▁surg ery , ▁depending ▁on ▁your ▁sympt oms . ▁ ▁Nas al ▁pack ing ▁ ▁If ▁you ’ ve ▁had ▁surg ery ▁around ▁your ▁nose ▁or ▁frequently ▁get ▁a ▁blo ody ▁nose , ▁your ▁doctor ▁may ▁insert ▁gau ze ▁or ▁cot ton ▁up ▁your ▁nose ▁to ▁stop ▁the ▁ble eding . ▁This ▁process ▁is ▁called ▁th era pe ut ic ▁nas al ▁pack ing . ▁Nas al ▁pack ing ▁sometimes ▁causes ▁blood ▁to ▁back ▁up ▁in ▁your ▁middle ▁ear , ▁causing ▁hem ot ym pan um . ▁If ▁you ’ ve ▁recently ▁had ▁nas al ▁pack ing ▁done ▁and ▁notice ▁hem ot ym pan um ▁sympt oms , ▁contact ▁your ▁doctor . ▁They ▁can ▁remove ▁the ▁pack ing ▁to ▁allow ▁the ▁blood ▁to ▁d rain ▁out ▁of ▁your ▁ear . ▁You ▁may ▁also ▁need ▁ant ib iot ics ▁to ▁avoid ▁getting ▁an ▁ear ▁in fection . ▁ ▁Ble eding ▁dis orders ▁ ▁Ble eding ▁dis orders , ▁such ▁as ▁hem oph ilia ▁or ▁id iop ath ic ▁th rom b oc yt open ia ▁pur p ura , ▁can ▁also ▁cause ▁hem ot ym pan um . ▁These ▁dis orders ▁prevent ▁your ▁blood ▁from ▁properly ▁cl ot ting , ▁making ▁you ▁more ▁pr one ▁to ▁ble eding . ▁If ▁you ▁have ▁a ▁ble eding ▁dis order , ▁a ▁m ild ▁head ▁injury ▁or ▁simply ▁s ne ez ing ▁too ▁hard ▁can ▁cause ▁hem ot ym pan um . ▁If ▁you ▁have ▁a ▁ble eding ▁dis order ▁and ▁have ▁hem ot ym pan um