Post-Operative Nosebleed After Minimally Invasive Septoplasty: What to Do? - Otolaryngology

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After undergoing a minimally invasive septoplasty, experiencing a nosebleed can be concerning, especially if it persists for several hours post-surgery. In your case, since you have already taken measures such as reducing activity and applying ice packs, you are on the right track. However, let’s delve deeper into what you should do next and the underlying reasons for the bleeding.

First and foremost, it is important to understand that some bleeding after nasal surgery is normal. The nasal mucosa is highly vascular, and surgical manipulation can lead to bleeding. Typically, this bleeding should gradually decrease and stop within a few hours. However, if you find that the bleeding is not subsiding after several hours, as in your case, it is advisable to seek medical attention.

Here are some steps you can take:
1. Stay Calm: Anxiety can increase blood pressure, which may exacerbate bleeding. Try to remain calm and breathe deeply.

2. Positioning: Keep your head elevated. Sitting up straight or leaning slightly forward can help reduce blood flow to the nasal area and prevent blood from flowing down the throat.

3. Avoid Nose Blowing: Do not blow your nose, as this can dislodge any clots that may have formed and lead to further bleeding.

4. Ice Packs: Continue using ice packs on the bridge of your nose. This can help constrict blood vessels and reduce bleeding.

5. Monitor the Bleeding: If the bleeding is bright red and continues to flow, or if you experience significant blood loss (more than a few tablespoons), you should seek immediate medical attention.

6. Emergency Care: If the bleeding does not stop after 30 minutes of applying pressure (pinching the nostrils together), or if you feel faint, dizzy, or have difficulty breathing, go to the emergency room. It’s better to err on the side of caution.

7. Follow-Up: After the bleeding has stopped, ensure you follow up with your surgeon or healthcare provider. They may want to check the surgical site to ensure there are no complications, such as a hematoma or infection.

In terms of your concern about whether the bleeding will stop on its own, many cases do resolve without intervention, especially if you are following the recommended care steps. However, persistent bleeding, especially after a surgical procedure, should not be taken lightly.
In conclusion, while some bleeding is expected after septoplasty, the duration and amount of bleeding you are experiencing warrant further evaluation. It is crucial to monitor your symptoms closely and seek medical attention if the bleeding continues or worsens. Your health and safety are paramount, and timely intervention can prevent complications.