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Epistaxis in Chronic Kidney Failure What is The Treatment for It

2014-12-31 18:07

Epistaxis in Chronic Kidney Failure what is the treatment for it ? Epistaxis is a common clinical problem, so no one pay special attention to it. But when it is related with Chronic Kidney Disease or Kidney Failure, it will be different. Then why kidney disease patient will get epistaxis and what is the treatment for it ?

The pathophysiology of Epistaxis

Much epistaxis ceases with pressure (digital or packing) over the bleeding point. An intact coagulation system with accumulation of platelets and clot formation is required. Abnormal platelet numbers or function or any abnormality in the coagulation cascade leads to failure of clot formation and persistent bleeding.

Medicines may also related with it

Numerous medications interfere with normal clotting. NSAIDs (including aspirin) are probably the most common, with up to 75% of epistaxis patients using one of these medications. Other medications associated with epistaxis include thioridazine, topical hyperosmolar sodium chloride, and dipyridamole (Persantine).

The treatment of Epistaxis:

Initial management of epistaxis is directed at stopping the bleeding, and long-term treatment is directed at discovering and correcting the underlying cause. For people with kidney disease, they should change the related medicines or the cure they are taking. As we mentioned above some medicines may lead to nosebleed, so we should find some alternative medicines. But if you want to solve the problem from its root, you need to treat the kidney disease first.

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