The skin inside your nose is quite delicate, making it prone to irritation and nosebleeds. Whether you bump your nose, spend too much time outdoors in dry weather, or even over-clean your nasal passages, nosebleeds can happen easily. A deviated septum or physical factors can also lead to frequent nosebleeds. Fortunately, while they may seem alarming because of the amount of blood, nosebleeds are often manageable at home without needing medical intervention.
Nosebleeds come in two primary forms. The most common are anterior nosebleeds, where blood vessels in the front of the nose break, causing blood to flow out, typically from one nostril. These nosebleeds can be shocking, but they’re usually easy to stop. Posterior nosebleeds, on the other hand, occur deeper inside the nose and cause blood to flow down the throat and mouth, even if you’re not lying down. Identifying whether your nosebleed is anterior or posterior helps determine how best to treat it and prevent future episodes.
One of the most common causes of nosebleeds is dry air, especially during the winter months when indoor heating dries out the air inside homes. People living in desert-like climates may experience nosebleeds in the summer for the same reason—lack of humidity. The dry air evaporates the moisture in your nose, causing irritation that can lead to bleeding. To prevent this, consider using a humidifier to maintain moisture levels in your home and protect your nasal passages from drying out.
For children, it’s almost a rite of passage to insert small objects into their noses, which can result in injury and nosebleeds. If you suspect a child has something stuck in their nose, gently blow air from the opposite nostril to remove the object without causing further damage. Picking the nose is another common cause of nosebleeds. If you feel the need to clear out mucus or dirt, use a tissue instead of your fingers to avoid scraping the sensitive skin inside your nose.
Wintertime can also bring an increase in nosebleeds due to colds, sinus infections, and other upper respiratory conditions. Frequent sneezing, coughing, and blowing your nose can further irritate the nasal passages, making nosebleeds more likely. Using tissues with aloe or gently patting your nose instead of rubbing it can help reduce irritation. Additionally, sleeping with a humidifier can prevent nasal dryness during the night, especially for allergy sufferers.
Even though a nosebleed can seem unsettling, it’s important to stay calm. In most cases, a nosebleed is not a sign of a serious problem. Sit quietly, take slow breaths through your mouth, and allow the bleeding to stop naturally. Calm breathing helps constrict the blood vessels in your nose, slowing the bleeding. If you’re with someone experiencing a nosebleed, reassure them that it will soon pass, and offer them tissues or a handkerchief to catch the blood.
If the bleeding doesn’t stop on its own, you may need to take a more active approach. Sit down and lean slightly forward—this keeps the blood from running down the back of your throat, which can cause nausea. Using your thumb and index finger, pinch the soft part of your nose just below the bridge. Hold this position for five to fifteen minutes while breathing calmly through your mouth. If the bleeding continues after the first attempt, repeat the process.
While most nosebleeds are harmless, there are times when medical attention is necessary. If a child under two experiences a nosebleed, or if the bleeding occurs after a serious injury or accident, it’s important to seek help from a healthcare professional. Additionally, if a nosebleed lasts for more than 30 minutes, or if you’re experiencing difficulty breathing, it could indicate a more serious underlying issue. If you feel faint or weak during a nosebleed, get assistance immediately.