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Nasal septum cauterisation

Using heat to cauterise your septum will help deal with persistent nosebleeds

About

Your nose is full of tiny, delicate blood vessels that can be easily damaged and bleed.

You're at risk of a nosebleed if you:

- pick your nose
- blow your nose very hard
- hit your nose
- experience changes in humidity or temperature that causing the inside of the nose to become dry and cracked.

Sometimes bleeding can come from deeper within the nose. This can happen if you suffer a blow to the head, have had recent nasal surgery, and or your arteries start to harden (atherosclerosis).

Need to know

  • What happens icon plus

    If your consultantis able to identify exactly where the bleeding is coming from, they may carry out a minor procedure to seal the bleeding blood vessel by cauterising (burning) it. Cauterising blood vessels is usually done using a stick of a chemical called silver nitrate. A local anaesthetic is sprayed into your nose to numb it and the silver nitrate stick will be held against the bleeding point for up to 10 seconds. Afterwards your consultant will pack your nostrils with pads in order to stem any post-procedure bleeding. You may be recommended medication to relieve any pain you might experience.
  • How to prepare icon plus

    Your consultant will explain any preparations you might need to take. You should remove any jewellery from your nose before arriving for your procedure.
  • Afterwards icon plus

    Following your procedure you should avoid: - blowing or picking your nose, heavy lifting, strenuous exercise, lying flat, and drinking alcohol or hot drinks for 24 hours - removing any crusts that form inside your nose – these may be unpleasant, but they're a useful part of the healing process - sneezing with your mouth closed as this increases the pressure in your nose - people with coughs and colds. If you have been given an antiseptic nasal cream, once the bleeding stops this should be applied to the inside of your nostrils several times a day for up to two weeks, to help prevent further bleeding.
Consultant in theatres

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This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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