Causes Of Nosebleeds From The Nose And Mouth To 1 Liter Of Blood?

Excuse me. Sorry to interrupt, I want to ask about the condition of my child. My son is 22 years old, he often has nosebleeds. But lastly, she said that blood would not only come from the nose, but even through the mouth. According to him, if measured at least 1 liter of blood that comes out because during an hour he was in the bathroom continued. Please enlighten me, why is that? Is it dangerous?

1 Answer:

Hello Evan,


Nosebleeds / epistaxis is bleeding from the nose. Nosebleeds can be divided into 2 based on the source of bleeding, namely anterior (front) and posterior (back). Nosebleeds can be sudden and stop spontaneously, but they can also occur repeatedly. Blood in the nosebleed generally flows out of the nose, but if the patient's position looks up or lies down, blood can flow to the back of the nose and then into the oral cavity or the base of the esophagus / throat that can be swallowed or choke.


Causes of nosebleeds include:

Nasal mucosa is too dry
Trauma / injury in the nasal cavity
Picking your nose or blowing your nose too tight
Nasal fractures
Excessive use of nasal inhaler drugs
Tumors or cancer of the nasal cavity and its surroundings (eg juvenile nasal angiofibroma)
Blood clotting disorders
Hypertension
Foreign body on nose

Nosebleeds in general are mild in volume. However, if the volume is large and does not stop spontaneously, of course it is necessary to take medical treatment to help stop the bleeding that occurs. 1 liter of bleeding is a lot, bleeding with such volume can usually occur in major operations such as Laparatomi or cesarean section or there is trauma to the abdominal organs or large blood vessels. If you want to take a picture of bleeding, a woman who is menstruating only releases 60-80 ml of blood. People who have bleed up to 1 liter are definitely not in a good general condition and need to get immediate medical help.


Nosebleeds require physical examination of the nasal cavity, CT-scan / MRI imaging, nasopharyngoscopy, and blood tests (to detect abnormalities of blood clots). Handling especially nosebleeds aim to stop bleeding, can be by giving pressure to the nasal lobe, nasal tampon placement, cautery, ligation / binding of blood vessels, embolization. The first treatment at home can be by placing the patient sitting and head slightly leaning forward (but not looking down or looking up), pinch the nose with thumb and forefinger for 5-10 minutes, breathing slowly through the mouth. Please dispose of your saliva and normal blood will be mixed if the mouth feels full and it is difficult to breathe. If during this time the nosebleeds do not stop, you should immediately go to the nearest health facility.


Nosebleeds are repeated and often without a clear mechanism of nasal trauma, it should be immediately checked by a doctor, especially ENT specialists to determine other severe causes that can cause symptoms of nosebleeds. Thus the explanation from me, hopefully useful.

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