Bleeding From the Nose
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Nasal bleeding
Epistaxis
About the Symptom
A nosebleed is also known as epistaxis and occurs when there is bleeding from the inside of the nose. It is common and has a number of potential causes, including dryness and trauma. More serious conditions may cause it and if recurrent or severe, it should be evaluated by a medical professional.
When to See a Doctor
Seek professional care if you experience any of the following symptoms
- Peripheral cyanosis
- Muscle weakness in the limbs
- Disorder of consciousness
- Swelling of the affected area
- Easy bruising
- Violaceous / purpuric rash
- Recent weight loss
- Vomiting of blood
- Melena (black stools)
- Difficulty breathing / breathlessness
- Dark purple rash on lower limbs
- Gross hematuria
- Head injury
Possible Causes
Generally, Bleeding from the nose can be related to:
- 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.
- Rhinitis Sicca
A condition where the inside of the nose is abnormally dry, causing mucus to crust and nosebleeds. It can be caused by medications, radiotherapy to the nose, or long-term infections. Often, no clear cause is found.
- Congenital Hemophilia
Congenital hemophilia is a genetic bleeding disorder resulting in insufficient blood clotting due to a deficiency of clotting factors.
- Acquired Hemophilia
- Immune Thrombocytopenic Purpura
- Multiple Myeloma (MM)
- Dengue Fever
- von Willebrand Disease (vWD)
Related Serious Diseases
Sometimes, Bleeding from the nose may be related to these serious diseases:
- Leukemia
Leukemia is a cancer of the body's blood cell-forming tissues. Blood cells circulate in our bloodstream and are created and matured in the bone marrow and the lymphatic system. Leukemia involves white blood cells and lymphatic cells and has several types. The cancerous cells are produced in excess and do not function normally. Leukemias can be aggressive and cause symptoms or chronic and smolder for years.
- Orbital Blowout Fracture
Doctor's Diagnostic Questions
Your doctor may ask these questions to check for this symptom:
- Do you have a nosebleed?
- When did you first notice the nosebleed?
- How often do you experience nosebleeds?
- How is your nosebleed now?
Reviewed By:
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 (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.
Yoshinori Abe, MD (Internal Medicine)
Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.
Content updated on Feb 6, 2025
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Krulewitz NA, Fix ML. Epistaxis. Emerg Med Clin North Am. 2019 Feb;37(1):29-39. doi: 10.1016/j.emc.2018.09.005. PMID: 30454778.
https://pubmed.ncbi.nlm.nih.gov/30454778/Seikaly H. Epistaxis. N Engl J Med. 2021 Mar 11;384(10):944-951. doi: 10.1056/NEJMcp2019344. PMID: 33704939.
https://pubmed.ncbi.nlm.nih.gov/33704939/Gifford TO, Orlandi RR. Epistaxis. Otolaryngol Clin North Am. 2008 Jun;41(3):525-36, viii. doi: 10.1016/j.otc.2008.01.003. PMID: 18435996.
https://pubmed.ncbi.nlm.nih.gov/18435996/