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The problem of nosebleeds, at first glance, may not seem relevant. But if we consider that conditions in which blood flows from the nose occur in every person throughout life, then the idea of them changes dramatically. In addition, not all nosebleeds are harmless, even if they occur infrequently and stop on their own. Their description and main causes, correct assessment of clinical manifestations and ways to solve the problem are covered in this article.
Nosebleeds are one of the few pathological conditions that are easier to diagnose than to treat. Symptoms of nosebleeds consist of a person complaining that blood is coming from the nose. Such bleeding can have varying intensity and occur under certain conditions. If, based on the activity of bleeding, one can roughly determine the source (nasal vessel) from which the blood flows, then detailing the circumstances under which such symptoms occur will help to calculate the cause of nosebleeds.
Regarding the clinical picture, it is worth noting the following features:
Important to remember! Nosebleeds cannot be considered as an independent disease. It is always just one of the symptoms of a number of diseases. Therefore, when treating it, it is unacceptable to limit yourself to stopping bleeding. You can get rid of a problem only by influencing the primary links in its occurrence!
The intensity of nosebleeds depends on the diameter of the ruptured vessel
The causes of nosebleeds are very varied. Roughly they can be grouped in the form of a table.
Group of causes according to the mechanism of bleeding | Immediate diseases and pathological conditions manifested by nosebleeds |
Features of lifestyle and environmental conditions |
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Pathology of the nose and paranasal sinuses |
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Infectious diseases |
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Traumatic injuries to the nasal and head areas |
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Increased pressure in blood vessels |
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Weakness of the vascular wall |
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Disturbance of nervous (vegetative) and humoral (hormonal) regulation of the body |
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Bleeding disorder |
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It is difficult to determine the likely cause of nosebleeds based on clinical manifestations alone. The diagnostic algorithm should consist of successive stages of assessing the patient’s condition. It is presented:
Important to remember! The most common reasons for bleeding from the nose are increased blood pressure and disruption of the nervous regulation of the body against the background of chronic mental and mental fatigue. But regardless of the cause, all patients with frequent and heavy nosebleeds are subject to a comprehensive examination (general and biochemical blood tests, coagulation tests, examination by a general practitioner and an ENT doctor). In this way, you can not only prevent their reoccurrence, but also begin treatment of the causative disease!
In children, periodic bleeding from the nose is a fairly common complaint. As a rule, there is no cause for concern, even despite the child’s young age. The main thing is that bleeding is not accompanied by large blood loss and does not occur frequently. After all, a child’s growing body, especially during periods of active growth, becomes very vulnerable, which will ultimately affect its regulation by the autonomic nervous system and the condition of the nasal mucosa. Another common cause may be an overdose of vasoconstrictor nasal drops, which cause atrophy of the mucous membrane.
Nasal tamponade is one of the best methods to stop nosebleeds
Stopping nosebleeds in typical cases is not very difficult. But sometimes the bleeding becomes so intense that it poses a real threat to a person’s life. In any case, treatment measures should be presented:
If, against the background of the listed measures, bleeding from the nose does not stop, there is a need to stop it with the help of special medical manipulations (anterior and posterior tamponade of the nasal cavity, diathermocoagulation, surgical treatment - suturing and ligation of bleeding vessels).
Nosebleeds are a multifaceted problem that, in any case, should only be assessed by specialists.
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Let's look at the causes of the most common types of vaginal bleeding in women.
Any spotting that appears in the interval between two regular menstruation, that is, in the middle, beginning or second half of the cycle, can be caused by the following possible reasons:
However, in addition to physiological, there are also pathological reasons for the appearance of bloody discharge from the vagina, when this symptom indicates any disease that a woman has.
The pathological causes of long-term or frequently recurring bleeding (heavy or scanty) in the interval between two menstrual bleedings are the following diseases:
1. Gynecological diseases:
In addition to the above-mentioned causes of bloody vaginal discharge associated with the female genital area, there are a number of factors that can provoke this symptom. However, these factors are not associated with female genitalia. So, non-gynecological causes of vaginal bleeding are the following factors:
1.
Pathology of the blood coagulation system;
2.
Taking medications that affect blood clotting (for example, Warfarin, Heparin, oral contraceptives, intrauterine devices, antidepressants, etc.).
Since the causes of vaginal bleeding are highly variable, if they occur, you should consult a doctor and do not try to figure out the problem yourself.
Although spotting from the vagina can be caused not only by gynecological diseases, but also by pathology of blood clotting, however, despite this, you should always contact a gynecologist first. After all, gynecological diseases are much more likely to cause bleeding from the vagina than pathologies of the blood coagulation system. And if the gynecologist, after examination, finds out that the cause of bleeding is a pathology of the blood coagulation system, he will refer the woman to hematologist (make an appointment).
Accordingly, if there are signs of dangerous diseases, a woman should immediately call an ambulance and be hospitalized. And for relatively safe causes of vaginal bleeding, you should routinely visit a gynecologist and undergo all the necessary examinations and tests that the doctor prescribes.
Distinctive signs of dangerous bleeding from the vagina are their intensification over time, combination with severe pain in the lower abdomen or lower back, increased body temperature, a sharp deterioration in general well-being after the onset of discharge, paleness, decreased blood pressure, and increased heart rate. With relatively safe bleeding, a woman’s well-being never deteriorates sharply, quickly, suddenly and very strongly, so much so that she literally faints and is unable to move, perform conscious actions, etc.
Thus, it is obvious that we will consider what tests a doctor may order for bloody vaginal discharge in relation only to relatively harmless conditions.
If a woman experiences a small amount of bleeding exactly in the middle of the menstrual cycle, then the doctor will not prescribe any examinations or tests, since this situation is considered ovulatory bleeding and is considered normal. That is, during the period of ovulation (the release of an egg from the ovary), a woman may experience scanty bleeding from the vagina, which lasts from several hours to two days. Ovulatory bleeding can be so scanty that it looks more like bleeding.
If a woman has scanty spotting in the second half of the cycle (between ovulation and the next menstruation), and unprotected sexual intercourse took place in the same cycle, then the doctor will first of all prescribe blood test for hCG (sign up), and after 4 - 5 days and Ultrasound of the pelvic organs (sign up), since this situation most closely resembles implantation bleeding at the very beginning of pregnancy, when the fertilized egg attaches to the wall of the uterus.
If a woman is pregnant, but the period is short (up to 12 weeks), then the appearance of spotting may indicate an incipient miscarriage or ectopic pregnancy. In such a situation, the gynecologist prescribes, first of all, an ultrasound of the pelvic organs, which makes it possible to differentiate an intrauterine pregnancy from an ectopic one. If, according to the results of an ultrasound, the pregnancy is ectopic, the doctor may additionally perform a puncture through the posterior vaginal fornix to confirm the diagnosis made by ultrasound. Further, if an ectopic pregnancy is detected, the woman is urgently prepared for surgery. If, according to the results of the ultrasound, it was possible to find out that the pregnancy is uterine, but unstable, since a miscarriage occurs in the process, the doctor may additionally prescribe a general blood test, a general urinalysis, a coagulogram, blood test for progesterone (sign up) and hCG, as well as a number of tests for sexually transmitted infections ( chlamydia (sign up), mycoplasmosis (sign up), gardnerellosis, gonorrhea (sign up), trichomoniasis, candidiasis, ureaplasmosis (sign up)).
If bloody vaginal discharge appears in a woman in late pregnancy, the doctor urgently prescribes only a general blood test, Rh factor test (sign up) And blood type (sign up), and urgently begins treatment, since such symptoms, starting from the 20th week of pregnancy, always indicate the development of life-threatening diseases for the mother and fetus, such as placental abruption, premature birth, etc.
If a woman has a metal or plastic non-hormonal intrauterine device, and periodically, after the end of menstruation, there is scanty bleeding from the vagina for several days, then the doctor prescribes only an ultrasound and flora smear (sign up), to be on the safe side, since such a condition is the norm for this type of contraceptives.
If a woman has bloody vaginal discharge between menstruation and is wearing a hormonal intrauterine device (for example, Mirena), then the doctor also prescribes only a smear for flora and an ultrasound, since this condition is a variant of the norm.
If a woman has mild bleeding or spotting, then first of all the doctor examines and evaluates the condition of the cervix and vagina. If the cervix is damaged (for example, erosion or any bleeding formation is visible), the doctor must prescribe a smear for the flora, as well as colposcopy (make an appointment) And cervical smear for cytology (
Vaginal blood that appears outside of menstruation should not go unnoticed. After all, most often the cause of its appearance is disease. And severe bleeding can even be life-threatening. Let's look at several common reasons why a woman bleeds from her vagina.
The fact that rudeness can provoke injuries to the vagina and cervix is understandable. It is also clear that such a phenomenon (the appearance of blood) is considered normal if this is the girl’s first experience. Bloody discharge after sexual intercourse occurs during loss of virginity. But if this happens to a woman who has been sexually active for a long time, then most likely she has problems with the cervix.
It could be a polyp, cyst, precancerous or even cancerous disease. Unfortunately, diseases of the cervix are most often asymptomatic, and the woman herself cannot find out for herself what is happening inside her. That is why you need to visit a gynecologist at least once a year for an examination and cervical smear test.
If you have bleeding from your vagina after sex, more than once, for no reason, that is, it has nothing to do with menstruation, you need to visit a doctor. There are even special rooms for the prevention and treatment of cervical diseases. Don't delay!
Many women choose hormonal pills as a method of preventing unwanted pregnancy. It's convenient, safe and effective. But this method of contraception has many disadvantages - the need to take pills strictly according to the schedule and side effects. Such phenomena include bleeding from the vagina. It shouldn't bother you if it smears a little. Usually after 3-4 months of taking the drug everything goes away. As a last resort, you can switch to tablets with a slightly higher concentration of hormones.
Minor injuries accompany many people in childhood, so explaining to your child why there is bleeding is very important. Knowing your body will allow the child to avoid damage to his own body, and in the event of any incident, not to panic, but to quickly “heal” himself.
The entire human body is intertwined with vessels - flexible tubes through which blood moves. Blood is a liquid that plays an important role in the human body. This liquid is not homogeneous, and only with the help of a microscope can you see what it consists of. The composition of blood includes:
Blood, along with all its corpuscles, moves through the vessels with the help of the heart: it pumps blood like a pump, drawing it in on one side and pushing it out on the other. This is done with the help of the ventricles of the heart, which compress and unclench, moving blood through the veins and arteries. Blood saturated with oxygen moves through the arteries, which is where it gets its name - arterial. Venous blood, as everyone has already guessed, moves through the veins: it is darker because it is not saturated with oxygen.
When a person injures any part of his body, he touches and breaks small vessels - capillaries, causing blood to rush out and we see it on the surface of the wound. Within a few seconds, platelets begin to bind the blood, causing it to thicken and “coagulate”, the bleeding stops and a blood clot gradually forms at the site of the cut, and after the liquid has completely dried, a scab forms. Knowing all the physiological characteristics of blood, it will not be difficult to guess why the blood flows.
If large vessels are damaged, blood can flow very strongly, and if arteries are damaged, it can even gush out like a fountain. Typically, bright scarlet blood at the site of injury and its strong flow indicate arterial bleeding. It is not easy to stop it on your own, so apply a tourniquet above the bleeding and urgently call an ambulance. Venous bleeding is no less dangerous and also requires medical intervention (such bleeding can be recognized by the dark color of the blood).
Severe injuries to the arms and legs may result in arterial bleeding, which can lead to severe blood loss and death, so in case of such injuries you should go to the hospital immediately.
On the other hand, if you damage your earlobe or finger, you will not be in any serious danger: the bleeding will be minimal, since the capillaries are damaged, and it will most likely end on its own. The main thing is not to get infected in this case!
With fractures, ruptures of large blood vessels very often occur, so such injuries are especially dangerous for a person of any age. It is impossible to treat a wound or somehow try to stop the bleeding in this situation on your own, so if such a disaster happens to you, then immediately call an ambulance.
If a person knows everything about blood circulation in the body, he will not be taken by surprise. Any situation in life can happen, and you need to be prepared for it. In particular, you need to prepare your children for them, thus worrying about their safety. After reviewing the information provided in the article, any parent will be able to explain to their child why blood flows.
When it comes to diseases that manifest themselves in intimate places, people often hide the problem and seek help only in advanced cases. This greatly complicates further treatment, since the inflammatory process has been developing for a long time. But blood from the anus may be the result of a serious illness or pathological condition, and a visit to the hospital cannot be postponed.
When there is bleeding from the anus, you should not panic and hide the problem. Medical problems are nothing to be ashamed of. It is necessary to find out why blood is flowing from the butt. Doctors deal with a variety of diseases every day, and the detection of blood from the anus in a patient will not become an obstacle in establishing a diagnosis and subsequent therapy.
There are various causes of bleeding from the anus:
You should not try to cure rectal bleeding on your own or hope that everything will go away on its own. Even if the spotting disappears after a couple of days, the problem is not solved and the bleeding will soon return. Blood from the anus and the reasons that provoke bleeding should be treated by a qualified doctor.
To eliminate the problem of blood from the anus during bowel movements, it is necessary to understand that the causes and treatment of this condition are closely related.
Diagnostics plays an important role, however, to conduct high-quality diagnostics in laboratory conditions, the patient should be examined and interviewed.
Anal bleeding can be heavy or not, and varies in the type and color of the blood:
Minor blood loss or fairly heavy bleeding may occur due to an anal fissure. There will be light bleeding. When blood appears from the rectum, you should immediately consult a doctor. The appearance of blood from the anus may be the result of a fissure, but if left untreated, an infection will develop and the inflammatory process will begin. The color of the discharge is usually scarlet.
In this case, the disease will be accompanied by pain, and the therapy will be lengthy.
Bloody discharge appears directly during bowel movement. Going to the toilet becomes difficult due to painful sensations. The leaking blood is not the only problem; there is a risk of infection. Diagnostic procedures include interviewing the patient. If the damage is insignificant, digital or instrumental diagnostics are performed with preliminary anesthesia.
If there is heavy bleeding and severe pain, the patient undergoes sigmoidoscopy or anoscopy. Before the procedure, the patient is given a strong painkiller. Based on the examination results, the doctor makes a conclusion about the nature and extent of the damage, and treatment is prescribed.
The effectiveness of therapy for the diagnosis of anal fissure is 70%. First of all, it is necessary to exclude the possibility of constipation and the appearance of hard stool. Nutrition correction is carried out, alcohol, hot and spicy foods, fatty foods, as well as foods rich in preservatives and negatively affecting the digestive process are completely removed from the diet.
As a means of treatment, suppositories and ointments with antiseptic, wound healing and soothing effects are used. The doctor may also recommend baths with decoctions of medicinal herbs (chamomile, etc.). in severe cases, it requires removal of the crack using surgery.
Both women and men are susceptible to this pathological process. The disease more often manifests itself in old age. According to medical statistics, almost 80% of older men and women are susceptible to hemorrhoids. The patient is found to have red blood from the anus during bowel movements. What to do in such a situation? To determine the direction of subsequent therapy, diagnostics should be performed.
Most often, patients notice the appearance of blood from the anus when they have a bowel movement on used napkins. The bloody discharge may contain feces. Red spots do not appear during stool; blood comes out immediately after bowel movement.
There may be light or stream bleeding, it depends on how badly the tissue is damaged.
To relieve symptoms and stop bleeding, doctors recommend using special suppositories. Today, the pharmaceutical industry offers a huge selection of suppositories for hemorrhoids on a plant basis and with the addition of vasoconstrictors and sedatives, which can be purchased at the pharmacy without a prescription. However, you still need to talk to your doctor first.
Bleeding from the rectum is one of the signs of many diseases, including cancer. Even if a person says “I go to the toilet normally, and blood rarely appears,” an examination must be carried out. Rectal cancer is one of the most common oncological diseases of the gastrointestinal tract. It accounts for 45% of diagnoses. Bleeding may be accompanied by purulent discharge, pain and vomiting.
Currently, scientists cannot identify all the causes of the formation of cancerous tumors in the intestinal area. This means that analysis for tumors can be carried out on any person. However, doctors highlight a list of factors that contribute to the development of tumors. These include abuse of fatty and junk foods, alcohol, etc.
If a tumor is suspected, a colonoscopy is performed, during which it is necessary to detect a lump and take a tissue sample for a biopsy. After laboratory testing, it will be known whether the tumor is malignant or benign. One of the benign manifestations of neoplasms are polyps. They are found in 20% of patients and are successfully removed surgically.
If an infection enters the body, it can cause the development of serious diseases that cause bleeding from the anus. Symptoms are more severe when a person has just gone to the toilet. Intestinal infections are one of the most dangerous groups of diseases that cause anal bleeding.
First, there is an incubation process that is asymptomatic, during which time the infection spreads inside the intestine and affects the mucous membrane.
After infection of the body, diarrhea appears, which is accompanied by bloody discharge and an increase in body temperature. Vomiting is often associated with symptoms. Fever and skin rashes may occur. To establish a diagnosis, a stool test is performed. Treatment should be carried out in a hospital setting. Intestinal infections in the absence of quality medical care can lead to the death of the patient.
The doctor will tell you how to treat colitis in the same way. There are several methods of therapy. Colitis and other inflammations in the rectal area are more common in elderly patients.
These diseases are accompanied by stool disorders and painful sensations.
Ulcerative colitis and Crohn's disease are caused by small ulcers that form on the lining of the intestines. Inflammation joins the wounds, the patient feels pain, diarrhea begins and the body temperature rises. Treatment of this condition is a complex and lengthy process that must take place under strict medical supervision. The basis of therapy is antibiotics and anti-inflammatory drugs.
Only a qualified doctor, after examination, tests and diagnostic procedures, can answer the question of why there is bleeding from the anus. These are not typical male or female problems. The appearance of these unpleasant symptoms is accompanied by awkwardness. However, a visit to the doctor cannot be postponed.
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