Nosebleeds: When to Seek Medical Attention - Otolaryngology

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You may experience a nosebleed in the coming days?


Last Friday, after picking my nose, I blew my nose and noticed some bleeding (a small amount).
Over the past few days, when I use tissue, there is a little bit of blood (could it be due to the roughness of the tissue?).
Should I see a doctor for this situation, or is it okay to just avoid using it for now?

Niming, 10~19 year old female. Ask Date: 2016/03/30

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is common to experience microvascular bleeding from skin tears.
You can apply antibiotic ointment or petroleum jelly initially.
If there is no improvement after one week, it is advisable to seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/30

More Info


Nosebleeds, or epistaxis, are a common occurrence and can happen for various reasons, including trauma, dry air, allergies, or even underlying health conditions. In your case, it seems that the nosebleed was triggered by picking your nose and blowing your nose afterward. This is a frequent cause of minor nosebleeds, especially if the nasal mucosa is dry or irritated.


When to Seek Medical Attention
While most nosebleeds are not serious and can be managed at home, there are specific situations where you should seek medical attention:
1. Duration: If the bleeding lasts longer than 20 minutes despite applying pressure, it is advisable to see a doctor. Persistent bleeding could indicate a more serious issue.

2. Volume of Blood: If you experience a significant amount of blood loss or if the bleeding is profuse, you should seek medical help immediately.

3. Frequency: If you find that you are having recurrent nosebleeds, it may be a sign of an underlying condition that needs to be evaluated by a healthcare professional.

4. Associated Symptoms: If you experience other symptoms such as dizziness, weakness, or difficulty breathing along with the nosebleed, you should seek emergency medical care.

5. Underlying Health Conditions: If you have a history of bleeding disorders, high blood pressure, or are on anticoagulant medications, it is wise to consult a healthcare provider after a nosebleed.

6. Infection or Injury: If the nosebleed follows a significant injury or is accompanied by signs of infection (such as fever or facial swelling), you should see a doctor.


Home Management Tips
For minor nosebleeds, you can manage them at home by following these steps:
- Stay Calm: Anxiety can increase blood pressure and worsen the bleeding.

- Sit Up: Keep your head above your heart to reduce blood flow to the nose.

- Pinch Your Nose: Use your thumb and index finger to pinch the soft part of your nose for about 10-15 minutes. This helps to apply pressure and can stop the bleeding.

- Breathe Through Your Mouth: While pinching your nose, breathe through your mouth to avoid swallowing blood.

- Avoid Nose Picking: After a nosebleed, avoid picking your nose or blowing it forcefully, as this can irritate the nasal passages and lead to further bleeding.

- Use a Humidifier: If dry air is a contributing factor, consider using a humidifier in your home to keep the nasal passages moist.


Conclusion
In your case, since you mentioned that the bleeding was minimal and occurred after a specific action (nose picking and blowing), it may not require immediate medical attention. However, if you notice that the bleeding persists, increases in frequency, or is accompanied by other concerning symptoms, it would be prudent to consult a healthcare professional. They can provide a thorough evaluation and determine if any underlying issues need to be addressed. Always trust your instincts; if something feels off, it’s better to err on the side of caution and seek medical advice.

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