Blood-Stained Nasal Mucus: Causes and Solutions - Otolaryngology

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There are blood clots in the nose?


Hello Doctor: I have allergic rhinitis and a habit of having a runny nose.
Recently, my nose hasn't been bleeding, but I have noticed blood-stained nasal mucus.
After removing it, there seems to be more (perhaps due to mucus in the nasal cavity that hasn't come out, as I haven't picked my nose).
This has been going on for a week.
I wonder if it is related to staying up late and eating beans? What should I do? Thank you, Doctor.

LeXus, 40~49 year old female. Ask Date: 2012/02/13

Dr. Xu Yingzhuo reply Otolaryngology


Hello Lexus: The most important aspect of treating nosebleeds is to accurately identify the source of the bleeding.
Generally, if the bleeding is caused by allergic rhinitis, it is often due to forceful nose blowing or itching that leads to the rupture of small blood vessels.
However, without an endoscopic examination, the possibility of an intranasal tumor cannot be ruled out.
Staying up late can lead to elevated blood pressure, increasing the likelihood of small vessel rupture.
Eating beans typically does not cause bleeding.
Information obtained from the internet should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
This message is brought to you by Dr.
Hsu Ying-shuo, Head of the Otolaryngology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/02/13

More Info


Understanding blood-stained nasal mucus can be concerning, especially when it occurs alongside symptoms of allergic rhinitis. The presence of blood in nasal mucus, often referred to as "blood-stained nasal mucus," can arise from several underlying causes, and it is essential to understand these to address the issue effectively.


Causes of Blood-Stained Nasal Mucus
1. Nasal Mucosal Injury: One of the most common reasons for blood-stained mucus is the injury to the nasal mucosa. This can occur due to various factors, including excessive nose blowing, picking the nose, or even dry air, which can lead to cracking and bleeding of the delicate nasal membranes.

2. Allergic Rhinitis: Individuals with allergic rhinitis often experience inflammation and swelling of the nasal passages. This inflammation can make the nasal mucosa more susceptible to injury, leading to bleeding. Additionally, the constant clearing of nasal mucus can exacerbate this condition.

3. Environmental Factors: Dry air, especially during winter months or in air-conditioned environments, can dry out the nasal passages, leading to crusting and bleeding. Similarly, exposure to irritants such as smoke, strong odors, or pollutants can also contribute to nasal bleeding.

4. Underlying Medical Conditions: Conditions such as sinusitis, nasal polyps, or even more serious issues like tumors can lead to blood-stained mucus. However, these are less common and usually present with additional symptoms.

5. Systemic Factors: Conditions that affect blood clotting or blood pressure can also lead to increased bleeding tendencies. For example, if you have high blood pressure or are on anticoagulant medications, you may be more prone to nasal bleeding.


Possible Connection to Lifestyle Factors
You mentioned that you have been staying up late and consuming beans. While staying up late can lead to fatigue and may indirectly affect your immune system, it is less likely to be a direct cause of blood-stained mucus. However, poor sleep can exacerbate allergic symptoms, leading to increased nasal congestion and irritation.

As for eating beans, unless you have a specific allergy to them, they are generally not associated with nasal bleeding. However, if you have any food allergies, they could potentially trigger allergic rhinitis symptoms, which might contribute to nasal irritation.


Recommended Actions
1. Humidification: If you live in a dry environment, consider using a humidifier in your home to maintain moisture in the air. This can help prevent the nasal passages from drying out and reduce the likelihood of bleeding.

2. Nasal Care: Use saline nasal sprays or rinses to keep your nasal passages moist. This can help clear out mucus and reduce irritation.

3. Avoid Irritants: Try to avoid exposure to smoke, strong odors, and other environmental irritants that can exacerbate your symptoms.

4. Gentle Nose Blowing: Be gentle when blowing your nose. Forceful blowing can lead to further injury to the nasal mucosa.

5. Consult a Healthcare Provider: If the blood-stained mucus persists or if you experience other concerning symptoms (such as significant bleeding, pain, or changes in smell), it is essential to consult a healthcare provider. They may recommend further evaluation, including nasal endoscopy, to determine the underlying cause.

In summary, while blood-stained nasal mucus can be alarming, it is often related to minor issues such as nasal mucosal injury or allergic rhinitis. By taking preventive measures and seeking medical advice when necessary, you can effectively manage your symptoms and maintain your nasal health.

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