast, so I am unsure how much help abstaining will help. A trial of the above alternatives will hopefully help in the meantime!
Hope that helped.