Post-Embolization Nosebleed (Epistaxis) Care: Recovery Instructions

Immediate Post-Procedure (24–48 Hours)

• Rest: Avoid bending, lifting >10 lb, straining, vigorous exercise.
• Head Elevation: Sleep with head 30–45° elevated.
• No Nasal Manipulation: Do not blow, pick, rub, or insert tissues/cotton.
• Expected: Minor oozing, crusting, congestion. Use saline mist (not spray) if advised.

Warning Signs — Contact Doctor Immediately

• Active bleeding >10 min despite pinching nose
• Large clots, bright red blood soaking gauze
• Fever >100.4°F (38°C)
• Severe facial pain, vision changes, neck stiffness

Medications

• Analgesics: Acetaminophen preferred; avoid NSAIDs (ibuprofen, aspirin) 5–7 days unless directed.
• Antibiotics: If prescribed (e.g., for sinusitis prophylaxis), complete course.
• Nasal decongestant spray (oxymetazoline): Max 3 days if advised.

Nasal Packing (If Placed)

• Usually removed 2–5 days post-op by ENT.
• Do not remove yourself.

Follow-Up

ENT visit within 1–2 weeks for endoscopic assessment. Long-term: humidification, saline irrigation, avoid trauma.