Is Frequent Nosebleed Normal During a Severe Cold? - Otolaryngology

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Cold with nosebleed?


Hello, doctor! I have been experiencing a severe cold for the past five days, and I've been coughing continuously.
For the last three days, I've suddenly been having frequent nosebleeds, sometimes twice a day, and I haven't touched my nose.
Is this normal?

Xiao Kai, 10~19 year old female. Ask Date: 2016/03/05

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is common for nosebleeds to occur due to bleeding from the small blood vessels in the nasal cavity.
If the bleeding persists, it is advisable to seek medical evaluation for confirmation.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/05

More Info


Frequent nosebleeds during a severe cold can be concerning, and while they are not uncommon, they are not necessarily considered "normal." When you have a cold, especially one that is severe, your nasal passages can become inflamed and irritated due to the infection and the increased production of mucus. This inflammation can lead to several factors that may contribute to nosebleeds.

Firstly, the lining of your nasal passages is delicate and can easily become dry, especially if you are in an environment with low humidity or if you are using decongestants that dry out the nasal membranes. When the nasal membranes dry out, they can crack and bleed, leading to nosebleeds. Additionally, frequent coughing, which often accompanies a severe cold, can put pressure on the blood vessels in the nose, making them more likely to rupture.

Moreover, if you are blowing your nose frequently to clear mucus, this can also irritate the nasal passages and lead to bleeding. Even if you feel you are not touching your nose, the act of blowing it can be enough to cause irritation and subsequent bleeding.

It is also worth noting that some individuals may have underlying conditions that predispose them to nosebleeds, such as allergies, sinus infections, or even structural issues within the nasal passages. If you have a history of frequent nosebleeds or if they are accompanied by other concerning symptoms, it may be worth discussing with a healthcare provider.

In your case, since you have been experiencing a severe cold for five days and have had multiple episodes of nosebleeds, it would be advisable to consult a healthcare professional. They can evaluate your symptoms in the context of your overall health and may recommend treatments to alleviate your cold symptoms and reduce the frequency of nosebleeds. This could include using saline nasal sprays to keep the nasal passages moist, avoiding irritants, and ensuring you stay hydrated.

In summary, while nosebleeds can occur during a severe cold due to nasal irritation and dryness, frequent occurrences warrant a medical evaluation to rule out any underlying issues and to receive appropriate care. If the nosebleeds persist or worsen, or if you experience other symptoms such as severe headaches, dizziness, or significant nasal congestion, seeking medical attention promptly is essential.

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