Nosebleeds every morning

Is It Normal & Should You Be Worried

Nosebleeds

Nosebleeds occur when a blood vessel in your nose bursts. Bloody noses are common. Around 60 percent of Americans will experience a nosebleed some time in their life. About 6 percent will require medical attention.

Although there are many reasons that your nose bleeds, the two most common causes are direct impact injury and the temperature and humidity of your environment.

Trauma. Fractures of the nose or the base of the skull can result in a bloody nose. If you’ve had a head injury that resulted in a bloody nose, see your doctor.
Dry air. A dry outside environment or heated indoor air can irritate and dry out nasal membranes. This can cause crusts that may itch and bleed when picked or scratched. If you catch a cold in the winter, the combination of repeated nose blowing with exposure to cold, dry air, sets the stage for nosebleeds.

Picking your nose

If you have allergies, such as hay fever or any other condition that causes your nose to itch, it can lead to conscious and unconscious nose picking.

Blowing your nose

If you blow your nose hard, the pressure can rupture superficial blood vessels.

Clotting disorders

Hereditary clotting disorders, such as hemophilia and hemorrhagic telangiectasia, may cause recurring nosebleeds.

Medications

If you’re taking medication that thins your blood or acts as an anticoagulant — such as aspirin, clopidogrel (Plavix), or warfarin (Coumadin) — nosebleeds can be more difficult to stop.

Topical medications and nasal sprays

Topical nasal medications, such as corticosteroids and antihistamines, can sometimes lead to nosebleeds. If you often use a nasal spray, the repeated irritation caused by the tip of the bottle could cause nosebleeds.

Dietary supplements

Certain dietary supplements can thin your blood and prolong bleeding, causing nosebleeds that are difficult to stop. These include:

ginger
feverfew
garlic
ginkgo biloba
ginseng
vitamin E

Underlying conditions

If you have certain conditions such as kidney or liver disease, your blood’s ability to clot may be lower, making nosebleeds more difficult to stop.

Blood pressure

Conditions such as congestive heart failure or hypertension can make you more prone to nosebleeds.

Deformities

If you have a functional nasal deformity — congenital, cosmetic surgery, or injury related — it could lead to frequent nosebleeds.

Tumors

Tumors of the nose or sinuses — both malignant and nonmalignant — can lead to nosebleeds. This is more likely in older people and those who smoke.

Drug use

If you ingest cocaine or other drugs by snorting it into your nose, it can cause blood vessels in your nasal passages to rupture, leading to frequent nosebleeds.

Chemical irritants

If you’re exposed to chemical irritants — such as cigarette smoke, sulfuric acid, ammonia, gasoline — at work or elsewhere, it can lead to frequent and recurring nosebleeds.

While the majority of nosebleeds aren’t a cause for concern, some are. Get medical help right away if:

your nose doesn’t stop bleeding after 20 minutes
your nose is bleeding as the result of a head injury
your nose has an odd shape or feels broken after an injury

Schedule an appointment with your doctor if you experience frequent and repeated nosebleeds that aren’t caused by minor irritation. Frequent nosebleeds that occur more than once a week may be a sign of a problem that should be evaluated.

You can help cut down on the frequency of your nosebleeds and perhaps prevent them by taking some simple actions:

Avoid picking your nose and blow your nose gently.
If you smoke, try to quit and avoid areas with secondhand smoke.
Moisturize the inside of your nose with a nonprescription saline nasal spray.
Use a humidifier during the winter months.
Apply ointment, such as Bacitracin, A and D Ointment, Eucerin, Polysporin, or Vaseline, to the inside of each nostril at bedtime.
Wear your seatbelt to protect from facial trauma in the event of an accident.
Wear headgear that fits properly and protects your face when playing sports with a chance for face injury, such as karate, hockey, or lacrosse.
Avoid breathing in irritating chemicals by using properly rated protective equipment.

If you have frequent and recurring nosebleeds, talk to your doctor about possible causes and to discuss steps you can take to avoid them.

Your doctor may refer you to an otolaryngologist — an ear, nose, and throat specialist, also called an ENT. If you’re on a blood thinner, they might recommend adjusting the dose.

Is It Normal & Should You Be Worried

Nosebleeds

Although there are many reasons that your nose bleeds, the two most common causes are direct impact injury and the temperature and humidity of your environment.

Trauma. Fractures of the nose or the base of the skull can result in a bloody nose. If you’ve had a head injury that resulted in a bloody nose, see your doctor.
Dry air. A dry outside environment or heated indoor air can irritate and dry out nasal membranes. This can cause crusts that may itch and bleed when picked or scratched. If you catch a cold in the winter, the combination of repeated nose blowing with exposure to cold, dry air, sets the stage for nosebleeds.

Picking your nose

If you have allergies, such as hay fever or any other condition that causes your nose to itch, it can lead to conscious and unconscious nose picking.

Blowing your nose

If you blow your nose hard, the pressure can rupture superficial blood vessels.

Clotting disorders

Hereditary clotting disorders, such as hemophilia and hemorrhagic telangiectasia, may cause recurring nosebleeds.

Medications

If you’re taking medication that thins your blood or acts as an anticoagulant — such as aspirin, clopidogrel (Plavix), or warfarin (Coumadin) — nosebleeds can be more difficult to stop.

Topical medications and nasal sprays

Dietary supplements

Certain dietary supplements can thin your blood and prolong bleeding, causing nosebleeds that are difficult to stop. These include:

ginger
feverfew
garlic
ginkgo biloba
ginseng
vitamin E

Underlying conditions

If you have certain conditions such as kidney or liver disease, your blood’s ability to clot may be lower, making nosebleeds more difficult to stop.

Blood pressure

Conditions such as congestive heart failure or hypertension can make you more prone to nosebleeds.

Deformities

If you have a functional nasal deformity — congenital, cosmetic surgery, or injury related — it could lead to frequent nosebleeds.

Tumors

Tumors of the nose or sinuses — both malignant and nonmalignant — can lead to nosebleeds. This is more likely in older people and those who smoke.

Drug use

If you ingest cocaine or other drugs by snorting it into your nose, it can cause blood vessels in your nasal passages to rupture, leading to frequent nosebleeds.

Chemical irritants

If you’re exposed to chemical irritants — such as cigarette smoke, sulfuric acid, ammonia, gasoline — at work or elsewhere, it can lead to frequent and recurring nosebleeds.

While the majority of nosebleeds aren’t a cause for concern, some are. Get medical help right away if:

your nose doesn’t stop bleeding after 20 minutes
your nose is bleeding as the result of a head injury
your nose has an odd shape or feels broken after an injury

You can help cut down on the frequency of your nosebleeds and perhaps prevent them by taking some simple actions:

Avoid picking your nose and blow your nose gently.
If you smoke, try to quit and avoid areas with secondhand smoke.
Moisturize the inside of your nose with a nonprescription saline nasal spray.
Use a humidifier during the winter months.
Apply ointment, such as Bacitracin, A and D Ointment, Eucerin, Polysporin, or Vaseline, to the inside of each nostril at bedtime.
Wear your seatbelt to protect from facial trauma in the event of an accident.
Wear headgear that fits properly and protects your face when playing sports with a chance for face injury, such as karate, hockey, or lacrosse.
Avoid breathing in irritating chemicals by using properly rated protective equipment.

If you have frequent and recurring nosebleeds, talk to your doctor about possible causes and to discuss steps you can take to avoid them.

Your doctor may refer you to an otolaryngologist — an ear, nose, and throat specialist, also called an ENT. If you’re on a blood thinner, they might recommend adjusting the dose.

Frequent nosebleeds: what are the causes and what to do?

Bleeding from the nose due to trauma usually does not raise questions, but if it occurs without any mechanical impact, and even more often, this should alert

What can be the causes of frequent nosebleeds and how they can be cured - tells otorhinolaryngologist of the clinic "Semeynaya" Olga Pavlovna Soloshenko. nine0231

If the bleeding does not occur due to injuries and recurs periodically, it is better not to delay the visit to the ENT. After all, bleeding can be anterior and posterior - the second happens less often, but it is much more dangerous. With anterior bleeding, blood only goes out, with posterior bleeding, it flows into the mouth or stomach along the back of the pharynx. Posterior is usually caused by damage to larger vessels that are located deep in the nasal cavity. It is very difficult to stop back bleeding without a doctor.

Causes of nosebleeds:

Injuries. Injury to the nose is often fraught with cartilage fractures. As a rule, this is accompanied by swelling and pain.
High blood pressure. Very common cause. Due to a sharp jump, the walls of the capillaries easily burst. Pressure rises due to overload, as well as in the presence of diseases of the cardiovascular system.
Sunstroke and any sudden increase in body temperature. nine0008
Overwork.
Hormonal changes. Bleeding may occur in women during the months of pregnancy or menopause, and in adolescents at puberty.
Dry air. It causes dryness of the mucous membrane.
Poor blood clotting.
ENT diseases. Sinusitis, sinusitis, rhinitis - all of them can cause bleeding, especially with the constant use of drugs that thin the mucous membrane. nine0008
Vascular problems. Even infectious diseases such as chickenpox, measles, influenza, etc. can lead to them.
Polyps, adenoids, tumors. In addition to occasional bleeding, they simply make breathing difficult.
Foreign body - can damage the mucous membranes and blood vessels.
Deficiency of vitamins K, C and calcium.

First aid rules for nosebleeds:

Lie down (or position the patient) with legs down
Tilt head forward
Place a cold compress on the bridge of the nose for a few minutes
Cover nose with hand or insert swab pre-soaked in hydrogen peroxide
Drops for vasoconstriction can be instilled

Attention, this must not be done!

Throwing the head back (contrary to popular belief) - blood can enter the respiratory tract
Blow your nose - so as not to increase bleeding without it.

Which cases require an immediate call to a doctor and an ambulance

In case of loss of consciousness
For excessive bleeding
Blood flows with clear fluid (this may occur after trauma and indicate a skull fracture)
If vomiting of blood occurs (possibly indicating bleeding in the esophagus or stomach)
Foamy blood (possible with lung injury)
In a patient with diabetes mellitus
If the patient is known to have poor blood clotting

Treatment

Treatment of bleeding is carried out in a complex manner. Often, an otorhinolaryngologist works in conjunction with a general practitioner, neurologist, endocrinologist, and hematologist.

At the first examination, the doctor determines the type of bleeding - anterior or posterior. Also, the patient is required to pass a general blood test and a coagulogram (analysis of blood coagulation indicators). In addition, it is important to measure the pressure, because if it is above the norm (the absolute norm is 120/80 mm Hg, but these figures change depending on age), the blood will not stop until it decreases. nine0231

In case of significant blood loss, the patient may be left in the hospital.

As a treatment for bleeding, it is possible to pack the nasal cavity, cauterize vessels (with drugs, laser, ultrasound, etc.), remove polyps. If there is no result, surgical ligation of vessels in problem areas is performed. In addition, drugs are prescribed that increase blood clotting.

Prevention

Taking drugs that strengthen the walls of blood vessels
Nutrition rich in vitamins and minerals
Air humidification during the heating season
Injury Prevention
Monitoring blood pressure and taking medications to lower it

Nosebleeds are not only unpleasant, but also dangerous. Therefore, as soon as it begins to bother you regularly, it is important to see a doctor as soon as possible. It is better to exclude all the most terrible causes of such a phenomenon as soon as possible and then it is already calmer to engage in further treatment. nine0231

Make an appointment with an otolaryngologist

Be sure to consult a qualified specialist in the field of nose diseases at the Semeynaya clinic.

For prices for pediatric appointments or other questions, follow the link below

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Nosebleed: what to do?

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September 1, 2021

nine0230 Nosebleed, or epistaxis, is an unexpected and even frightening phenomenon.

Is it worth being alert when such an unpleasant symptom appears, what factors provoke it and how can one help in such a situation? Let's figure it out further.

Why can blood come out of the nose?

Bleeding from the nose is classified into "anterior" and "posterior". In the first case, the cause is damage to small blood vessels, this type is usually easy to stop. The second case is considered more dangerous, bleeding occurs due to injury to large vessels located deeper in the nose, so it cannot be dealt with at home. If the blood is "in full swing" - this is a reason for an urgent call for an ambulance. nine0231

Causes of nosebleeds include:

trauma to the nose;
thinning of the mucous membrane;
inflammatory processes in the nasal cavity;
vascular fragility, diseases of the heart and blood;
sudden increase in blood pressure;
uncontrolled intake of certain drugs (anticoagulants, NSAIDs, vasoconstrictor drops for the common cold).

What should I do if my nose bleeds? nine0233

At the moment when the bleeding starts, it is important to try not to be nervous, because the excitement makes our heart beat faster, which leads to more blood loss.

The bleeding stop algorithm is as follows:

Sit straight, tilt your head forward.
You should be comfortable: loosen the belt and collar, if necessary, open the window.
Apply a cold, wet towel or ice to your nose, and place a warm heating pad on your feet. This will help constrict the vessels in your nose and dilate them in your legs, which will reduce bleeding. nine0008
Clamp the bleeding vessel: squeeze the wings of the nose with your fingers for 3-5 minutes, the blood should stop. Also for this purpose, you can enter a gauze swab previously moistened with hydrogen peroxide into the nostril.

If you have completed all of the above steps and the blood continues to flow, immediately call an ambulance, because even a small loss of blood can lead to fainting.

What to remember about nosebleeds?

Do not lie down and do not allow your legs to be higher than your head - this will increase bleeding; nine0008
Do not tilt your head: a large amount of blood entering the stomach can cause vomiting, and blood can also flow into the windpipe and make breathing difficult.
After the bleeding has stopped, refrain from eating and caffeinated drinks to avoid high blood pressure and new bleeding.

Prevention of nosebleeds

Remember, frequent nosebleeds are a reason to see a doctor. The specialist will identify the cause of the problem and prescribe treatment, which may include the use of hemostatic agents, as well as drugs that improve blood circulation. nine0231

To prevent rebleeding, a specialist may recommend:

Taking medications and vitamins to strengthen blood vessels.
Proper diet. Adding foods rich in vitamin K and C to the menu. Vitamin K is responsible for blood clotting, they are rich in parsley, spinach, basil, bananas, avocados, broccoli, bran, etc. Vitamin C strengthens the walls of blood vessels, it is found in large quantities in rose hips, sweet pepper, currant, citrus, etc.
Activity and moderate exercise: light exercise in the morning, daily walks in the fresh air, swimming pool, etc.

Be healthy!

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