Stopping a nosebleed

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Stopping a nosebleed

Most nosebleeds occur in the front of the nose and involve only one nostril. Some blood may drain down the back of the nose into the throat. These nosebleeds typically are not serious, and you can generally treat them yourself at home.

A less common but more serious type of nosebleed starts in the back of the nose and often involves both nostrils. Large amounts of blood may run down the back of the throat. This type of nosebleed may occur more frequently in older adults because of health conditions they may have. You will need treatment from a health professional to control bleeding from this type of nosebleed.

Stopping a nosebleed

Follow these steps to stop a nosebleed:

• Sit up straight and tip your head slightly forward.
  • Note: Do not tilt your head back. This may cause blood to run down the back of your throat, and you may swallow it. Swallowed blood can irritate your stomach and cause vomiting. And vomiting may make the bleeding worse or cause it to start again. Spit out any blood that gathers in your mouth and throat rather than swallowing it.
• Blow all the clots out of your nose. This may require fairly forceful blowing, and the bleeding may actually increase when clots come out of the nose.
• After blowing out the clots, firmly pinch the soft part of your nose shut between your thumb and forefinger. The nose consists of a hard, bony part and a softer part made of cartilage. Nosebleeds usually occur in the soft part of the nose. Spraying the nose with a medicated nasal spray (such as Afrin) before applying pressure may help stop a nosebleed. You will have to breathe through your mouth.
• Apply an ice pack to your nose and cheeks. Cold will constrict the blood vessels and help stop the bleeding.
• Keep pinching for a full 10 minutes. Use a clock to time the 10 minutes. It can seem like a long time. Resist the urge to check after a few minutes to see if your nose has stopped bleeding.
• After 10 minutes, check to see if your nose is still bleeding. If it is, pinch it for 10 more minutes. Most nosebleeds will stop after 10 to 30 minutes of direct pressure.
• Stay quiet for a few hours. Put a light coating of a moisturizing ointment, such as Vaseline, inside your nose. Do not blow your nose or put anything else inside your nose for at least 12 hours after the bleeding has stopped.

Preventing nosebleeds

After you have stopped a nosebleed, the following tips may prevent a nosebleed from happening again:

• Avoid forceful nose-blowing.
• Do not pick your nose.
• Avoid lifting or straining after a nosebleed.
• Elevate your head on pillows while sleeping.
• Apply a light coating of a moisturizing ointment, such as Vaseline, to the inside of your nose with the tip of your little finger.
• Do not use aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen sodium for 3 to 4 days. Acetaminophen, such as Tylenol or Panadol, may be used to relieve pain. Talk to your health professional about stopping any medicines you are currently taking.
• Do not use nonprescription antihistamines, decongestants, or medicated nasal sprays.

Nosebleeds may develop in people who have colds or chronic hay fever symptoms (postnasal drip, sneezing, or a runny, stuffy, or itchy nose) because nasal tissues become inflamed and irritated. Using medicines may relieve the symptoms, leading to less inflammation and irritation and fewer nosebleeds. However, overuse of allergy medicines may lead to nosebleeds because of their overdrying side effects. If you have a lot of nosebleeds, talk to your health professional about the proper use of cold and allergy medicines.

If you are helping someone else stop a nosebleed, avoid touching the other person's blood. Use gloves, if available, or layers of fabric or a plastic bag to protect yourself.

Credits

Last updated:	April 20, 2007
Author:	Jan Nissl, RN, BS
Reviewed By:	William M. Green, MD - Emergency Medicine, Charles M. Myer, III, MD - Otolaryngology
Editors:	Susan Van Houten, RN, BSN, MBA, Tracy Landauer