Nasal Septum Cracks and Bleeding: Causes and Solutions - Otolaryngology

More Info

---

Hello! It sounds like you are experiencing recurrent bleeding from the nasal septum, particularly near the nostrils. This condition can be quite concerning, especially if it is happening frequently. Let’s delve into the potential causes and solutions for this issue.


Causes of Nasal Septum Cracks and Bleeding
1. Dry Air: One of the most common causes of nasal septum bleeding is dry air, particularly during the winter months or in arid climates. Dryness can lead to the nasal mucosa becoming brittle and cracking, which can result in bleeding.

2. Nasal Trauma: Frequent nose blowing, picking, or even vigorous sneezing can cause trauma to the delicate blood vessels in the nasal septum. This is especially true if you have been experiencing nasal congestion and have been blowing your nose frequently.

3. Allergies and Infections: Allergic rhinitis or sinus infections can lead to inflammation of the nasal mucosa, making it more susceptible to bleeding. The inflammation can cause increased mucus production, leading to congestion and the need to blow your nose more often.

4. Underlying Medical Conditions: Conditions such as hypertension or blood clotting disorders can also contribute to nasal bleeding. If you have a history of such conditions, it may be worth discussing with your healthcare provider.

5. Nasal Polyps or Deviated Septum: Structural issues within the nasal cavity, such as a deviated septum or nasal polyps, can lead to localized irritation and bleeding.


Solutions and Management
1. Humidification: Using a humidifier in your home can help maintain moisture in the air, which may alleviate dryness in your nasal passages. This is particularly helpful during winter months when indoor air tends to be dry.

2. Nasal Saline Sprays: Regular use of saline nasal sprays can help keep the nasal mucosa moist and promote healing of any small cracks or lesions. Saline sprays are safe and can be used multiple times a day.

3. Gentle Nose Blowing: If you need to blow your nose, do so gently to avoid causing further trauma to the nasal mucosa. Avoid forceful blowing, as this can exacerbate bleeding.

4. Avoid Irritants: Stay away from irritants such as cigarette smoke, strong odors, and allergens that can exacerbate nasal inflammation and dryness.

5. Consultation with an ENT Specialist: If the bleeding persists or worsens, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination, possibly including nasal endoscopy, to assess the condition of your nasal passages and identify any underlying issues.

6. Medications: If allergies are contributing to your symptoms, antihistamines or nasal corticosteroids may be prescribed to reduce inflammation and mucus production.

7. Cauterization: In some cases, if there is a persistent bleeding point that does not respond to conservative measures, a doctor may recommend cauterization to seal the blood vessels and prevent further bleeding.


Conclusion
In summary, recurrent bleeding from the nasal septum can be attributed to various factors, primarily dryness and trauma. Implementing humidification, using saline sprays, and being gentle with your nasal passages can help manage the symptoms. However, if the issue continues, seeking medical advice from an ENT specialist is essential to rule out any serious underlying conditions and to receive appropriate treatment. Remember, taking care of your nasal health is crucial, especially if you are experiencing discomfort or frequent bleeding.