In this interview, Dr Ogunbiyi Agboola, a senior registrar at the Department of Otorhinolaryngology, Lagos University Teaching Hospital, Idi-Araba, speaks to GODFREY GEORGE about the causes and management of epistaxis Epistaxis simply means bleeding from the nasal cavities. It can either be anterior or posterior, in terms of its location.
The location of the nose in relation to the blood vessel can be a factor. Could you please shed more light on this? The nasal cavity is a well vascularised structure as it has connections of blood vessels within it – Kiesselbach and the Woodruff plexuses. As a result of this, trauma/irritation to the mucosa lining of the nose easily causes bleeding.Nose bleeding in pregnancy is attributed to increased blood volume during this physiological state. This increased vascular state makes the blood vessels liable to rupture, hence epistaxis. The hormonal changes in pregnancy has a major role in this.
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