Are daily nosebleeds normal. What causes frequent nosebleeds. When should you be worried about nosebleeds. How can you prevent and manage recurring nosebleeds. What are the underlying health conditions associated with frequent nosebleeds.

Understanding the Frequency of Nosebleeds

Nosebleeds, medically known as epistaxis, are a common occurrence. Approximately 60% of people will experience a nosebleed at some point in their lives. However, when nosebleeds become a daily occurrence, it’s natural to wonder about their normalcy and potential underlying causes.

Daily nosebleeds are not typically considered normal and may indicate an underlying issue that requires attention. While occasional nosebleeds are usually harmless, frequent or severe episodes can be a cause for concern.

How common are nosebleeds?

While nosebleeds are common, only about 6% of people who experience them will require medical attention. This statistic highlights that most nosebleeds are benign and can be managed at home. However, the frequency and severity of nosebleeds can vary greatly among individuals.

Common Causes of Frequent Nosebleeds

Understanding the underlying causes of frequent nosebleeds is crucial for proper management and prevention. Here are some of the most common reasons for recurring nosebleeds:

• Environmental factors (dry air, heated indoor spaces)
• Trauma or injury to the nose
• Nose picking
• Allergies and repeated nose blowing
• Blood thinning medications
• Certain medical conditions

Environmental Factors

One of the primary culprits behind frequent nosebleeds is environmental conditions. Dry air, whether from outdoor climate or indoor heating, can irritate and dry out nasal membranes. This dryness can lead to crusting, which may itch and bleed when scratched or picked.

Trauma and Injury

Direct impact injuries to the nose or fractures of the nose or skull base can result in nosebleeds. These injuries can damage blood vessels in the nasal passages, making them more prone to bleeding. If you’ve experienced a head injury resulting in nosebleeds, it’s crucial to seek medical attention.

The Role of Personal Habits in Nosebleed Frequency

Personal habits and behaviors can significantly contribute to the frequency of nosebleeds. Understanding these factors can help in developing strategies to reduce their occurrence.

Nose Picking

Nose picking, whether conscious or unconscious, is a common cause of nosebleeds. This habit can damage the delicate blood vessels in the nasal passages, leading to bleeding. People with allergies or conditions that cause nasal itching may be more prone to this habit.

Aggressive Nose Blowing

Blowing your nose too forcefully can create pressure that ruptures superficial blood vessels in the nasal passages. This is particularly common during cold and flu seasons when nose blowing is more frequent.

Medical Conditions and Medications Associated with Nosebleeds

Certain medical conditions and medications can increase the likelihood of experiencing frequent nosebleeds. Identifying these factors is crucial for proper management and treatment.

Clotting Disorders

Hereditary clotting disorders, such as hemophilia and hemorrhagic telangiectasia, can lead to recurring nosebleeds. These conditions affect the blood’s ability to clot, making it more difficult to stop bleeding once it starts.

Blood-Thinning Medications

Medications that thin the blood or act as anticoagulants can make nosebleeds more frequent and difficult to stop. Common examples include:

• Aspirin
• Clopidogrel (Plavix)
• Warfarin (Coumadin)

If you’re taking these medications and experiencing frequent nosebleeds, it’s important to consult with your healthcare provider for proper management.

The Impact of Nasal Sprays and Dietary Supplements

Certain nasal sprays and dietary supplements can contribute to the frequency of nosebleeds. Understanding their effects can help in managing and preventing nosebleed occurrences.

Topical Nasal Medications

Corticosteroid and antihistamine nasal sprays can sometimes lead to nosebleeds. The repeated irritation caused by the tip of the spray bottle can damage nasal tissues. Additionally, some of these medications can dry out the nasal passages, increasing the risk of bleeding.

Dietary Supplements

Certain dietary supplements can thin the blood and prolong bleeding, making nosebleeds more difficult to stop. These include:

• Ginger
• Feverfew
• Garlic
• Ginkgo biloba
• Ginseng
• Vitamin E

If you’re taking any of these supplements and experiencing frequent nosebleeds, consider discussing alternatives with your healthcare provider.

Underlying Health Conditions and Nosebleeds

Several underlying health conditions can increase the likelihood of experiencing frequent nosebleeds. Identifying these conditions is crucial for proper diagnosis and treatment.

Blood Pressure Issues

Conditions such as congestive heart failure or hypertension can make individuals more prone to nosebleeds. High blood pressure can put additional stress on the delicate blood vessels in the nose, increasing the risk of rupture.

Kidney and Liver Disease

These conditions can affect the blood’s ability to clot, making nosebleeds more difficult to stop. If you have kidney or liver disease and are experiencing frequent nosebleeds, it’s important to discuss this with your healthcare provider.

Nasal Deformities

Functional nasal deformities, whether congenital, from cosmetic surgery, or injury-related, can lead to frequent nosebleeds. These deformities can affect the structure and blood flow within the nasal passages, increasing the risk of bleeding.

Tumors

In some cases, tumors of the nose or sinuses, both malignant and non-malignant, can lead to nosebleeds. This is more common in older individuals and those who smoke. If you’re experiencing persistent nosebleeds along with other concerning symptoms, it’s crucial to seek medical evaluation.

When to Seek Medical Attention for Nosebleeds

While most nosebleeds are not cause for alarm, there are situations where medical attention is necessary. Recognizing these scenarios can help ensure timely and appropriate care.

Immediate Medical Attention

Seek immediate medical help if:

• Your nose doesn’t stop bleeding after 20 minutes of applied pressure
• The nosebleed is the result of a head injury
• Your nose has an odd shape or feels broken after an injury
• You’re experiencing heavy blood loss or feel dizzy

Scheduling a Doctor’s Appointment

Consider scheduling an appointment with your healthcare provider if:

• You experience frequent nosebleeds (more than once a week)
• Nosebleeds are interfering with your daily activities
• You’re taking blood-thinning medications and experiencing increased nosebleeds
• You have a family history of bleeding disorders

Prevention and Management Strategies for Frequent Nosebleeds

While not all nosebleeds can be prevented, there are several strategies you can employ to reduce their frequency and severity.

Environmental Modifications

Addressing environmental factors can significantly reduce the occurrence of nosebleeds:

• Use a humidifier to add moisture to dry indoor air
• Apply a thin layer of petroleum jelly inside your nostrils to keep them moist
• Avoid excessive exposure to dry, cold air

Personal Habits

Modifying certain personal habits can help prevent nosebleeds:

• Avoid picking your nose
• Blow your nose gently
• Use saline nasal sprays to keep your nasal passages moist
• If you smoke, consider quitting or reducing your tobacco use

Medication and Supplement Review

If you’re experiencing frequent nosebleeds and taking medications or supplements, consider the following:

• Consult with your healthcare provider about adjusting blood-thinning medications
• Discuss alternative nasal sprays if your current ones are causing irritation
• Review your dietary supplements with a healthcare professional to identify any that may increase bleeding risk

By implementing these strategies and working closely with your healthcare provider, you can effectively manage and reduce the frequency of nosebleeds, improving your overall quality of life.

Long-Term Outlook and Management of Chronic Nosebleeds

For individuals experiencing chronic or recurring nosebleeds, understanding the long-term outlook and management strategies is crucial. While frequent nosebleeds can be concerning, with proper care and attention, most cases can be effectively managed.

Diagnostic Procedures

If you’re experiencing chronic nosebleeds, your healthcare provider may recommend certain diagnostic procedures to identify the underlying cause:

• Nasal endoscopy: A thin, flexible tube with a camera is inserted into the nose to examine the nasal passages and sinuses
• Imaging studies: CT scans or MRIs may be ordered to check for structural abnormalities or tumors
• Blood tests: These can help identify clotting disorders or other systemic issues

Treatment Options

Depending on the underlying cause, various treatment options may be recommended:

• Cauterization: A chemical or electric current is used to seal off problematic blood vessels
• Nasal packing: The nose is packed with special materials to apply pressure and promote clotting
• Medication adjustments: Changes to current medications or addition of new ones to address underlying issues
• Surgery: In some cases, surgical intervention may be necessary to correct structural abnormalities or remove tumors

Lifestyle Modifications

Long-term management of chronic nosebleeds often involves ongoing lifestyle modifications:

• Maintaining proper nasal hygiene
• Using humidifiers and nasal moisturizers regularly
• Avoiding irritants such as smoke and chemical fumes
• Managing allergies effectively
• Staying hydrated to keep mucous membranes moist

By working closely with healthcare providers and adhering to recommended treatments and lifestyle changes, most individuals with chronic nosebleeds can achieve significant improvement in their condition. Regular follow-ups and ongoing communication with medical professionals are key to successful long-term management.

The Psychological Impact of Frequent Nosebleeds

While the physical aspects of frequent nosebleeds are often the primary focus, it’s important to acknowledge the potential psychological impact this condition can have on individuals. Chronic health issues, even those considered minor, can significantly affect a person’s quality of life and mental well-being.

Anxiety and Stress

Living with the unpredictability of frequent nosebleeds can lead to increased anxiety and stress. Individuals may worry about when the next episode will occur, particularly in social or professional settings. This constant state of alertness can be mentally exhausting and impact overall well-being.

Social Implications

Frequent nosebleeds can have social implications, potentially leading to:

• Embarrassment in public situations
• Avoidance of social gatherings or activities
• Impacts on personal and professional relationships
• Decreased self-confidence

Coping Strategies

Developing effective coping strategies is crucial for managing the psychological impact of frequent nosebleeds:

• Education: Understanding your condition can help reduce anxiety and feel more in control
• Support groups: Connecting with others who have similar experiences can provide emotional support and practical advice
• Stress management techniques: Practices like meditation, deep breathing, or yoga can help manage stress and anxiety
• Professional help: Consider speaking with a mental health professional if you’re struggling to cope with the emotional aspects of your condition

By addressing both the physical and psychological aspects of frequent nosebleeds, individuals can work towards a more comprehensive management plan that improves overall quality of life. It’s important to communicate openly with healthcare providers about any emotional or social challenges related to the condition, ensuring a holistic approach to care and support.

Is It Normal & Should You Be Worried

Nosebleeds Every Day: Is It Normal & Should You Be Worried

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Medically reviewed by Alana Biggers, M. D., MPH — By Scott Frothingham — Updated on September 17, 2018

Nosebleeds

Nosebleeds occur when a blood vessel in your nose bursts. Bloody noses are common. Around 60 percent of Americans will experience a nosebleed some time in their life. About 6 percent will require medical attention.

Although there are many reasons that your nose bleeds, the two most common causes are direct impact injury and the temperature and humidity of your environment.

• Trauma. Fractures of the nose or the base of the skull can result in a bloody nose. If you’ve had a head injury that resulted in a bloody nose, see your doctor.
• Dry air. A dry outside environment or heated indoor air can irritate and dry out nasal membranes. This can cause crusts that may itch and bleed when picked or scratched. If you catch a cold in the winter, the combination of repeated nose blowing with exposure to cold, dry air, sets the stage for nosebleeds.

Picking your nose

If you have allergies, such as hay fever or any other condition that causes your nose to itch, it can lead to conscious and unconscious nose picking.

Blowing your nose

If you blow your nose hard, the pressure can rupture superficial blood vessels.

Clotting disorders

Hereditary clotting disorders, such as hemophilia and hemorrhagic telangiectasia, may cause recurring nosebleeds.

Medications

If you’re taking medication that thins your blood or acts as an anticoagulant — such as aspirin, clopidogrel (Plavix), or warfarin (Coumadin) — nosebleeds can be more difficult to stop.

Topical medications and nasal sprays

Topical nasal medications, such as corticosteroids and antihistamines, can sometimes lead to nosebleeds. If you often use a nasal spray, the repeated irritation caused by the tip of the bottle could cause nosebleeds.

Dietary supplements

Certain dietary supplements can thin your blood and prolong bleeding, causing nosebleeds that are difficult to stop. These include:

• ginger
• feverfew
• garlic
• ginkgo biloba
• ginseng
• vitamin E

Underlying conditions

If you have certain conditions such as kidney or liver disease, your blood’s ability to clot may be lower, making nosebleeds more difficult to stop.

Blood pressure

Conditions such as congestive heart failure or hypertension can make you more prone to nosebleeds.

Deformities

If you have a functional nasal deformity — congenital, cosmetic surgery, or injury related — it could lead to frequent nosebleeds.

Tumors

Tumors of the nose or sinuses — both malignant and nonmalignant — can lead to nosebleeds. This is more likely in older people and those who smoke.

Drug use

If you ingest cocaine or other drugs by snorting it into your nose, it can cause blood vessels in your nasal passages to rupture, leading to frequent nosebleeds.

Chemical irritants

If you’re exposed to chemical irritants — such as cigarette smoke, sulfuric acid, ammonia, gasoline — at work or elsewhere, it can lead to frequent and recurring nosebleeds.

While the majority of nosebleeds aren’t a cause for concern, some are. Get medical help right away if:

• your nose doesn’t stop bleeding after 20 minutes
• your nose is bleeding as the result of a head injury
• your nose has an odd shape or feels broken after an injury

Schedule an appointment with your doctor if you experience frequent and repeated nosebleeds that aren’t caused by minor irritation. Frequent nosebleeds that occur more than once a week may be a sign of a problem that should be evaluated.

You can help cut down on the frequency of your nosebleeds and perhaps prevent them by taking some simple actions:

• Avoid picking your nose and blow your nose gently.
• If you smoke, try to quit and avoid areas with secondhand smoke.
• Moisturize the inside of your nose with a nonprescription saline nasal spray.
• Use a humidifier during the winter months.
• Apply ointment, such as Bacitracin, A and D Ointment, Eucerin, Polysporin, or Vaseline, to the inside of each nostril at bedtime.
• Wear your seatbelt to protect from facial trauma in the event of an accident.
• Wear headgear that fits properly and protects your face when playing sports with a chance for face injury, such as karate, hockey, or lacrosse.
• Avoid breathing in irritating chemicals by using properly rated protective equipment.

If you have frequent and recurring nosebleeds, talk to your doctor about possible causes and to discuss steps you can take to avoid them.

Your doctor may refer you to an otolaryngologist — an ear, nose, and throat specialist, also called an ENT. If you’re on a blood thinner, they might recommend adjusting the dose.

Last medically reviewed on September 17, 2018

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• Mayo Clinic Staff. (2018). Nosebleeds.
  mayoclinic.org/symptoms/nosebleeds/basics/definition/sym-20050914
• Mayo Clinic Staff. (2017). Nosebleeds: First aid.
  mayoclinic.org/first-aid/first-aid-nosebleeds/basics/art-20056683
• Nosebleeds. (2010).
  entnet.org/content/nosebleeds
• Nosebleed (epistaxis). (2018).
  my.clevelandclinic.org/health/diseases/13464-nosebleed-epistaxis
• Patadia MO. (2015). Nasal deformities.
  care.american-rhinologic.org/cosmetic_functional_nasal_deformities
• Suh JD, et al. (2015). Epistaxis (nosebleeds).
  care.american-rhinologic.org/epistaxis
• Torborg L. (2016). Mayo Clinic Q and A: Nosebleeds usually nothing to worry about.
  newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-nosebleeds-usually-nothing-to-worry-about/

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Sep 17, 2018

Written By

Scott Frothingham

Edited By

Tracey Crate

Medically Reviewed By

Alana Biggers, MD, MPH

Share this article

Medically reviewed by Alana Biggers, M.D., MPH — By Scott Frothingham — Updated on September 17, 2018

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Is It Normal & Should You Be Worried

Nosebleeds Every Day: Is It Normal & Should You Be Worried

• Health Conditions
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    • Breast Cancer
    • IBD
    • Migraine
    • Multiple Sclerosis (MS)
    • Rheumatoid Arthritis
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  • Articles
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    • Alzheimer’s & Dementia
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    • Cancer
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    • Chronic Pain
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    • Fibromyalgia
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    • No More Silence
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    • Sugar Savvy
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    • Align Your Spine
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    • Migraine
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Medically reviewed by Alana Biggers, M. D., MPH — By Scott Frothingham — Updated on September 17, 2018

Nosebleeds

Nosebleeds occur when a blood vessel in your nose bursts. Bloody noses are common. Around 60 percent of Americans will experience a nosebleed some time in their life. About 6 percent will require medical attention.

Although there are many reasons that your nose bleeds, the two most common causes are direct impact injury and the temperature and humidity of your environment.

• Trauma. Fractures of the nose or the base of the skull can result in a bloody nose. If you’ve had a head injury that resulted in a bloody nose, see your doctor.
• Dry air. A dry outside environment or heated indoor air can irritate and dry out nasal membranes. This can cause crusts that may itch and bleed when picked or scratched. If you catch a cold in the winter, the combination of repeated nose blowing with exposure to cold, dry air, sets the stage for nosebleeds.

Picking your nose

If you have allergies, such as hay fever or any other condition that causes your nose to itch, it can lead to conscious and unconscious nose picking.

Blowing your nose

If you blow your nose hard, the pressure can rupture superficial blood vessels.

Clotting disorders

Hereditary clotting disorders, such as hemophilia and hemorrhagic telangiectasia, may cause recurring nosebleeds.

Medications

If you’re taking medication that thins your blood or acts as an anticoagulant — such as aspirin, clopidogrel (Plavix), or warfarin (Coumadin) — nosebleeds can be more difficult to stop.

Topical medications and nasal sprays

Topical nasal medications, such as corticosteroids and antihistamines, can sometimes lead to nosebleeds. If you often use a nasal spray, the repeated irritation caused by the tip of the bottle could cause nosebleeds.

Dietary supplements

Certain dietary supplements can thin your blood and prolong bleeding, causing nosebleeds that are difficult to stop. These include:

• ginger
• feverfew
• garlic
• ginkgo biloba
• ginseng
• vitamin E

Underlying conditions

If you have certain conditions such as kidney or liver disease, your blood’s ability to clot may be lower, making nosebleeds more difficult to stop.

Blood pressure

Conditions such as congestive heart failure or hypertension can make you more prone to nosebleeds.

Deformities

If you have a functional nasal deformity — congenital, cosmetic surgery, or injury related — it could lead to frequent nosebleeds.

Tumors

Tumors of the nose or sinuses — both malignant and nonmalignant — can lead to nosebleeds. This is more likely in older people and those who smoke.

Drug use

If you ingest cocaine or other drugs by snorting it into your nose, it can cause blood vessels in your nasal passages to rupture, leading to frequent nosebleeds.

Chemical irritants

If you’re exposed to chemical irritants — such as cigarette smoke, sulfuric acid, ammonia, gasoline — at work or elsewhere, it can lead to frequent and recurring nosebleeds.

While the majority of nosebleeds aren’t a cause for concern, some are. Get medical help right away if:

• your nose doesn’t stop bleeding after 20 minutes
• your nose is bleeding as the result of a head injury
• your nose has an odd shape or feels broken after an injury

Schedule an appointment with your doctor if you experience frequent and repeated nosebleeds that aren’t caused by minor irritation. Frequent nosebleeds that occur more than once a week may be a sign of a problem that should be evaluated.

You can help cut down on the frequency of your nosebleeds and perhaps prevent them by taking some simple actions:

• Avoid picking your nose and blow your nose gently.
• If you smoke, try to quit and avoid areas with secondhand smoke.
• Moisturize the inside of your nose with a nonprescription saline nasal spray.
• Use a humidifier during the winter months.
• Apply ointment, such as Bacitracin, A and D Ointment, Eucerin, Polysporin, or Vaseline, to the inside of each nostril at bedtime.
• Wear your seatbelt to protect from facial trauma in the event of an accident.
• Wear headgear that fits properly and protects your face when playing sports with a chance for face injury, such as karate, hockey, or lacrosse.
• Avoid breathing in irritating chemicals by using properly rated protective equipment.

If you have frequent and recurring nosebleeds, talk to your doctor about possible causes and to discuss steps you can take to avoid them.

Your doctor may refer you to an otolaryngologist — an ear, nose, and throat specialist, also called an ENT. If you’re on a blood thinner, they might recommend adjusting the dose.

Last medically reviewed on September 17, 2018

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• Mayo Clinic Staff. (2018). Nosebleeds.
  mayoclinic.org/symptoms/nosebleeds/basics/definition/sym-20050914
• Mayo Clinic Staff. (2017). Nosebleeds: First aid.
  mayoclinic.org/first-aid/first-aid-nosebleeds/basics/art-20056683
• Nosebleeds. (2010).
  entnet.org/content/nosebleeds
• Nosebleed (epistaxis). (2018).
  my.clevelandclinic.org/health/diseases/13464-nosebleed-epistaxis
• Patadia MO. (2015). Nasal deformities.
  care.american-rhinologic.org/cosmetic_functional_nasal_deformities
• Suh JD, et al. (2015). Epistaxis (nosebleeds).
  care.american-rhinologic.org/epistaxis
• Torborg L. (2016). Mayo Clinic Q and A: Nosebleeds usually nothing to worry about.
  newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-nosebleeds-usually-nothing-to-worry-about/

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Sep 17, 2018

Written By

Scott Frothingham

Edited By

Tracey Crate

Medically Reviewed By

Alana Biggers, MD, MPH

Share this article

Medically reviewed by Alana Biggers, M.D., MPH — By Scott Frothingham — Updated on September 17, 2018

Read this next

• What Causes Nose Bleeds at Night?

  Medically reviewed by Elaine K. Luo, M.D.

  In most cases, nighttime nose bleeds aren’t a sign of something serious. Here’s what may be causing your nose bleed and how to stop it.

  READ MORE

• What Causes Nosebleeds and How to Treat Them

  Medically reviewed by Elaine K. Luo, M.D.

  Get the facts on nosebleeds, which are common in adults and children between the ages of 3 and 10. We’ll explain the two different kinds of nosebleeds,

  READ MORE

• When Should You Worry About a Nosebleed?

  Medically reviewed by Chris Young, DNP, RN, NE-BC, NPD

  Most nosebleeds aren’t a serious cause for concern and usually resolve with home care. Learn when to call or visit a doctor.

  READ MORE

• Nosebleeds with Clots

  Medically reviewed by J. Keith Fisher, M.D

  Blood clots are gel-like clumps of blood that form in response to an injured blood vessel. Clotting prevents excessive bleeding when a blood vessel is…

  READ MORE

• 13 Tips to Stop and Prevent a Nosebleed

  Medically reviewed by Gerhard Whitworth, R.N.

  If you frequently get nosebleeds, it might be time to brush up on some tips to help stop it, what to do after a nosebleed, and tips for preventing one…

  READ MORE

• Can Stress Trigger Nosebleeds?

  Medically reviewed by Deborah Weatherspoon, Ph.D., MSN

  Stress and anxiety can have many effects on the body, but can stress cause nose bleeds? The short answer is: Researchers debate this question. But…

  READ MORE

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Recurrent nosebleeds symptoms and treatment in Moscow Make an appointment. Treatment at home and in the clinic – Clinic SINAI near the metro station Dobryninskaya, Serpukhovskaya in Moscow

Nosebleeds or epistaxis can often occur regularly. It should not be ignored and considered the norm, since this condition often indicates the presence of certain pathologies that require mandatory treatment. Stopping nosebleeds is usually not difficult, which is why not all patients seek medical help in a timely manner to determine the cause of the problem and its treatment. If there is frequent bleeding from the nose, a visit to the doctor is required.

Recurrent nosebleeds can occur at any age due to external and internal causes. Frequent nosebleeds in adults have a variety of causes.

It is almost never possible to independently establish the cause of the pathology in a patient. Due to the fact that the nasal mucosa is permeated with a large number of vessels, even a slight damage to it provokes bleeding. For a traumatic reason, it is predominantly single or repeated several times over a short period of time – until the tissues recover. In other cases, with recurrent nosebleeds, medical assistance is indispensable. Nosebleeds for which no cause is known is a serious cause for concern.

Causes of pathology

The causes of nosebleeds, which tend to recur regularly, are divided by doctors into local and general. Local factors that cause bleeding include the following:

foreign body in the nasal cavity – this phenomenon is more often observed in young children, who, out of interest, can stick a soft or hard object into their nose. It will regularly damage the mucosa and, without timely extraction, will even cause the development of an ulcer on it, which will bleed especially strongly at the slightest violation of the integrity of its surface. Frequent bleeding from the nose in a child, be sure to check the nasal cavity for the presence of a foreign body;

Neoplasms of the nasal cavity – may be a benign or malignant tumor. In children, a benign neoplasm most often occurs. Malignant tumors in most cases are diagnosed in old age in men who are prone to alcohol abuse and smokers;

Common causes of recurrent nosebleeds are associated with pathologies of systems and organs in which changes occur in the nasal mucosa, as well as in the walls of blood vessels, which makes them brittle. The most common violations of this nature are:

significant increase in blood pressure that occurs regularly. In this case, when the vessels are as crowded as possible, they burst;

Whatever causes nosebleeds, it must be treated. Regular blood loss is a serious danger, and it is extremely impossible to leave it unattended. During puberty, against the background of hormonal changes, a temporary decrease in the strength of the vessels of the nasal mucosa may occur and, as a result, the development of frequent bleeding, but even in this case, a doctor’s consultation is required. The specialist will help in such a situation to prevent the appearance of anemia and properly support the body until the problem is eliminated.

When there is blood from the nose, the causes in an adult and in a child of the appearance of a problem are in many ways similar. This also determines similar treatment.

Diagnostics

To determine the violation, the doctor, in addition to questioning the patient about his condition, conducts an examination, which determines the following: is there bleeding from the posterior parts of the nasal cavity, damage to the mucosa and neoplasms in the front of the nose. To obtain maximum information, rhinoscopy, endoscopic examination of the nasal cavity, and pharyngoscopy are prescribed. Frequent nosebleeds require a full examination. The causes of frequent nosebleeds need to be established precisely. Without this, therapy will not be more effective.

To obtain information about blood parameters, its general analysis is performed, supplemented by studies to determine clotting indicators and iron levels (to determine the degree of anemia). This will allow you to understand why nosebleeds often come.

Prevention of nosebleeds

To reduce the risk of developing recurrent nosebleeds, preventive measures aimed at reducing the likelihood of external causes of the problem, as well as part of the internal ones, help. The main recommendations for preventing the problem are as follows:

Prevention cannot completely protect against the occurrence of a violation. Because of this, if there is often blood from the nose, the reasons must be determined without fail.

Recurrent nosebleeds – description, causes, symptoms, diagnosis and treatment

Recurrent nosebleeds are a signal to see a doctor, even if you can easily stop the bleeding yourself at home. The reason is that frequent blood loss leads to anemia and exhaustion of the body. Successful treatment is possible only after the cause of the pathology is discovered.

Symptoms of recurrent bleeding

Due to epistaxis, which recurs periodically, the patient may notice:

1. Weakness, headaches, fatigue, tinnitus.
2. Taste of blood in the mouth, blood in the stool (it turns black), vomiting blood, nausea.
3. Paleness of the skin and mucous membranes.
4. Dizziness, flies before the eyes.
5. Palpitations, shortness of breath, pressure fluctuations.
6. Decreased amount of urine.
7. Tendency to fainting, deterioration of attention, memory.

Even if such symptoms have not yet developed, but the person has recurrent nosebleeds, it is advisable to consult a doctor. This will help to avoid complications, prevent blood loss.

Who often has nosebleeds?

Adults and children face the problem. In childhood, this condition is most often associated with trauma or the presence of a foreign body in the nasal cavity. In young children, rhinoscopy reveals buttons, beads, small parts of toys, seeds, and bones. Another possible reason is that the child picks his nose, injures the mucous membrane with his fingernail, which causes bleeding from the nose. But sometimes the cause is a neoplasm of the nasal cavity or another area of ​​the respiratory system, pathology of the coagulation system. In this case, the earlier the disease is detected, the better the prognosis for treatment.

In adults, nosebleeds are often associated with chronic diseases of the nasal cavity, concomitant pathology of internal organs. In the elderly, with occupational diseases, in smokers, atrophy of the mucous membrane is often detected. It is thin, red, easily injured and bleeds when touched. In this case, the actions will be aimed at moisturizing, restoring the elasticity and protective properties of the mucous membrane, and eliminating provoking factors.

Causes of frequent nosebleeds

All causes can be conditionally divided into local – pathology of the nasal cavity, and general – concomitant diseases that affect the properties of blood vessels and blood clotting.

Local causes:

1. Foreign bodies. Periodically, blood flows from the same half of the nose, sometimes inflammation joins, and the discharge acquires a mucopurulent character. Difficulty breathing through this half of the nose is possible. If you bring the cotton wool to your nose, and close the other nasal passage, it will fluctuate a little.
2. Mucosal injury – repeated bleeding until the mucosal area heals. If the patient rips off the crust in the nose, bleeding opens again in this place.
3. Atrophy – caused by malnutrition, dry air, impurities in the air, hormonal disorders.
4. Parasites – they have a complex development cycle. In one of the phases, the larvae can migrate through the body with blood, enter different organs – lungs, liver, brain, nasal cavity. They injure the mucosa, causing recurrent bleeding. Other symptoms may include appetite disturbances, weight loss, stool changes, fatigue, skin itching, and an increase in eosinophils in the blood.
5. Tumors of the nasal cavity, nasopharynx, and paranasal sinuses may present with intermittent bleeding, especially if they consist of vascular tissue. For example, juvenile angiofibroma.
6. Deviations of the nasal septum, hypertrophy of the turbinates lead to disruption of the normal passage of air, bone outgrowths (thorns, ridges) put pressure on the mucous membrane. Symptoms – violation of nasal breathing, headaches, bleeding from the nose.
7. Incorrect technique for washing the nasal cavity and paranasal sinuses – the introduction of fluid under high pressure, strong blowing of the nose.

General causes – any diseases that lead to increased fragility of blood vessels, their sharp expansion, disturbances in normal blood clotting. These diseases are:

1. Leukemia, coagulopathy, congenital or acquired decrease in the number of platelets, coagulation factors.
2. Diseases of the cardiovascular system – arterial hypertension.
3. Endocrine pathology – diabetes mellitus, tumors of the pituitary gland, adrenal glands, thyroid disease. Hyperglycemia leads to increased fragility of arterioles and capillaries.
4. Acute infectious process with fever, intoxication.
5. Autoimmune pathology – vasculitis (inflammation of the vessel wall).
6. Deficiency in the body of vitamins K and C, which are necessary for normal blood clotting.
7. Pulmonary tuberculosis.
8. Oncology, chronic intoxication.
9. Taking NSAIDs, anticoagulants, aspirin.

Diagnostics

Doctor visit:

1. Perform anterior and posterior rhinoscopy (examination of the nasal cavity with a nasal mirror), pharyngoscopy.
2. For a detailed examination of hard-to-reach areas, endoscopy of the nasal cavity is performed.
3. Take a blood test, urine test. In a biochemical analysis, the level of iron is determined. This allows you to judge the degree of anemia, the general condition of the body.
4. If a tumor of the nasal region is suspected, a piece of tissue is taken for histological examination.
5. According to indications, consultations of a therapist, an endocrinologist are prescribed.

At the time of bleeding, press down on the half of the nose where the blood is coming from. To do this, use a cotton swab dipped in a 3% hydrogen peroxide solution. You can apply cold to the bridge of the nose. If these measures do not help, the doctor will perform an anterior or posterior nasal packing. In severe cases, when these measures are ineffective, they resort to surgery – they tie up the large vessels that supply the nasal cavity with blood.

Effective methods for the treatment of recurrent bleeding are:

• cryotherapy on the bleeding area in the nasal cavity;
• laser coagulation of dilated thinned vessels.

Usually the source of bleeding is the area in front and below the nasal septum, as the choroid plexus (Kisselbach’s area) is located close to this area. Small hemangiomas may also bleed.

If necessary, the doctor prescribes medications to reduce blood loss. These are drugs that:

• improve blood clotting;
• cause vasospasm of the nasal cavity;
• strengthen and make the walls of blood vessels more elastic;
• stabilize blood pressure.

In the period between bleedings, the actions of an otolaryngologist are directed:

1. To reduce atrophic processes – the mucous membrane is lubricated and irrigated with oil solutions. They soften the crusts, reduce the risk of re-bleeding.
2. Foreign body removal. While it is in the nose, any movement of it can provoke new bleeding. From pressure, the mucosa becomes thinner, it can tear. For removal, special nasal hooks are used. They are brought behind a foreign body and advanced to the exit from the nasal cavity. Do not try to pull out a foreign object on your own. Failed attempts often result in the interfering element being pushed even further. This makes it difficult for a doctor to subsequently remove it, and surgery may be required.
3. Treatment of chronic diseases of the nose. The nasal septum, if it is curved, must be aligned. For this, surgery is performed. Hypertrophied turbinates are reduced to normal sizes. Local preparations, cauterization achieve a decrease in the blood filling of the mucous membrane in the nasal cavity. Neoplasms are removed.

If anemia develops, correct iron levels with diet and medication. Achieving stabilization of blood pressure, in the presence of endocrine pathology, hormones are prescribed. If helminths are detected, a course of antihelminthic therapy is carried out.

Prevention

If a person has a tendency to nosebleeds, he should adhere to the following rules:

1. Walk a lot in the fresh air, avoid dry air (use indoor humidifiers if the heating or air conditioning is turned on).
2. Treat pathology of ENT organs.
3. Quit smoking and alcohol abuse.
4. At work involving dust, harmful substances or small particles in the air, wear a respirator.
5. An active lifestyle promotes normal blood circulation in all parts of the body.
6. Control sugar levels, pressure, temperature. This helps keep blood vessels healthy. At temperatures above 38 ° C, with increased pressure and prolonged hyperglycemia, the risk of rupture of blood vessels inside the nose is higher.
7. Eat a varied diet, get vitamins C, K with vegetables, fruits, dietary supplements, multivitamin complexes.
8. Children should be taught not to put any objects up their noses, to pick with their fingers, to peel off crusts.
9. If dryness is felt in the nose, irrigate with a saline solution.
10. For children, carefully trim nails to avoid sharp corners. Supervise babies when they play with small objects. The same points should be paid attention to if an adult has mental disorders.

Benefits of visiting the Miracle Doctor

If you experience recurring nosebleeds, please contact our clinic.