How to Handle Nosebleeds from Nose Picking: Safe Remedies and Tips - Otolaryngology

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Nasal bleeding


Hello doctor, what should I do if I have a nosebleed from picking my nose? I went to my family doctor who said that using Mentholatum is fine, but isn't Mentholatum not meant for ingestion? Could it go down my throat? Are there any other treatment options? Thank you, doctor.

JAM, 20~29 year old female. Ask Date: 2019/03/14

Dr. Zheng Jueyi reply Otolaryngology


Hello: When experiencing a nosebleed, it is recommended to lean forward and apply firm pressure to both sides of the nostrils to help stop the bleeding, which should gradually improve.
Ointments are generally used to lubricate the wound area and reduce the chances of rebleeding.
If the bleeding persists and does not improve, it is advisable to seek medical evaluation from an otolaryngologist.
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: 2019/03/14

More Info


Nosebleeds, or epistaxis, can occur for various reasons, including nasal trauma from picking, dry air, allergies, or underlying health conditions. If you find yourself experiencing a nosebleed due to nose picking, it’s essential to handle the situation properly to minimize discomfort and prevent further bleeding. Here are some safe remedies and tips to manage this condition effectively.


Immediate Steps to Take During a Nosebleed
1. Stay Calm: Anxiety can increase blood pressure, which may worsen the bleeding. Take a deep breath and try to relax.

2. Sit Up and Lean Forward: Sit upright and lean slightly forward. This position helps prevent blood from flowing down the back of your throat, which can lead to swallowing blood and potentially causing nausea or vomiting.

3. Pinch Your Nose: Use your thumb and index finger to pinch the soft part of your nose shut. Maintain this pressure for about 10 minutes without releasing it. This pressure helps to compress the blood vessels and can stop the bleeding.

4. Apply a Cold Compress: Placing a cold compress or ice pack on the bridge of your nose can constrict blood vessels and reduce swelling, which may help stop the bleeding.

5. Avoid Nose Picking: Once the bleeding has stopped, avoid picking your nose or blowing it forcefully, as these actions can irritate the nasal lining and trigger another nosebleed.


Safe Remedies and Tips
- Moisturize Your Nasal Passages: If dry air is a contributing factor, consider using a saline nasal spray or a humidifier in your home to keep your nasal passages moist. This can help prevent future nosebleeds.

- Use Petroleum Jelly: Applying a small amount of petroleum jelly to the inside of your nostrils can help keep the nasal lining moist. However, be cautious not to apply too much, as it can lead to aspiration if it runs down your throat.

- Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can dry out or irritate your nasal passages.

- Stay Hydrated: Drink plenty of fluids to keep your body hydrated, which can also help maintain moisture in your nasal passages.


Regarding the Use of Mentholated Products
You mentioned that your doctor suggested using mentholated ointments like Mentholatum. While these products can provide a soothing effect, they are not intended for internal use. If you apply such ointments near your nostrils, be careful to avoid excessive application that could lead to ingestion or aspiration. If you accidentally ingest a small amount, it is unlikely to cause harm, but if you experience any adverse effects, seek medical attention.


When to Seek Medical Attention
If you experience frequent nosebleeds, or if a nosebleed lasts longer than 20 minutes despite applying pressure, it’s important to consult a healthcare professional. Additionally, if you notice significant blood loss, or if the nosebleeds are accompanied by other symptoms such as dizziness, weakness, or difficulty breathing, seek immediate medical care.

In summary, handling a nosebleed from nose picking involves staying calm, applying pressure, and taking steps to prevent future occurrences. While mentholated products can provide temporary relief, they should be used cautiously. Always prioritize safe practices and consult a healthcare provider if you have concerns about your nosebleeds or if they persist.

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