Nosebleeds: Are They Linked to Your Cold? - Otolaryngology

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Cold and nosebleed


In the past few days, I have had a slight cold, which caused a runny nose.
One morning, I blew my nose too hard, resulting in a nosebleed.
I thought it was fine after that, but the next day, I suddenly had another nosebleed (without blowing my nose).
It came on very suddenly.
On the third night, I also experienced another nosebleed, but the amount of blood was small, and it stopped within 1 to 2 minutes.
Could this nosebleed be related to the cold, or was it caused by blowing my nose too hard, leading to a ruptured blood vessel? Additionally, could the weather factors have contributed to the re-rupture of the recently healed blood vessels?

Xiangxiang, 10~19 year old female. Ask Date: 2016/04/27

Dr. Zheng Jueyi reply Otolaryngology


Hello, frequent nosebleeds are often related to the rupture of small blood vessels in the nasal area.
Factors such as colds, blowing the nose, or weather conditions can all potentially trigger bleeding.
If there is no improvement, it is advisable to seek medical attention.
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: 2016/04/27

More Info


Nosebleeds, or epistaxis, can indeed be linked to various factors, including colds, nasal congestion, and even the forceful blowing of the nose. In your case, it seems that your recent cold and the associated symptoms may have contributed to your nosebleeds. Let’s break down the potential causes and connections.

1. Nasal Congestion and Irritation: When you have a cold, your nasal passages can become inflamed and congested. This inflammation can make the delicate blood vessels in your nose more susceptible to rupture. The increased blood flow to the nasal mucosa during a cold can also lead to engorgement of these vessels, making them more prone to bleeding.

2. Forceful Nose Blowing: You mentioned that you blew your nose forcefully, which is a common trigger for nosebleeds. The act of blowing your nose with excessive force can create pressure that may rupture small blood vessels in the nasal lining. This is especially likely if the nasal mucosa is already irritated or inflamed due to your cold.

3. Environmental Factors: Weather conditions, such as dry air, can exacerbate nasal irritation. If you are in an environment with low humidity, it can dry out the nasal passages, leading to cracking and bleeding. This could explain why you experienced nosebleeds on consecutive days, as the initial irritation from your cold might have been compounded by environmental factors.

4. Healing Process: After the initial bleeding, the blood vessels in your nose may take some time to heal. If the area remains sensitive or if you continue to experience nasal congestion, it is possible for the blood vessels to rupture again, even without forceful nose blowing.
5. Underlying Conditions: While your symptoms seem to be linked to your cold and the forceful blowing of your nose, it’s worth noting that frequent nosebleeds can sometimes indicate underlying conditions such as clotting disorders or hypertension. However, given your recent cold and the context of your symptoms, these are less likely to be the cause in your case.


Recommendations:
- Gentle Nose Blowing: Try to blow your nose gently to avoid putting pressure on the blood vessels.

- Humidification: Use a humidifier in your home to keep the air moist, especially during dry weather. This can help prevent the nasal mucosa from drying out and cracking.

- Nasal Saline Sprays: Consider using saline nasal sprays or rinses to keep your nasal passages moist and help with congestion.

- Avoid Irritants: Stay away from smoke and other irritants that can further inflame your nasal passages.

If your nosebleeds persist or worsen, or if you experience other concerning symptoms, it would be advisable to consult a healthcare professional. They can evaluate your condition more thoroughly and rule out any underlying issues. In most cases, however, the nosebleeds you are experiencing are likely a result of the combination of your cold and the forceful blowing of your nose, and they should resolve with proper care and attention to your nasal health.

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