Cure for bloody nose: 10 Tips for Stopping a Bloody Nose

25.09.202305.07.2023 by alexxlab

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10 Tips for Stopping a Bloody Nose

10 Ways to Stop a Bloody Nose

Icky and sometimes scary, a bloody nose in most circumstances is nothing to fear. Here’s what to do if you have one.

September 21, 2016
7:00 AM

Author |
Melissa Pynnonen, M.D.

Let’s face it: There is never a convenient time to get a bloody nose.

SEE ALSO: Tips for Treating Kids After Common Injuries

They’re messy, make us stop what we’re doing and, frankly, can be a little scary. The fact that a bloody nose can happen to anyone at any time, especially during the cold, dry months of winter, does not make them any less shocking.

But know this: Nosebleeds are common. The good news is that nosebleeds are harmless for most people — and the tools you need to handle them are likely already in your home.

Typical causes of nosebleeds include dry climate, heated indoor air during winter months, steroid nasal sprays or direct injury to the nose. People who take blood-thinning medications (anticoagulants) also are more likely to get a bloody nose.

No matter when or how your nose starts bleeding, these simple strategies can help:

Steps to stop a bloody nose

Keep calm. Bloody noses can be scary, but they are rarely dangerous.
Lean forward. If there is blood in your mouth, spit it out; do not swallow it.
Stay upright. Do not tilt your head back or lie flat. This may cause you to choke on blood. Blood in the stomach can make you sick to your stomach and cause vomiting.
Try a spray. Apply three sprays of decongestant nose spray, such as Afrin, into the side that is bleeding.
Skip foreign objects. Do not pack the nose with tissues or other household items like tampons. This can make the bleeding worse.
Use a pinch. Pinch the soft part of your nose shut for 10 minutes. Use a clock to keep track of time. Resist the urge to peek after a few minutes to see if your nose has stopped bleeding.
Observe and react. After 10 minutes, let go of your nose. If it is still bleeding, soak a cotton ball with the nose spray. Place the cotton ball into the bleeding nostril and pinch for 10 minutes. Again, use a clock to time it.
Check your blood pressure. High blood pressure can cause nosebleeds.
Take it easy. Once bleeding has stopped, do not blow your nose for two days.
Avoid exertion. It can take up to two full weeks to heal after a nosebleed. Do not lift anything heavy, such as groceries, or perform physical activities or household chores. Do not pick up young children and babies

Seek immediate medical help if you have:

Bleeding that does not stop in 30 minutes
Bleeding that is very heavy, pouring down the back of your throat and out the front of your nose
Bleeding accompanied by other symptoms, such as very high blood pressure, light-headedness, chest pain and/or rapid heart rate
Bleeding that occurs three to four times weekly or greater than six times per month

Preventing future bloody noses

Try these steps:

Learn more and view a video on stopping a nosebleed here.

how to prevent nosebleeds 1 when the air dry try over-the-counter nasal saline spray. use it every two to three hours while awake. 2 employ a cool mist humidifier to humidify your room at night while you sleep 3 coat the inside of your nostril with ( Michigan Medicine)

Nosebleeds | Michigan Medicine

One in seven Americans will develop a nosebleed (epistaxis) at least once in their lives. While nosebleeds are common and usually harmless, the sudden onset of a bloody nose can be startling and frightening. The most common causes for nosebleeds are dry climate, heated indoor air during winter months, steroid nasal sprays or direct injury to the nose. More intense and frequent nosebleeds may occur in people who take anticoagulation medication.

Fortunately, there are some easy steps you can take to prevent and treat most nosebleeds on your own at home.

What To Do When You Get a Nosebleed

View our video for step-by-step instructions on what to do when you get a bloody nose and tips for preventing nosebleeds in the future.

If your nosebleeds occur more than three to four times per week, or six or more times in a month despite following these tips, please contact your health care provider. Patients who take anticoagulation medication and experience frequent and/or more severe nosebleeds should call 734-936-8051 for an urgent appointment.

Nosebleed Do’s and Don’ts

(Note: the following instructions are intended for adult and adolescent use only.)

Nosebleeds are rarely dangerous and can be easily managed at home if you know what to do and when to seek help.

DO:

Remain calm.
Lean forward. If there is blood in your mouth, spit it out; do not swallow it.
Apply 3 sprays of decongestant nose spray, such as Afrin, into the side that is bleeding.
Pinch the soft part of your nose shut.
Pinch the nose for 10 minutes. Use a clock to keep track of time. Resist the urge to peek after a few minutes to see if your nose has stopped bleeding.
After 10 minutes, let go of your nose. If it is still bleeding, soak a cotton ball with the nose spray. Place the cotton ball into the bleeding nostril and pinch for 10 minutes. Again, use a clock to time it.
Once bleeding has stopped, do not blow your nose for 2 days.
Check your blood pressure, if possible. High blood pressure can cause nosebleeds.

DON’T:

Do not pack the nose with tissues or other household items like tampons. This can make the bleeding worse.
Do not tilt your head back or lie flat. This may cause you to choke on blood. Blood in the stomach can make you sick to your stomach and cause vomiting
Do not lift anything heavy, like groceries or perform physical activities or household chores such as vacuuming. Do not pick up young children and babies. It can take up to two full weeks to heal after a nosebleed.

When to Go to the Emergency Room

Nosebleeds are a nuisance but rarely an emergency. There are some situations, however, when nosebleeds require immediate medical attention:

Bleeding that does not stop in 30 minutes.
Bleeding that is very heavy, pouring down the back of your throat and out the front of your nose.
Bleeding with other symptoms, like very high blood pressure, light-headedness, chest pain and/or rapid heart rate that may require treatment.

Why Come to Michigan for Treatment?

We have expertise in treating all forms of nosebleeds, including those caused by hereditary conditions.
We treat more than 84,000 patients every year.
We take a multidisciplinary, step-by-step approach that takes you – as a whole person – into account.
If you need us for surgery, know that we perform more than 7,000 surgeries every year. And, when it comes to surgery, experience counts.

Make an Appointment

To make an appointment, please call 734-936-8051. If you take anticoagulation medication and experience frequent/more severe nosebleeds, call us for an urgent appointment.

Tranexamic acid for the treatment of nosebleeds (epistaxis)

Relevance

Nosebleeds are a very common condition, more common in children or people over 60 years of age. These bleedings usually stop on their own or by simply pinching the nose with the fingers, although some bleedings require medical attention. This will involve either cauterizing (sealing) the bleeding vessel, if it can be seen, or filling the interior of the nose with material in order to build up pressure and stop the bleeding (the “usual care”). In some cases, bleeding continues despite the measures taken, or it resumes after stopping. This can lead to a long hospital stay and the possibility of further procedures such as refilling the nose with other types of materials or surgery.

Tranexamic acid is a drug known to stimulate blood clotting by preventing a natural process called fibrinolysis (blood clot dissolution). It is already used in a number of situations where bleeding is a major concern, such as after heart surgery or major trauma. Tranexamic acid can be given orally, directly at the site of bleeding (topically), or by injection into a vein (intravenously).

Study profile

We were looking for randomized controlled trials in patients of any age with nosebleeds requiring intervention. Patients were treated with tranexamic acid (in addition to usual care) versus placebo, no treatment, or any other agent used to control bleeding. We found six studies that met our inclusion criteria, with a total of 692 participants. Two studies used oral tranexamic acid and four used topical administration. All study participants were adults. Three of the six studies were more than 20 years old.

Main results

Three studies assessed the development of rebleeding within 10 days. When we pooled the results, we found that fewer patients who received oral or topical tranexamic acid had episodes of rebleeding after the initial nosebleed, compared to those who received usual care.

Time to stop initial bleeding (bleed control within 30 minutes) was measured in four studies. In three studies, the proportion of patients who stopped bleeding within 10 minutes was significantly higher in the group that received topical tranexamic acid compared with the group that received the other drug (topical epinephrine and lidocaine or phenylephrine). In another study, there was no significant difference after 30 minutes when tranexamic acid (topical) was compared with placebo.

No studies reported the proportion of patients requiring any follow-up intervention (eg, repackaging, surgery).

Only one study with oral tranexamic acid reported on the proportion of patients requiring a blood transfusion, and there was no evidence of a difference between groups.

Length of hospital stay was reported in two studies. One study reported shorter hospital stays in the oral tranexamic acid group, while another study found no evidence of a difference.

Five studies report “adverse effects”. There were no differences between groups in the occurrence of minor adverse effects (eg, mild nausea and diarrhea, “bad taste” of the gel). In one study, a patient developed superficial venous thrombophlebitis (inflammation and blood clots in the veins near the surface of the skin) in both legs after discharge, but the study did not report in which treatment group this occurred. No serious adverse events were noted in any of the studies.

Quality of evidence and conclusions

Overall, the risk of bias was low in the six studies. We rated the quality of the evidence for the main outcomes (control of epistaxis: rebleeding within 10 days) as moderate, which means that further studies are likely to have a significant impact on our confidence in the effect estimate and are likely to change this estimate. In light of this, and given the fact that “usual care” has changed due to the development of more modern nasal cautery and tamponade techniques since three of the included studies were conducted, uncertainty remains about the role of tranexamic acid in the management of patients with epistaxis. Newer studies on the effects of tranexamic acid as a treatment for epistaxis would inform treatment decisions for this condition in the future.

The evidence in this review is current to October 2018.

If you found this evidence helpful, please consider donating to Cochrane. We are a charity that produces accessible evidence to help people make health and care decisions.

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Translation notes:

Translation: Kim Alina Valievna. Editing: Yudina Ekaterina Viktorovna. Project coordination for translation into Russian: Cochrane Russia – Cochrane Russia (branch of the Northern Cochrane Center on the basis of Kazan Federal University). For questions related to this translation, please contact us at: cochrane. [email protected]; [email protected].

How to stop nosebleeds? | First aid for nosebleeds

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How to stop nosebleeds?

Nosebleeds are a condition that occurs when the small vessels that line the inside of the nose rupture and bleed. Bleeding can be caused by various factors. The most effective method to stop a nosebleed is to hold your nostrils closed for a few minutes and tilt your head forward to help drain the blood.

Causes

dry air;
cold;
vascular fragility;
nose picking;
blowing nose too hard;
increased blood pressure;
allergies or sinus infections;
blood thinners;
taking anticoagulants;
diseases of the cardiovascular system;
trauma to the face or nose.

There are a lot of reasons for vascular trauma, so you need to remember the rules for stopping nosebleeds.

Recommendations on how to stop nosebleeds at home?

Tilt your head forward, not back, to prevent blood from running down your throat.
Pinch nose and hold for 10 minutes or until bleeding stops.
Apply a cold compress or ice pack to your nose to reduce bleeding.
Use a saline nasal spray to moisten the inside of your nose.
If nosebleeds are caused by allergies or inflammation, use a steroid nasal spray to reduce inflammation.

You can use drugs to stop nosebleeds: Dicinon, Calcium Gluconate, Tranexam.

If the nosebleed stop technique doesn’t work, don’t wait, call an ambulance.

Important! If you have frequent or severe nosebleeds, see your doctor for an examination and treatment. It is considered normal when the blood stops within 10 minutes.

Stopping nosebleeds: what activities are prohibited?

Absolutely forbidden:

blow your nose;
swallow blood;
take Ibuprofen and Aspirin;
walk, run and exercise the body with physical activity;
use dirty rags, napkins, tampons, cotton wool as nose plugs.

If you do not know how to stop severe nosebleeds quickly and without harm to the body, use the mobile service. You will be given first aid, and you will also be able to pass all the necessary tests to find out the cause of the bleeding.

Prevention measures

Using a humidifier in the home reduces the risk of nosebleeds by preventing the air from getting too dry.
Avoid blowing your nose too hard: it will irritate the inside of your nose.
Picking your nostrils can cause bleeding, so try to get rid of this habit.
Use a saline nasal spray or gel to keep your nasal passages moist.
Avoid spicy food. Spicy food irritates the nasal passages and increases the risk of nosebleeds.
Smoking causes inflammation of the nasal mucosa, so it is better to quit this addiction.

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