Frequent Nosebleeds and Headaches: the Connection - Otolaryngology

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Frequent nosebleeds and headaches?


Hello, Doctor...
I have been experiencing frequent nosebleeds over the past three months, and recently I had a day where I bled twice.
Additionally, I have been having daily headaches.
Can headaches cause nosebleeds? Each nosebleed lasts about 10 minutes or more, and it almost always occurs on the same side.
I have already visited an ENT specialist and underwent a nasopharyngoscopy.
Does this mean that nasopharyngeal cancer can be ruled out? Thank you for your response!

He Xiaohua, 20~29 year old female. Ask Date: 2016/04/11

Dr. Zheng Jueyi reply Otolaryngology


Hello, nosebleeds are mostly related to bleeding from the rupture of the nasal mucosa.
If an endoscopic examination has already been performed, nasopharyngeal cancer can be initially ruled out.
However, if the condition does not improve, a follow-up appointment is necessary for further evaluation.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/11

More Info


Frequent nosebleeds and headaches can be concerning symptoms, and it's understandable that you're seeking clarity on their connection. While headaches themselves typically do not directly cause nosebleeds, there are several underlying factors that could link these two symptoms.

Firstly, it's important to consider the nature of your headaches. If they are tension-type headaches or migraines, they may not have a direct correlation with nosebleeds. However, if your headaches are severe or associated with other symptoms, they could indicate a more serious condition that might also contribute to nasal bleeding.

One potential connection between headaches and nosebleeds could be related to increased blood pressure. If you are experiencing frequent headaches, it might be worth monitoring your blood pressure, as hypertension can lead to both headaches and nosebleeds. Additionally, if you are experiencing significant stress or anxiety, this can contribute to both tension headaches and increased blood pressure, potentially leading to nosebleeds.

Another consideration is the environment. Dry air, especially during winter months or in air-conditioned spaces, can dry out the nasal mucosa, making it more susceptible to bleeding. If you are living in such conditions, using a humidifier or saline nasal sprays might help alleviate both the headaches and the frequency of nosebleeds.

Regarding your concern about nasal cancer, it is reassuring that you have undergone a nasopharyngoscopy, which is a thorough examination of the nasal passages and throat. If the results were normal, this significantly reduces the likelihood of a serious condition such as nasopharyngeal cancer. However, if you continue to experience symptoms or if they worsen, it is essential to follow up with your ENT specialist for further evaluation.

In some cases, frequent nosebleeds can be due to local factors such as nasal polyps, chronic sinusitis, or even anatomical issues like a deviated septum. These conditions can also contribute to headaches, particularly if they lead to sinus pressure or infection. If you have not already done so, discussing these possibilities with your ENT specialist may provide further insights.

Lastly, consider lifestyle factors that could be contributing to your symptoms. Adequate hydration, a balanced diet, and regular exercise can help improve overall health and potentially reduce the frequency of headaches and nosebleeds. If you are taking any medications, be sure to review them with your healthcare provider, as some medications can increase the risk of bleeding or contribute to headaches.

In summary, while headaches do not directly cause nosebleeds, they can be linked through various factors such as blood pressure, environmental conditions, and underlying health issues. Since you have already sought medical advice and undergone examinations, continue to monitor your symptoms and maintain open communication with your healthcare providers. If your symptoms persist or worsen, further investigation may be warranted to ensure that no underlying issues are being overlooked.

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