Sudden Nosebleeds: Causes and When to Worry - Otolaryngology

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Sudden nosebleed?


Hello, Doctor! After work today, I went to eat sesame noodles (without spice) with my colleagues, and later we went to McDonald's for ice cream and fries.
After a while, I suddenly had a nosebleed.
Although it was just a few drops and stopped quickly, this is the third time I've had a nosebleed in the past six months (the first two times required me to apply pressure with tissue to stop the bleeding).
The first two times might have been due to picking my nose, but this time I didn't do anything unusual, so I'm concerned that I might have some kind of illness.
Could you please help me understand this? Thank you, Doctor.

Lin Xiansheng, 20~29 year old female. Ask Date: 2016/11/07

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is common to experience bleeding from the nasal mucosa due to a ruptured nasal septum.
If you frequently have nosebleeds, it is advisable to seek medical evaluation and treatment.
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: 2016/11/07

More Info


Nosebleeds, or epistaxis, can be a common occurrence and often arise from a variety of causes. In your case, experiencing a nosebleed after eating and without any apparent trauma raises some questions, but it is important to understand that there are many benign reasons for nosebleeds.

Firstly, the nasal mucosa is highly vascular, meaning it has a rich supply of blood vessels. These vessels can be easily damaged or irritated, leading to bleeding. Common causes of nosebleeds include:
1. Dry Air: One of the most common causes of nosebleeds, especially in winter months or in dry climates, is dry air. This can dry out the nasal membranes, making them more susceptible to cracking and bleeding.

2. Nasal Irritation: Allergies, colds, or sinus infections can cause inflammation and irritation of the nasal passages, leading to nosebleeds. If you have been experiencing any upper respiratory symptoms, this could be a contributing factor.

3. Nasal Trauma: As you mentioned, previous nosebleeds were possibly due to picking your nose or other minor trauma. Even minor bumps to the nose can cause bleeding if they affect the delicate blood vessels.

4. Underlying Health Conditions: While less common, certain medical conditions can predispose individuals to nosebleeds. These include blood clotting disorders, hypertension, or the use of anticoagulant medications. If you have a history of such conditions or are on medication that affects blood clotting, it would be wise to consult a healthcare provider.

5. Environmental Factors: Exposure to irritants such as smoke, strong odors, or chemicals can also lead to nosebleeds. If you have been in an environment with such irritants, this could be a factor.

Given that you have experienced three nosebleeds in the past six months, it may be beneficial to monitor the frequency and circumstances surrounding these episodes. If the nosebleeds become more frequent, last longer, or are accompanied by other symptoms such as significant headaches, dizziness, or unusual bruising, it would be advisable to seek medical attention.

In the meantime, here are some tips to help manage and prevent nosebleeds:
- Humidify Your Environment: Using a humidifier in your home, especially in your bedroom, can help keep the nasal passages moist.

- Nasal Saline Sprays: Regular use of saline nasal sprays can help keep the nasal membranes hydrated.

- Avoid Picking Your Nose: This can lead to trauma and subsequent bleeding.

- Gentle Nose Blowing: If you need to blow your nose, do so gently to avoid damaging the blood vessels.

- Stay Hydrated: Drinking plenty of fluids can help keep your mucous membranes moist.

If you continue to have concerns about your nosebleeds or if they worsen, it would be prudent to consult with a healthcare professional. They may perform a physical examination and, if necessary, conduct further tests to rule out any underlying conditions. Remember, while occasional nosebleeds are usually not a cause for concern, persistent or severe cases warrant a closer look.

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