Blood-Streaked Nasal Discharge: Causes and Concerns - Otolaryngology

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Nasal discharge with blood?


During the winter break, I had a cold (the doctor said it was a common viral cold), but during that time, I experienced numbness and slight pain in my nasal bridge, along with frequent runny nose that had blood-tinged mucus.
Now that the cold has resolved, I generally do not blow my nose, but the mucus in my nose still contains bright red streaks of blood.

Lin, 10~19 year old female. Ask Date: 2023/03/01

Dr. Zheng Jueyi reply Otolaryngology


If you continue to see blood streaks, it is recommended to visit an otolaryngologist for examination and confirmation.

Reply Date: 2023/03/01

More Info


Understanding blood-streaked nasal discharge can be concerning, especially after experiencing a viral cold. The presence of blood in nasal discharge can arise from several underlying causes, and it's essential to consider these factors to determine the appropriate course of action.

Firstly, during a viral infection, the nasal mucosa can become inflamed and irritated. This inflammation can lead to the rupture of small blood vessels in the nasal lining, resulting in blood-streaked mucus. This is particularly common when individuals frequently blow their noses or if they have been experiencing nasal congestion, which can cause increased pressure in the nasal passages. The fact that you experienced a cold and are now noticing blood in your nasal discharge suggests that the nasal mucosa may still be healing from the inflammation caused by the viral infection.

Additionally, environmental factors such as dry air, especially during winter months, can exacerbate nasal dryness and irritation. This dryness can lead to crusting and further irritation, making the nasal lining more susceptible to bleeding. If you are in an environment with low humidity, consider using a humidifier to maintain moisture in the air, which can help alleviate some of the dryness in your nasal passages.

Another potential cause of blood-streaked nasal discharge is allergic rhinitis. If you have a history of allergies, exposure to allergens can cause nasal inflammation and lead to similar symptoms. In this case, managing your allergies with antihistamines or nasal corticosteroids may help reduce inflammation and prevent further bleeding.

It is also important to consider the possibility of anatomical issues, such as a deviated septum or nasal polyps, which can contribute to chronic nasal irritation and bleeding. If you have a history of nasal trauma or surgeries, these factors could also play a role in your current symptoms.

While the presence of blood in nasal discharge can often be benign, it is crucial to monitor your symptoms. If the blood-streaked mucus persists, increases in volume, or is accompanied by other concerning symptoms such as severe pain, swelling, or fever, it would be advisable to seek further evaluation from an ear, nose, and throat (ENT) specialist. They may perform a nasal endoscopy to visualize the nasal passages and identify any underlying issues that may require treatment.

In summary, blood-streaked nasal discharge following a viral cold can be attributed to inflammation of the nasal mucosa, environmental factors, allergies, or anatomical issues. While it is often not a cause for alarm, persistent or worsening symptoms warrant a medical evaluation to rule out any serious conditions and to receive appropriate treatment. Taking care of your nasal health through hydration, humidification, and allergy management can also help in the healing process.

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