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Woman holding a tissue to stop a nosebleed, highlighting concerns about when to worry about nosebleeds and seek medical care

When should you worry about a nosebleed? A quick guide.

A nosebleed can happen at the worst times—like when you're giving a presentation or just relaxing at home. The good news is that, for most people, nosebleeds are more annoying than dangerous. But what if it feels different this time? Maybe it lasts longer than usual, or it happens more often.

Nosebleeds are really common and usually not a big deal. But sometimes, they might be a sign of something more serious. In this guide, we’ll look at what causes most nosebleeds, how to tell if it’s an emergency, and what to do if nosebleeds happen a lot or are very bad.
 

What causes most nosebleeds? Common reasons explained.

Nosebleeds, also known as epistaxis, occur when tiny blood vessels inside your nose break. These delicate vessels sit close to the surface of the nasal lining, which makes them easy to damage. 

Several factors often trigger this bleeding:

  • Dry air. Heating systems or living in a dry climate can dry out the nasal lining, increasing the chance of cracks and bleeding.
  • Nose picking. Irritation from picking at the inside of your nose can damage fragile tissues.
  • Allergies or colds. Sneezing and frequent nose-blowing can irritate nasal tissues, causing them to bleed.
  • Injuries. A hit to the nose from a fall or during sports can lead to bleeding, even if the injury seems minor.
  • Medications. Blood thinners like aspirin or warfarin and some nasal sprays can make nosebleeds more likely by thinning the blood or irritating nasal tissues.

Most nosebleeds resolve on their own within 10 to 15 minutes. However, certain situations may require medical attention.

 

When is a nosebleed a medical emergency?

While most nosebleeds are harmless, some can signal more serious health concerns. Seek immediate care if:

  • The bleeding lasts more than 20 minutes. Bleeding that doesn’t stop may indicate a ruptured blood vessel or another underlying issue.
  • You’re losing large amounts of blood. Heavy bleeding or feeling lightheaded could point to a more serious problem.
  • The nosebleed follows an injury. Trauma, such as a fall or a blow to the face, might involve a broken nose or deeper injury.
  • Other symptoms occur. Nosebleeds accompanied by dizziness, difficulty breathing, or vomiting blood require urgent evaluation.
     

 

How to manage frequent or severe nosebleeds.

If nosebleeds happen often or seem severe, taking steps to prevent them can make a difference:

  1. Keep your nasal passages moist. Use a saline spray or apply a thin layer of petroleum jelly inside your nostrils to prevent dryness.
  2. Avoid nose picking. Handling your nose gently reduces irritation and the risk of bleeding.
  3. Use a humidifier. Moistening the air in your home can protect your nasal lining, especially during colder months.
  4. Control allergies. Treating allergies with antihistamines or nasal sprays reduces sneezing and irritation.
  5. Seek medical advice. If nosebleeds become persistent, schedule a visit with a doctor to check for conditions like high blood pressure or bleeding disorders
     

 

Take charge of your health with CityMD.

Nosebleeds are usually easy to handle, but it’s important to know when to get help. Taking care of severe or frequent nosebleeds early can prevent bigger problems and help you feel better.

If you’re having frequent or bad nosebleeds, don’t wait to ask for help. At CityMD, we’re here to help. Our doctors can check your symptoms, give you treatment and make sure you get the care you need. Visit your nearest CityMD for fast, walk-in care. Your health and comfort are important!
 

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