The Clinton Herald, Clinton, Iowa

Top News

September 20, 2013

Nosebleeds require an ENT to delve further

DEAR DR. ROACH: How serious are daily nosebleeds? My father had trouble (he was always picking his nose), and I’ve had daily right-nostril bleeding with clots, and saw an ENT physician who hesitated to use cautery, saying it might do more harm than good. Now, my 50-year-old nephew has just started to have bloody nostrils. Just what is bleeding, and why? — A.A.

ANSWER: Sixty percent of people have experienced a nosebleed, while only 10 percent have required medical attention. There are many possible causes, and I can only guess. However, the family history of multiple people with significant nosebleeds should bring up the possibility of an uncommon condition: Osler-Weber-Rendu syndrome, which I discussed some months ago, and which requires expert consultation.

For most people with nosebleeds, though, the bleeding comes from just underneath the lining of the nasal septum, where several arteries come together. In addition to nose picking, other common causes of nosebleeds are dry air, medications (like nasal steroids) and trauma to the face. During a nosebleed, lean forward (to prevent swallowing blood) and pinch both nostrils shut to effectively stop it right away.

Recurrent nosebleeds should prompt a visit to an ENT physician, and I would never advise arguing with a surgeon who tells you he doesn’t want to operate, even if the operation (cautery) is relatively minor.

An antibacterial ointment or plain petrolatum can help keep the lining of the nose moist and prevent recurrence.

DEAR DR. ROACH: I have been taking Paxil for years to calm my anxiety and depression. I sweat a lot at night. When I taper off the pills, the night sweats stop, but I find my anxiety returns. My doctor said I would have to take the pills for the rest of my life. I wonder if you could let me know how to curb this kind of night-sweat problem. — A.

Text Only
Top News
  • Hawkeyes to offer student tickets to public

    Iowa athletic director Gary Barta says the Hawkeyes will make any unsold student football tickets available to the general public as well on Aug. 1.

    July 25, 2014

  • Old story, new twists in Gaza war

    The third Gaza war is playing out much like the first one more than five years ago: The harrowing civilian toll in Gaza is now at the center of the discourse, eclipsing the rocket attacks by Hamas militants that were the stated reason for the Israeli assault.

    July 25, 2014

  • Official: Hospital gunman intended to kill others

    A psychiatric patient ranted about a hospital gun ban before opening fire at the suburban medical complex, killing his caseworker and grazing his psychiatrist before the doctor pulled out his own weapon and fired back, authorities said Friday.

    July 25, 2014

  • cleaning supplies Don't judge mothers with messy homes

    I was building shelves in my garage when a neighbor girl, one of my 4-year-old daughter's friends, approached me and said, "I just saw in your house. It's pretty dirty. Norah's mommy needs to clean more."

    July 25, 2014 1 Photo

  • PHOTOS: Clinton Junior Baseball 2014 Tournament Winners

    Clinton Junior Baseball 2014 Tournament Winners - Majors, Minors, Pee Wee

    July 25, 2014

  • Foreman calls Iowa murder case a 'slam dunk'

    The foreman of a jury that convicted an Iowa man of killing his pregnant wife says the prosecution's case was a "slam dunk" even if the investigation had flaws.

    July 25, 2014

  • JUST IN: Man shot in downtown Clinton

    A 32-year-old man was shot in downtown Clinton early today.

    July 25, 2014

  • UN school in Gaza caught in cross-fire; 15 killed

    A U.N. school in Gaza crowded with hundreds of Palestinians seeking refuge from fierce fighting came under fire Thursday, killing at least 15 civilians and leaving a sad tableau of blood-spattered pillows, blankets and children's clothing scattered in the courtyard.

     

    July 25, 2014

  • Iowa panel sued for rejecting Cedar Rapids casino

    Former Linn County Attorney Eugene Kopecky has sued the Iowa Racing Gaming Commission over its rejection of the proposed Cedar Rapids casino.

    July 25, 2014

  • 10 things to know for today

    Your daily look at late-breaking news, upcoming events and the stories that will be talked about today:

     

    July 25, 2014

AP Video