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Can Heart Disease Be Prevented and Reversed?

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Does Nosebleed Indicate Sign Of Heart Disease?
 

Nosebleeds, also known as epistaxis, is the loss of blood from the tissue that lines the inside of the nose. It is a fairly common condition. Nearly 60 percent of the population will experience nosebleed at least once in their lifetime. While the cause may be unclear at first, most cases are minor and can be controlled in most of the cases by pinching the nose and applying pressure.

Trauma to the nose from an injury, deformities inside the nose, inflammation in the nose, or, in rare cases, intranasal tumors can all cause the surface blood vessels in the nose to bleed. There are 2 types of nosebleeds: those that originate in the front of the nose, called anterior nosebleeds, and those that start in the back of it, known as posterior nosebleeds.

Being very common, anterior nosebleeds are usually not serious. It begins in the front of the nose on the lower part of the wall that separates the 2 sides of the nose (called the septum). Capillaries and small blood vessels in this front area of the nose are fragile and can easily break and bleed. These nosebleeds are usually able to be treated at home. A posterior nosebleed, on the other hand, occurs deep inside the nose. This nosebleed is caused by a bleed in larger blood vessels in the back part of the nose near the throat. It can be dangerous as it can result in heavy bleeding that may flow down the back of the throat. One may need medical attention right away for this type of nosebleed.

Changes in the environment, injury to the nose, foreign objects in the nose, medications, and underlying health conditions may cause the nose to bleed. Dry air triggered by hot, low-humidity climates or heated indoor air can cause the nasal membrane (the delicate tissue inside the nose) to dry out and become crusty or cracked and more likely to bleed when rubbed or picked or when blowing the nose. Other environment changes like high altitude, chemical fumes and smoke can lead to nosebleed, too. Hitting or bumping the nose, blowing or picking the nose, putting an object in the nose can all hurt the nose causing it to bleed.
 

Many people with heart disease take anticoagulant medication to prevent blood clots from forming. But the anticoagulant medications commonly used to prevent clots carry an increased risk of bleeding. Medications for cold and allergy, nasal inhalers like Afrin, steroid nasal sprays, and nasal abuse of illegal drugs, such as cocaine and amphetamines can all trigger nosebleed.

Liver disease, kidney disease can lower the blood’s ability to clot causing the nose to bleed. Heart conditions like hypertension (high blood pressure) and congestive heart failure can cause nosebleeds, too. According to the American Heart Association (AHA), hypertensive crisis, a sudden, rapid increase in blood pressure that may be accompanied by a severe headache, shortness of breath, and anxiety, can cause the nose to bleed. Colds, allergies, or sinus infections, and frequent nose-blowing can also irritate the lining of the nose, resulting in a nosebleed.

A rare inflammatory disease, rheumatic heart disease (RHD), is caused by rheumatic fever that can affect many connective tissues, especially in the heart, joints, skin, or brain. It remains prevalent in developing nations. RHD is a condition in which the heart valves have been permanently damaged by rheumatic fever, and it contributes to 6.6 percent of cardiovascular admissions. There is a 4 percent probability of developing nosebleed in a patient with acute rheumatic fever which increases to 9 percent in those who had recurrence of RHD.

While most nosebleeds can be treated at home, some are severe and require medical attention. For instance, if the nosebleed lasts longer than 20 minutes, or one cannot stop the bleeding with direct manual pressure, immediate medical attention should be sought in an emergency room. Meanwhile, more than a nosebleed a week can be a sign that one should see their doctor for help, especially for those who are on anticoagulant medications. Doctors may have to adjust the dosage of the medications.
 

Date: June 4, 2020

 

 

 

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