Epistaxis is very common and usually stops quickly without medical treatment. The majority (80%) arise from the front part of the nasal septum (Little’s area), where several small arteries converging from various directions end. A nose injury, URTI, drying and crusting due to drugs, chemotherapy or CPAP usage, vigorous blowing or picking are the main causes. About 20% come from arteries further back in the nose and tend to occur in men over 60 years of age with high blood pressure (hypertension) and hardening of the arteries (arteriosclerosis). Nasal tumours often cause bleeding but are fortunately rare. Medical conditions affecting blood clotting (coagulation) and drugs to thin the blood (anti-coagulants) are also predisposing factors.
As part of our on-going commitment to providing high standards of treatment to our patients, we are proud to be registered with the Care Quality Commission under the Care Standards Act 2000.
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Dr Gerald Brookes is regularly consulted by the media for his expertise. He has been interviewed by the Daily Mail, featured on Channel 4's Embarassing Bodies, looked after The X-Factor contestants and recently, appeared on BBC Radio 2 with Chris Evans.
Media: Channel 4
Adele was experiencing dizziness and balance problems so severe that she could barely function. In desperation, after consulting her GP to no avail, she got in touch with Channel 4’s Embarrassing Bodies team. The show then contacted Dr Gerald Brookes, who was able to diagnose her rare condition as Basilar Migraine.
Catherine Eade was having dizzy spells and balance problems. When inexplicably she started suffering memory loss too, she consulted Dr Gerald Brookes at The Harley Street ENT Clinic who correctly diagnosed her problem as benign paroxysmal positional vertigo (BPPV).
The Harley Street ENT Clinic looked after The X-Factor TV show contestants for many seasons. At the end of the 2010 season, Dr Gerald Brookes was interviewed by Nicky Broyd of Boots WebMD on the perils of high pressure performing.