Endoscopic Cauterization of bleeding points in nasal bleeding.

It's better to look inside the nose before packing the nose with help of nasal endoscope. If bleeding is localized especially in form of  spurter, then immediate cauterization is useful. In cases of chronic renal failure or other chronic medical illness where bleeding is diffuse, cauterization may not be beneficial and keeping a gel foam or keeping merocel over diffuse bleeder will stop the bleeding. Gel foam may not need to be removed as it dissolves soon.