=Treatment.=--The avoidance of excitement and of blowing the nose,
hawking, and coughing will assist recovery. The patient should sit
quietly with head erect, unless there is pallor and faintness, when he
may lie down on the side with the head held forward so that the blood
will flow out of the nose. There is no cause for alarm in most cases,
because the more blood lost the more readily does the remainder clot
and stop bleeding. As the blood generally comes from the lower part of
the partition separating the nostrils, the finger should be introduced
into the bleeding nostril and pressure made against this point, or the
whole lower part of the nose may be simply compressed between the
thumb and forefinger. If this does not suffice a lump of ice may be
held against the side of the bleeding nostril, and another placed in
the mouth. The injection into the nostril of ice water containing a
little salt is sometimes very serviceable in stopping nosebleed.
Blowing the nose must be avoided for some time after the bleeding
ceases.
If none of these methods arrest the bleeding the nostril must be
plugged. A piece of clean cotton cloth, about five inches square,
should be pushed gently but firmly into the nostril with a slender
cylinder of wood about as large as a slate pencil and blunt on the
end. This substitute for a probe is pressed against the center of the
cloth, which folds about the stick like a closed umbrella, and the
cotton is pressed into the nostril in a backward and slightly downward
direction, for two or three inches, while the head is held erect. Then
pledgets of cotton wool are packed into the bag formed by the cotton
cloth after the stick is withdrawn. The mouth of the bag is left
projecting slightly from the nostril, so that the whole can be
withdrawn in twenty-four hours.
The bleeding nostril may be more readily plugged by simply pressing
into it little pledgets of cotton with a slender stick, but it would
be impossible for an unskilled person to get them out again, and a
physician should withdraw them inside of forty-eight hours.
=FOREIGN BODIES IN THE NOSE.=--Children often put foreign bodies in
their nose, as shoe buttons, beans, and pebbles. They may not tell of
it, and the most conspicuous symptoms are the appearance of a thick
discharge from one nostril, having a bad odor, and some obstruction to
breathing on the same side. If the foreign body can be seen, the
nostril on the unobstructed side should be closed and the child made
to blow out of the other one. If blowing does not remove the body
it is best to secure medical aid very speedily.
[Illustration: PLATE III
=Plate III=
=THE NASAL CAVITY=
In the illustration on the opposite page, the =Red Portion= indicates
the =Septum= of the nose, the partition which separates the nostrils.
Public-domain text, read in full here on John Shaqi.
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