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Bleeding nose

Bloody nose from nose bleed

Nose bleed

Bleeding from the nose

Bleeding from the nostrils

Nasal bleeding

Not seeing your symptoms? No worries!

What is Epistaxis?

Also known as nosebleeds which is the presence of blood coming from the nasal cavity from one or both sides. Nosebleeds most often come from the front of the middle part of the nose known as the septum. Triggers include dry, hot air and picking at the nose. In rare cases, epistaxis may be caused by tumors in the nose or blood clotting problems.

Typical Symptoms of Epistaxis

Diagnostic Questions for Epistaxis

Your doctor may ask these questions to check for this disease:

  • Do you have a nosebleed?
  • Have you had black, shiny stools?
  • Is your nose painful?
  • Do you have a cough?
  • Do you bruise or bleed easily?

Treatment of Epistaxis

First aid involves leaning forward and pinching the soft part of the nose against the septum continuously for several minutes. There is no evidence that leaning back or ice on the nose works. If pressure doesn't work, a doctor can pack the nose or treat the area with chemical cautery. Repeated nosebleeds may require further evaluation by a specialist. Prevention of nosebleeds includes moisture with nasal saline, humidification, and topical treatment of petroleum-based ointments.

Reviewed By:

Eric A. Gantwerker, MD, MMSC

Eric A. Gantwerker, MD, MMSC (Otolaryngology (ENT))

Pediatric Otolaryngologist at Northwell Health and Associate Professor of Otolaryngology at Zucker School of Medicine at Hofstra/Northwell. He holds a Master of Medical Science (MMSc) in Medical Education with a special focus on educational technology, educational research, and game-based learning from Harvard Medical School and a Master of Science in Physiology and Biophysics from Georgetown University. He has a special interest in faculty development and has been a speaker or faculty at hundreds of local, national, and international courses and conferences. He is also an active blogger and podcaster for several organizations, including the Harvard Macy Institute (HMI), Harvard Medical School CME Online, and BackTable Innovations. He has been featured in the news and print for media outlets such as USA Today, Businesswire, The Washington Post, Nature Medicine, Fox News, and KevinMD. He was also the Vice President, Medical Director of a medical video game company, Level Ex from 2018 to 2023 that utilized game technology and psychology to create interactive experiences for healthcare professionals. | He is recognized as an expert on the implementation of educational technologies and gaming with a foundation in educational theory for health professions education. He was honored to be inducted as an Associate Member of the American College of Surgeons (ACS) Academy of Master Surgeon Educators and as an Associate Fellow of the Association for Medical Education in Europe (AMEE).

Rohini R, MD

Rohini R, MD (Otolaryngology (ENT))

Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.

From our team of 50+ doctors

Content updated on Mar 31, 2024

Following the Medical Content Editorial Policy

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Symptoms Related to Epistaxis

Diseases Related to Epistaxis

FAQs

Q.

Nosebleed Won’t Stop? Why Epistaxis Occurs & Medically Approved Next Steps

A.

Nosebleeds are usually minor and stop with proper first aid, but if a nosebleed will not stop or is heavy, seek urgent care; sit upright, lean forward, and pinch the soft part of the nose for 10 to 15 minutes without letting go. There are several factors to consider, including common triggers like dry air, irritation, allergies, infections, blood thinners, and high blood pressure, who is at higher risk, and how doctors treat persistent epistaxis; see the complete guidance below for prevention tips, red flags, and next steps that could change your healthcare decisions.

References:

* Thulasidasan, N., Natesh, B., & Sunil, R. S. (2022). Epistaxis: A Comprehensive Review. *Cureus*, *14*(7), e26538. doi:10.7759/cureus.26538. PMID: 35928308

* Womack, J. P., & Saunders, T. S. (2022). Epistaxis. *StatPearls Publishing*. PMID: 29083597

* Bleier, B. S., et al. (2023). Clinical Practice Guideline: Epistaxis—A Review of Current Concepts and Management Strategies. *International Forum of Allergy & Rhinology*, *13*(2), 195-212. doi:10.1002/alr.23078. PMID: 36744883

* Sarhan, A. R. (2020). Epistaxis: An Overview. *The Open Otolaryngology Journal*, *14*(1). DOI: 10.2174/1874447002014010046. PMID: 32670267

* Pope, L. E., & Hobbs, M. L. (2018). Epistaxis: an update on current management. *Emergency Medicine Practice*, *20*(4), 1-24. PMID: 29595567

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Maxwell J. Nanes, DO

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Waukesha Memorial Hospital, Waukesha Wisconsin, USA

Caroline M. Doan, DO

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Benjamin Kummer, MD

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Icahn School of Medicine at Mount Sinai

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Charles Carlson, DO, MS

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U.S. Department of Veterans Affairs

Dale Mueller, MD

Dale Mueller, MD

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Which is the best Symptom Checker?

Which is the best Symptom Checker?

Ubie’s symptom checker demonstrated a Top-10 hit accuracy of 71.6%, surpassing the performance of several leading symptom checkers in the market, which averaged around 60% accuracy in similar assessments.

Link to full study:

https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1

References