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The use of anticoagulant medications such as warfarin or heparin in patients with heart disease The use of a CPAP machine (Continuous positive airway pressure) to treat snoring or sleep apnea After nose surgery, nasal septal surgery, and sinus surgery Acute sinusitis or upper respiratory infections Upper respiratory infections caused by viruses, bacteria, or fungi Nasal cannula insertion, nasogastric tube insertion The use of ammonia, a volatile substance that can irritate the respiratory system

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