Nasal packs are usually left for 2 or 3 days and the patient should see an ENT specialist. The blood is an excellent culture medium for bacteria and so broad spectrum antibiotics like amoxicillin are usually given.


    These are unnecessary in most (mild) cases but recurrent or severe cases require at least a FBC, coagulation studies and blood typing.

  • Quite marked anaemia can result but a haematological malignancy may also be revealed.

  • Any suspicion of malignancy of the nose or other abnormality should require referral to an ENT surgeon.



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