Thursday, January 10, 2019


A nosebleed, also known as epistaxis , is the common occurrence of bleeding from the nose. 

A Nose bleed is relatively common and cases can vary from a simple bleed of a few drops of blood to a frightening torrential hemorrhage. Bleeding is due to a rupture ...

The definition of a nosebleed is simply bleeding from the blood vessels in the nose. The medical term for nosebleed is epistaxis.
Nosebleeds are common due to the location of the nose on the face, and the large amount of blood vessels in the nose.

The most common causes of nosebleeds are drying of the nasal membranes and nose picking (digital trauma), which can be prevented with proper lubrication of the nasal passages and not picking the nose.

The nasal septum has a rich supply of blood from several arteries: ethmoid, palatine ad sphenopalatine arteries.

The level of seriousness depends on various factors like location, frequency, etc. There are two types of nose bleeds, i.e. anterior nose bleed and posterior nose bleed. Anterior nose bleed occurs when the blood vessels in the front part tend to rupture. Whereas, the posterior nose bleed occurs when the blood vessels that are slightly closer to the throat get ruptured. The bleeding in this case may continue upto 20 minutes. Anterior nose bleeding is much more common and can be cured with home remedies, while posterior nose bleeding may need medical attention. So, if you experience nose bleeding frequently, these home remedies are tailor-made for you.

The anterior and inferior part of the nasal septum (Little area or Kiesselbach area) has a dense blood supply but very thin mucosa. Trauma and dry air make this area, the commonest site (90%) for nose bleeds.

About 10% of nose bleeds are from the posterior middle turbinate, an area richly supplied with blood from the sphenopalatine artery.

Bleeding, usually, occurs from a single nostril. Blood may drip into the throat and stomach and affected persons may spit up or vomit blood.


Low environmental humidity, especially during the winter and harmattan period, have been associated with increased frequency of nosebleeds. Other conditions that obstruct normal airflow, including deviated nasal septum, lead to drying and irritation and hence recurrent nosebleed.

Blood coagulation defects, including platelets disorders may cause recurrent nosebleeds.

Most nosebleeds can be stopped at Home- Home Remedies

These basic and usual ways to stop sudden nose bleeding can come handy. Here's what you should do immediately.

1. Cold Compress

One of the most effective remedies for nose bleeding included cold compress. Holding a cold compress against your nose for a few minutes can help constrict the tiny blood vessels in your nose that are bleeding. The coldness will encourage the nose's interior blood vessels to narrow.

2. Pinch the nose

The easiest way is to pinch your nose as it sends pressure to the bleeding point in the nasal septum that helps the blood to stop flowing immediately. All you need to do is to sit straight with your head tilted slightly forward. Using your thumb and index finger, pinch the soft part of your nose. Do this for about five to 10 minutes. Make sure you are breathing from your mouth. Release the pressure gently and sit quietly for about five minutes. Repeat till the blood doesn't stop flowing.
headache nose bleeding
Home remedies for nose bleeding: The easiest way is to pinch your nose

Home Remedies for Nose Bleeding

Here are a few kitchen ingredients that may help stop the nose from bleeding.

1. Vitamin K

Vitamin K rich foods like kale, spinach, mustard greens, broccoli, cabbage, et al are involved in the formation of collagen that helps in creating a moist lining inside your nose. This vitamin helps keep the blood vessels in good condition preventing them from rupturing easily. For a long-term cure, loading up on vitamin K-rich foods helps a lot. Green leafy vegetables facilitate blood clotting.

2. Vitamin C

Getting enough vitamin C foods say oranges etc,. on a daily basis may help make the blood vessels stronger so they are less vulnerable to rupture and cause a nose bleed.

Note: Vitamins C and K are long- term relievers and cannot provide an immediate relief.

Home remedies for nose bleeding: vitamin C foods may help make the blood vessels stronger. 

3. Apple cider vinegar

One of the best home remedies is apple cider vinegar as the acid in the vinegar helps constrict the blood vessels, thus stopping the bleeding. All you need to do is to dip a cotton ball in the vinegar and place it in the affected nostril for about five to 10 minutes. This remedy should work in the first attempt itself.

4. Saline Water

Dryness in the nasal membranes, especially during winters is one of the most common causes of nose bleeding. In order to solve this problem, soothe and moisturise the nasal membranes with saline water. Take a bowl, add some water to it and stir it well. Put a few drops of this solution in your nose to moisten the inner lining of the nasal passages.

Home remedies for nose bleeding: Dryness in the nasal membranes can cause nose bleeding

5. Cayenne Pepper

Cayenne works as a cell stimulant and regulates the pressure of the blood flow, which means it helps get rid of the heavy pressure from the haemorrhaging area. Take a teaspoon of cayenne powder and mix in warm water and drink up as soon as the bleeding starts. It is said that it helps stop the blood immediately.

6. Nettle

Nettle leaf is a herbal remedy that works well as it is a natural astringent and a haemostatic agent. Nettle solution helps keep allergy-related nose bleeds at bay. Brew fresh nettle leaf tea. Once it has cooled down, dip the cotton pad in the solution and place it on the nose; keep it for five to 10 minutes until the bleeding stops.

Home remedies for nose bleeding: Nettle leaf is a herbal remedy that works well as it is a natural astringent

7. Lots of water

Lack of liquid intake through the day can lead to dryness in the mucous membranes causing nose bleeds. Make sure you load up on enough water through the day.

According to the book 'Home Doctor, Natural Healing with Herbs, Condiments and Spices' by Dr. P.S. Phadke, "For nose bleeds, one must try loading up on coriander leaves, mango blossoms and juice of the soft kernel of a ripe mango seed."

Consult a doctor for a nosebleed if bleeding cannot be stopped, there is a large amount of blood lost, or you feel weak or faint.
Chronic nosebleeds or persistent nosebleeds may need to be stopped with a heating instrument or chemical swab (cautery of the blood vessel that is causing the trouble), or application of a topical medicine called thrombin that promotes local clotting of blood.

A doctor may use nasal packs to stop nosebleeds when conservative measures fail.

Do not take aspirin or other blood thinning products when you get a nosebleed (if they are doctor-prescribed, consult your doctor before stopping any medication).

What causes nosebleeds?

The nose is a part of the body rich in blood vessels (vascular) and is located in a vulnerable position protruding on the face. As a result, trauma to the face can cause nasal injury and bleeding. The bleeding may be profuse, or simply a minor complication. Nosebleeds can occur spontaneously when the nasal membranes dry out and crack. This is common in dry climates, or during the winter months when the air is dry and warm from household heaters. People are more susceptible to a bloody nose if they take medications that prevent normal blood clotting (warfarin [Coumadin, Jantoven], clopidogrel [Plavix], aspirin, or any anti-inflammatory medication). In this situation, even a minor trauma could result in significant bleeding.

The incidence of nosebleeds is higher during the colder winter months when upper respiratory infections are more frequent, and the temperature and humidity fluctuate more dramatically. In addition, changes from a bitter cold outside environment to a warm, dry, heated home result in drying and changes in the nose which make it more susceptible to bleeding. Nosebleeds also occur in hot, dry climates with low humidity, or when there is a change in the seasons. The following risk factors predispose people to nosebleeds:

Trauma, including self-induced by nose picking (this is a common cause of nosebleeds in children)
Allergic and non-allergic rhinitis
Hypertension (high blood pressure)
Use of blood thinning medications
Alcohol abuse

Less common causes of nosebleeds include tumors and inherited bleeding problems

Hormonal changes during pregnancy may increase the risk of nosebleeds.

First Aid for Nosebleeds

If you get a nosebleed, sit down and bend forward. Sitting is preferable to lying down, since keeping the head above the level of the heart will help reduce the bleeding. Bending forward is also important. It lets the blood drain out through the nose rather than down the throat.

Hold the soft portion of your nose pinched together with your fingers until the bleeding stops. This might take five to ten minutes. Placing an ice pack across the bridge of your nose can also be helpful.

How do you stop the common nosebleed?

Most people who develop nose bleeding can handle the problem without the need of a treatment by a health-care professional if they follow the step-by-step first aid recommendations below on how to stop a nosebleed:

Lean forward slightly with the head tilted forward. Leaning back or tilting the head back allows the blood to run back into the sinuses and throat, and can cause gagging or inhaling of blood.
Spit out any blood that may collect in your mouth and throat. It may cause nausea, vomiting, or diarrhea if swallowed.

Gently, blow any blood clots out of your nose. The nosebleed may worsen slightly when you do this but this is expected.

Pinch all the soft parts of the nose together between the thumb and index finger.

Press firmly toward the face - compressing the pinched parts of the nose against the bones of the face. Breathe through your mouth as you do this.

Hold the nose for at least five minutes. Repeat as necessary until the nose has stopped bleeding.

Sit quietly, keeping the head higher than the level of the heart. Do not lay flat or put your head between your legs.

Apply ice (wrapped in a towel) to nose and cheeks afterwards.

Oxymetazoline (Afrin), phenylephrine hydrochloride (Neo-Synephrine, Neofrin), or phenylephrine-DM-guaifenesin (Duravent) nasal spray can be used short-term to help with congestion and minor bleeding if you do not have high blood pressure. However, these sprays should not be used for more than a few days at a time, as they can make congestion and nosebleeds worse.

Stuffing cotton or tissue into your nose is not recommended.

How to prevent the nose from bleeding again?

Go home and rest with head elevated at 30 to 45 degrees.

Do not blow your nose or put anything into it. If you have to sneeze, open your mouth so that the air will escape out the mouth and not through the nose.

Do not strain during bowel movements. Use a stool softener, for example, docusate (Colace).

Do not strain or bend down to lift anything heavy.

Try to keep your head higher than the level of your heart.

Do not smoke.

Eat a diet of soft, cool foods and beverages. No hot liquids for at least 24 hours.

Do not take any medications that will thin the blood for example, aspirin, ibuprofen (Advil, Motrin, and others), clopidogrel bisulfate (Plavix) or warfarin (Coumadin). Do not stop taking any medications without first contacting your doctor.

Your doctor may recommend some form of lubricating ointment for the inside of the nose.

If re-bleeding occurs, try to clear the nose of blood clots by sniffing in forcefully. A temporary remedy such as a nasal decongestant spray, for example, Afrin or Neo-Synephrine may be helpful. These types of sprays constrict blood vessels. (NOTE: If used for many days at a time, these can cause addiction so they are recommended for short-term use only. Do not use if the patient has high blood pressure.)

Repeat the steps above on how to stop the common nosebleed. If bleeding persists, call the doctor and/or visit to the nearest emergency department.

1 comment:

  1. Thanks for posting useful information to keep in mind when nose bleed occurs.Ensure that blood does not move to internal organs which can cause clotting.
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