Nosebleeds are fairly common among children and occasionally occur among adults. Any condition which induces nasal trauma such as frequent or aggressive nose blowing or digital manipulation (nose picking) can increase your risk of developing a nose bleed. Dry climate, prescription nasal sprays, allergies, nasal debris (crusting), stress, and high blood pressure are common risk factors. Use of blood thinners including aspirin or other non-steroidal anti-inflammatory agents (e.g. ibuprofen-Advil®), Coumadin-Warfarin, high dose vitamin E, ginko biloba, and Plavix are risks factors for bleeding to be harder to control once it starts. Rarely, nose bleeds can be a sign of a hereditary condition, or even an indication of a benign or malignant tumor.
Blood from the nose is called epistaxis and can be divided into two types. These are anterior bleeds and posterior bleeds. The anterior nose bleeds arise towards the front of the nose and typically seen on the septum in an area called Killsebach’s plexus (aka Little’s area) or on the soft tissue prominence across from the septum called the inferior turbinate. In otherwise healthy individuals, anterior epistaxis is typically can be controlled at home , the less common posterior epistaxis usually requires a visit to either the emergency room or to you ears, nose throat surgeon.
When to seek help if:
If you are an active SNI patient (seen within the last year):
And if you do not use a blood thinner, do not have risk factors for high blood pressure, heart attack or health concern which would prevent you from following these instructions (including but not restricted to the above information) then you may:
Additionally you may:
If after taking appropriate measures you continue to bleed, please go to your nearest emergency room!
Once the bleeding has stopped:
If you are an active SNI patient try to assess: