Nosebleed (Epistaxis)

At Spokane ENT, we provide comprehensive evaluation and management of epistaxis (nosebleeds), a common condition that can range from minor anterior bleeds to more serious posterior bleeds requiring immediate intervention. Nosebleeds can occur due to various factors including nasal trauma, dry air, nasal irritation, medications such as blood thinners, underlying medical conditions, or structural abnormalities. Our team performs thorough evaluation to identify the source and cause of bleeding, which helps guide appropriate treatment strategies. We treat both acute nosebleeds requiring immediate attention and recurrent nosebleeds that impact quality of life.

We utilize advanced diagnostic techniques to evaluate epistaxis, including detailed history taking to identify potential contributing factors such as medications, medical conditions, or trauma. Our evaluation includes comprehensive nasal examination using nasal endoscopy to visualize the nasal cavity and identify the specific bleeding site, whether it's from the anterior nasal septum (most common) or posterior nasal cavity. In cases of recurrent or severe bleeding, we may perform imaging studies such as CT angiography to identify vascular abnormalities or tumors. Our team also evaluates for underlying conditions such as hypertension, bleeding disorders, or structural issues that may contribute to nosebleeds.

Our treatment approach for epistaxis is tailored to the severity and location of the bleeding. For minor anterior nosebleeds, we provide conservative management including nasal moisturization, avoidance of nasal trauma, and in-office cauterization when appropriate. For more significant or recurrent bleeding, we offer advanced interventions including nasal packing, endoscopic cauterization, and when necessary, surgical procedures such as arterial ligation or embolization. We utilize state-of-the-art endoscopic techniques to precisely identify and treat bleeding sources while minimizing patient discomfort. Our goal is to effectively control bleeding, prevent recurrence, and help patients return to normal activities with confidence.