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Why is my nose bleeding everyday: Daily nosebleeds: Causes and treatment

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Daily nosebleeds: Causes and treatment

A moist tissue, or mucosa, lines the inside of the nose. This tissue is delicate and has many blood vessels close to the surface. Damage to the lining of the nose, including small scratches, can cause the blood vessels to break and bleed.

Nosebleeds can happen due to dry air or trauma to the nose. Daily or frequent nosebleeds may be due to certain medications or underlying conditions.

Here we look at possible causes, treatment options, and when to see a doctor.

There are a number of possible causes for daily nosebleeds, including the following:

Picking or blowing the nose

Picking the nose can cause scratches or nicks in the delicate lining of the nose. This can cause blood vessels to break, making the nose bleed.

Blowing the nose too vigorously can also cause a nosebleed. If people have recently had a nosebleed, even gently blowing the nose may cause another one.

Colds and allergies

Allergies, colds, and upper respiratory tract infections can cause frequent nosebleeds. Inflammation and congestion in the nose can increase the risk of nosebleeds.

Congestion causes blood vessels in the nose to expand, making them more at risk of breaking and bleeding.

Hot or dry climates

Very hot or dry air can increase the frequency of nosebleeds. Hot or dry air causes cracks in the lining of the nose, making it bleed.

Seasonal changes can cause frequent nosebleeds, as the nose has not had time to adjust to changes in temperature and humidity.

Clotting disorders

People experiencing frequent nosebleeds may have a clotting disorder. Genetics or hereditary factors can cause these clotting disorders.

Hemophilia is a condition where the blood does not clot correctly. This can cause frequent bleeding inside and outside the body, especially after any injuries or surgery. People with hemophilia may have frequent nosebleeds that are difficult to stop.

Von Willebrand’s disease is another type of bleeding disorder that causes blood to clot slower than usual. People with von Willebrand’s disease may have frequent nosebleeds that are hard to stop.

Medication

Nosebleeds can sometimes be a side effect of medication. Certain medications stop blood clotting, which may cause frequent nosebleeds.

These drugs can include blood thinners, such as coumadin or warfarin, and anti-inflammatory drugs, such as ibuprofen or aspirin.

Dietary supplements

Certain dietary supplements can work similarly to blood-thinning medication. Some supplements contain chemicals that can lengthen bleeding. These supplements include:

  • vitamin E
  • garlic
  • ginger
  • feverfew
  • ginko biloba
  • danshen
  • dong quai
  • ginseng

Underlying conditions

Certain underlying health conditions can cause frequent or recurring nosebleeds. These can include:

  • high blood pressure
  • seasonal allergies
  • drug abuse
  • kidney failure
  • leukemia
  • thrombocytopenia

Thrombocytopenia is a condition that leads to low levels of platelets in the blood. Platelets are necessary for blood clotting.

Abnormalities

Certain abnormalities in the nose can also cause frequent nosebleeds.

A deviated septum is an abnormality that can occur from birth or through injury to the nose.

The septum is the thin wall of cartilage that separates each nostril. If the septum is not central, it can cause uneven airflow in the nose. This can cause one side of the nose to become very dry, increasing the risk of nosebleeds.

Tumors

Tumors in the nose or sinuses can cause frequent nosebleeds. Tumors may be cancerous or noncancerous. Tumors in the nose or sinuses may be more likely in older adults or smokers.

A persistent stuffy nose or foul smelling discharge from the nose may be additional symptoms of a tumor in the nose or sinuses.

Heavy alcohol consumption

Heavy use of alcohol can affect the platelets in the blood and slow down blood clotting. Alcohol can also enlarge blood vessels that are close to the surface, making it easier for them to break and bleed.

Chemical irritants

Certain chemicals can irritate the lining of the nose. If people are regularly around chemical irritants, these could cause frequent nosebleeds. Chemical irritants may include:

  • cigarette smoke, including secondhand smoke
  • sulphuric acid
  • ammonia
  • gasoline

The immediate treatment of nosebleeds is to stop blood flow from the nose.

If people have a nosebleed towards the front of the nose, they may be able to stop it with the following steps:

  • Sit up straight and lean forward a little.
  • Breath through the mouth rather than the nose.
  • Using the thumb and index finger, pinch the fleshy tip of the nose, just below the bone.
  • Pinch for 5 minutes to give the blood time to clot.
  • If bleeding continues, pinch in the same place for another 10 minutes.
  • After 10 minutes, stop pinching to see if the bleeding has stopped.
  • Avoid blowing your nose or snorting up the blood for up to an hour after bleeding stops to avoid dislodging the clot before healed.
  • If the nose is still bleeding, use an over-the-counter decongestant nasal spray, such as Afrin, which constricts the blood vessels.
  • If necessary, insert the nasal spray just inside the bleeding nostril and spray, hopefully when the bleeding is slowing down.
  • Continue to pinch the fleshy part of the nose to allow the medication to be absorbed and repeat up to three times.
  • If the nose is still bleeding, seek medical help.

If people cannot stop a nosebleed themselves, they will need to go to their doctor or emergency room straightaway.

A doctor may stop a nosebleed by:

  • packing the nose with a gauze dressing
  • using an electric current or chemical, such as silver nitrate, to freeze or burn the blood vessels
  • applying a medicine inside the nose to stop blood flow

People may need laser therapy or surgery to seal off blood vessels and prevent further bleeding.

Long-term treatment for daily or frequent nosebleeds will depend on the underlying cause. People may need to reduce or change certain medications or supplements they are using.

If chemical irritants or allergens are causing nosebleeds, it may be necessary to avoid or reduce exposure to them, take antihistamines, or wear protective masks.

If someone has an injury, deformity, or tumor in their nose, they may require surgery.

When people have an underlying condition that is causing nosebleeds, they may need treatment for the condition.

Learn more about tips and remedies for stopping a nosebleed here.

If people have frequent nosebleeds with no clear cause, they can see their doctor.

A doctor will carry out a physical examination and go through a person’s medical history. They will also assess any medications people are taking to see if it is causing the bleeding.

If your healthcare provider does not find any obvious cause straightaway, people may require blood tests to check for any underlying conditions, such as clotting disorders.

People should also seek immediate medical attention if they have a nosebleed that will not stop.

If a large amount of blood is going down the back of the throat, even when leaning forward, a person should go to the closest emergency department immediately.

Nosebleeds are a common occurrence and usually harmless, although serious cases can occur. If people are experiencing daily or frequent nosebleeds, it may be a side effect of medication or sign of an underlying condition.

Seeing a doctor can establish the underlying cause of recurring nosebleeds, and treatment may help to prevent future nosebleeds.

If people are unable to stop a nosebleed themselves, they will need to seek medical help straightaway.

Is It Normal & Should You Be Worried

Nosebleeds

Nosebleeds occur when a blood vessel in your nose bursts. Bloody noses are common. Around 60 percent of Americans will experience a nosebleed some time in their life. About 6 percent will require medical attention.

Although there are many reasons that your nose bleeds, the two most common causes are direct impact injury and the temperature and humidity of your environment.

  • Trauma. Fractures of the nose or the base of the skull can result in a bloody nose. If you’ve had a head injury that resulted in a bloody nose, see your doctor.
  • Dry air. A dry outside environment or heated indoor air can irritate and dry out nasal membranes. This can cause crusts that may itch and bleed when picked or scratched. If you catch a cold in the winter, the combination of repeated nose blowing with exposure to cold, dry air, sets the stage for nosebleeds.

Picking your nose

If you have allergies, such as hay fever or any other condition that causes your nose to itch, it can lead to conscious and unconscious nose picking.

Blowing your nose

If you blow your nose hard, the pressure can rupture superficial blood vessels.

Clotting disorders

Hereditary clotting disorders, such as hemophilia and hemorrhagic telangiectasia, may cause recurring nosebleeds.

Medications

If you’re taking medication that thins your blood or acts as an anticoagulant — such as aspirin, clopidogrel (Plavix), or warfarin (Coumadin) — nosebleeds can be more difficult to stop.

Topical medications and nasal sprays

Topical nasal medications, such as corticosteroids and antihistamines, can sometimes lead to nosebleeds. If you often use a nasal spray, the repeated irritation caused by the tip of the bottle could cause nosebleeds.

Dietary supplements

Certain dietary supplements can thin your blood and prolong bleeding, causing nosebleeds that are difficult to stop. These include:

  • ginger
  • feverfew
  • garlic
  • ginkgo biloba
  • ginseng
  • vitamin E

Underlying conditions

If you have certain conditions such as kidney or liver disease, your blood’s ability to clot may be lower, making nosebleeds more difficult to stop.

Blood pressure

Conditions such as congestive heart failure or hypertension can make you more prone to nosebleeds.

Deformities

If you have a functional nasal deformity — congenital, cosmetic surgery, or injury related — it could lead to frequent nosebleeds.

Tumors

Tumors of the nose or sinuses — both malignant and nonmalignant — can lead to nosebleeds. This is more likely in older people and those who smoke.

Drug use

If you ingest cocaine or other drugs by snorting it into your nose, it can cause blood vessels in your nasal passages to rupture, leading to frequent nosebleeds.

Chemical irritants

If you’re exposed to chemical irritants — such as cigarette smoke, sulfuric acid, ammonia, gasoline — at work or elsewhere, it can lead to frequent and recurring nosebleeds.

While the majority of nosebleeds aren’t a cause for concern, some are. Get medical help right away if:

  • your nose doesn’t stop bleeding after 20 minutes
  • your nose is bleeding as the result of a head injury
  • your nose has an odd shape or feels broken after an injury

Schedule an appointment with your doctor if you experience frequent and repeated nosebleeds that aren’t caused by minor irritation. Frequent nosebleeds that occur more than once a week may be a sign of a problem that should be evaluated.

You can help cut down on the frequency of your nosebleeds and perhaps prevent them by taking some simple actions:

  • Avoid picking your nose and blow your nose gently.
  • If you smoke, try to quit and avoid areas with secondhand smoke.
  • Moisturize the inside of your nose with a nonprescription saline nasal spray.
  • Use a humidifier during the winter months.
  • Apply ointment, such as Bacitracin, A and D Ointment, Eucerin, Polysporin, or Vaseline, to the inside of each nostril at bedtime.
  • Wear your seatbelt to protect from facial trauma in the event of an accident.
  • Wear headgear that fits properly and protects your face when playing sports with a chance for face injury, such as karate, hockey, or lacrosse.
  • Avoid breathing in irritating chemicals by using properly rated protective equipment.

If you have frequent and recurring nosebleeds, talk to your doctor about possible causes and to discuss steps you can take to avoid them.

Your doctor may refer you to an otolaryngologist — an ear, nose, and throat specialist, also called an ENT. If you’re on a blood thinner, they might recommend adjusting the dose.

reasons why it goes, what to do if it often flows in adults and children

Table of contents

  • Blood from the nose
  • Reasons why the blood went
  • Types
  • Symptoms
  • Features
  • In adults
  • In children
  • Possible complications and illnesses
  • What to do if nose bleeds often
  • Diagnosis
  • When and which doctor to contact
  • Treatment
  • What is not recommended for nosebleeds
  • Prevention

MOSCOW, January 19 – RIA Novosti. Nosebleeds are not always a dangerous symptom, but in certain situations, especially when they occur frequently, medical attention is required. The causes of nosebleeds in a child and an adult, in which diseases blood can flow and why you can’t lie in this condition – in the RIA Novosti material.

Nosebleed

According to Ilya Almazov, Ph.D. The phenomenon is widespread among the entire population of the globe, about 60% of people during their lives have personally encountered this problem at least once. The central and protruding position of the nose in relation to the face makes it especially vulnerable to all kinds of injuries. At the same time, the rich blood supply of the nose and the presence inside it of a large number of blood vessels of the mucous membrane, close to the surface, predispose to bleeding not only from external physical influences, but also from changes in blood pressure and blood clotting. Most nosebleeds do not carry serious complications and can be eliminated even at home.

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reasons why blood

The expert identified the main causes of blood from the nose:

  • Dry air leading to drying out and thinning of the nasal mucosa. Under such conditions, even the usual daily toilet of the nose can damage the vessels of the mucosa and cause bleeding;
  • active picking in the nose, blowing nose, putting foreign objects into the nose cause direct damage to the mucous membranes and blood vessels;
  • concomitant inflammatory processes in the paranasal sinuses, allergic and non-allergic rhinitis make the nasal mucosa loose and vulnerable;
  • injuries to the head and face may be accompanied by severe nosebleeds, and in fractures of the base of the skull, even leakage of cerebrospinal fluid from the nose;
  • use of blood thinners such as aspirin, heparin, etc.;
  • chemical irritants: substances in cleaning products, industrial fumes;
  • a sharp drop in atmospheric pressure when climbing to a height;
  • thinning of the mucosa due to frequent use of vasoconstrictor drops;
  • blood diseases leading to increased bleeding – hemophilia, von Willebrand disease, thrombocytopenia, etc.

“Less common causes of epistaxis are alcohol use, bleeding disorders, high blood pressure, atherosclerosis, facial and nasal surgery, tumors and nasal polyps, leukemia, pregnancy,” the expert added.

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Ilya Almazov clarifies that there are two main types of epistaxis.

Anterior nosebleed that starts at the anterior lower part of the nasal septum that separates both sides of the nose. The capillaries and small blood vessels in this area are fragile and are called “Kisselbach’s plexus” and can easily break and bleed. This is the most common type of nosebleed and is usually not serious. It is more common in children and in people who actively pick their nose. As a rule, does not require the help of a specialist.

Posterior nosebleed occurs deep inside the nasal cavity and is caused by damage to the larger blood vessels at the back of the nose near the throat. This is often severe haemorrhorrhea, which can run down the back of the throat, accumulate in the stomach, and cause blood to vomit. This type of epistaxis requires medical attention and is more common in adults.

© iStock.com / eternalcreativeNosebleed

© iStock.com / eternalcreative

Nosebleed

Symptoms

Slight bleeding with little blood loss does not cause much harm to the body and does not cause specific symptoms. But children and people with an unstable mental state can panic. With prolonged loss of blood, the following symptoms may appear:

  • weakness in the body;
  • dizziness;
  • tinnitus;
  • flies before eyes;
  • palpitations;
  • blanching of the skin.

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If timely medical care is not provided at this stage, the symptoms worsen:

  • shortness of breath appears and increases;
  • blood pressure decreases;
  • blue skin around the hands and feet.

Features

Bleeding from the nose can be different depending on age.

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In adults nose – pathologies of ENT organs: sinusitis, rhinitis, abuse of vasoconstrictor drugs – all this leads to thinning of the mucous membrane of the nasal passages. Also a common cause is epistaxis against the background of arterial hypertension, when the thin walls of blood vessels are unable to cope with a sharp increase in pressure. The most common symptoms in adults are dizziness, severe weakness, tachycardia, tinnitus, and headache.

in children

© Istock.com / zinkevychenel. Stops blood from a child in a child

© Istock.com / zinkevych

Woman stops the blood from a child

Naya Georgieva also notes that in children the most common cause of blood from blood from blood nose are injuries – both with blows to the nasal area, and with mechanical damage to the mucous membrane from the inside. Epistaxis in children is more often manifested by the outflow of blood from one nostril and may not be accompanied by concomitant symptoms.

Possible complications and diseases

Complications of blood from the nose can be associated with both blood loss in general and ways to stop it. The most dangerous and frequent consequence is acute blood loss. It disrupts blood circulation and the normal functioning of the body, in particular, there is a decrease in hemoglobin and a decrease in the volume of red blood cells in the blood, anemia manifests itself, and the volume of circulating blood decreases. If bleeding continues, it can be fatal.

Complications associated with nosebleed stop methods relate to the anatomy and physiology of the mucous membranes. Thus, nasal tamponade can lead to compression of healthy vessels and disruption of the integrity of the nasal mucosa, which increases the risk of relapse.

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Bleeding from the nose can be associated with ongoing diseases, for example:

  • infectious and allergic rhinitis;
  • various tumors of the nose;
  • mucosal atrophy;
  • arterial hypertension;
  • vascular atherosclerosis;
  • papillomavirus infection;
  • pathology of the blood coagulation system.

What to do if your nose bleeds frequently

If your nose bleeds frequently, you should definitely consult a doctor to find out the cause and prescribe the appropriate treatment.

Diagnosis

© iStock.com / Tashi-Delek ECG

© iStock.com / Tashi-Delek

ECG

Determining the cause of a nosebleed begins with a history and general examination using a nasopharyngeal speculum and nasal dilator. For an accurate diagnosis, additionally appoint:

  • general clinical blood and urine tests;
  • ultrasound;
  • ECG;
  • coagulogram;
  • x-ray;
  • MRI;
  • CT.

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When and which doctor to contact

According to Ilya Almazov, if nosebleeds are regular, you should first contact a local doctor and an otorhinolaryngologist. If blood diseases are detected, the patient will be treated by a hematologist. Epistaxis can be a symptom of a number of diseases and be an independent phenomenon, so a thorough investigation is necessary. It is also necessary to contact a specialist if:

  • bleeding has not stopped 15-20 minutes after all attempts to stop it;
  • very rapid and voluminous bleeding, which threatens with blood loss;
  • vomiting due to large amounts of swallowed blood;
  • epistaxis appeared as a result of trauma to the head and face;
  • Feeling weak or tired, chills, shortness of breath, palpitations;
  • bleeding began to occur with the start of a new drug;
  • sudden nosebleeds accompanied by bruising and bruising all over the body.

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Treatment state. For example, if bleeding is associated with a violation of blood clotting, then hemostatics are prescribed, and if with hypovitaminosis, then a multivitamin complex is selected.

The first thing used to stop nosebleeds is anterior and posterior tamponade and hemostatic drugs. If such methods do not help, other procedures can be used:

  • electrocoagulation – cauterization of blood vessels under the influence of electric current;
  • radio wave method – cauterization of blood vessels using a special apparatus that emits high-frequency radio waves through electrodes;
  • cryocoagulation – cauterization of vessels with liquid nitrogen;
  • laser coagulation – cauterization of blood vessels with a narrowly focused laser beam.

“Treatment of nosebleeds in a hospital setting involves acting on the cause that caused it, for example, high blood pressure, trauma. In addition, drugs that improve blood clotting are used – tranexamic acid, dicynone, etc. In severe cases posterior tamponade of the nose, endoscopic revision of the nasal cavity and transfusion of blood components help out,” said Ilya Almazov.

Acute, throbbing, squeezing: headache – causes and treatment or for help and notify about your condition. This is necessary in the event of the development of uncontrolled bleeding and to eliminate the risk of being left alone with the disease. It is necessary to calm down, remove all irritants, sit down, lean back slightly (but do not lie down). Put cold on the nose, press the nostrils with your fingers for 10 minutes and try again if necessary. It is useful to place cotton swabs in each nasal passage after applying two drops of Naphthyzinum on them. Naphthyzine constricts blood vessels and stops nosebleeds. If the bleeding does not stop within 20 minutes, you should consult a doctor.

“When bleeding from the nose, you can not throw your head back – otherwise the blood will get into the respiratory tract, provoke vomiting. When bleeding, it is forbidden to blow out the blood, rinse the nose under pressure. Also, you can not take a horizontal position so as not to choke on blood,” added Neya Georgieva.

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  • Use saline nasal spray or saline nasal drops two to three times daily for each nostril to keep nasal passages moist. Such a solution can be purchased without a prescription or made at home: dilute 1 teaspoon of salt in 1 liter of boiled warm water and gently rinse both cavities;
  • use humidifier at home;
  • avoid blowing your nose too hard;
  • to sneeze with an open mouth;
  • do not insert any hard objects into the nose, and fingers;
  • be careful when using medicines that can cause nosebleeds, such as aspirin and ibuprofen;
  • avoid smoking, which dries out the nose and irritates its mucous membranes;
  • if work involves a high risk of injury or inhalation of chemicals, wear protective headgear and protective masks;
  • In order to avoid nosebleeds in children, it is recommended to monitor their nails and control the child’s manipulations to avoid sticking fingers and various objects into the nose.

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Nosebleeds can be due to various causes

What should I do if my nose bleeds?

    The nasal mucosa is actively supplied with blood. Most often, the site of bleeding is in the area of ​​​​the developed vascular plexus in the anterior sections of the nasal septum – the Kisselbach zone. The most dangerous bleeding from the posterior sections, where the branches of large arteries are located, while most of the blood can drain into the pharynx, outwardly creating the illusion of a small bleeding.

    What diseases are possible with this symptom?

    Causes of nosebleeds can be divided into local, associated with the nose and general, arising from certain diseases of the body.
    Local causes of epistaxis include trauma to the nose, foreign bodies in the nasal cavity, chronic atrophic rhinitis (in which the nasal mucosa becomes dry), benign and malignant neoplasms of the nose, etc.
    Common causes of epistaxis – hypertension, impaired coagulation system, blood diseases (leukemia, thrombocytopenia, etc.), liver and many other diseases and conditions.
    In any case, with nosebleeds, a blood test is necessary, as well as often additional consultations of other specialists: a hematologist (a doctor who treats blood diseases), a general practitioner, etc. oxygen in the blood and tissues, general weakness occurs, immunity decreases. Massive acute bleeding is life-threatening.

    First aid for bleeding. How to stop nosebleeds?

    If there is bleeding from the nose, steps should be taken to stop it as soon as possible before seeing a specialist.
    Tilt your head slightly forward. Throwing the head back is contraindicated, because. the imaginary cessation of bleeding leads to flow of blood from the nose into the throat. This leads to coughing and vomiting, aggravates the general condition.
    Since the most common source of blood from the nose is the Kisselbach zone, located in the anterior part of the nasal septum, pressing the wings of the nose against the septum for 5 minutes can stop the bleeding. In this case, the damaged vessels are thrombosed.
    If the attempt to stop the bleeding on your own (no more than 5 minutes) was not effective, and the blood from the nose continues to flow, it is necessary to call an ambulance team that will take the patient to a specialized medical institution.
    Flow of blood from the nose with a stream, without clots, requires an urgent call for an ambulance team and immediate hospitalization.

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