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<div class="HwContainer HwElement" id="HwContainer"><a class="HwMainSkipNavigation" href="#HwContentTitle"><span class="HwAccessibilityText">Skip Navigation</span></a><div class="HwBlock" id="HwMain" role="main"><div class="HwRow"><div class="HwColumn" id="HwColumnSidebar1"><div class="HwCustom" id="HwCustomSidebar"> </div></div><div class="HwColumn" id="HwColumnContent"><div id="HwContentTop"> </div><div class="HwTypeSymptom HwContentWrapper HwElement" role="article" id="HwContentWrapper"><div class="HwCustom" id="HwCustomContentTop"> </div><div class="HwContentHeader"><p><a name="top" id="Hwtop"><span class="HwAccessibilityText">Top of the page</span></a>Check Your Symptoms</p></div><div class="HwContentTitle"><h1 id="HwContentTitle" tabindex="-1">Nosebleeds</h1></div><div class="HwContentTopNavigation"> </div><div class="HwContent"><div class="HwNavigationSection HwSectionSpecialSection" id="sec-hw98156"><h2 class="HwSectionTitle" fingerprint="b4cb0a40" fingerprint-exact="e7c3d1bb">Overview</h2> <p fingerprint="6c36639a" fingerprint-exact="57d9e9de">Most nosebleeds aren't serious. They usually can be stopped with home treatment. Most nosebleeds occur in the front of the nose (anterior epistaxis) and involve only one nostril. Some blood may drain down the back of the nose into the throat. Many things may make a nosebleed more likely. They include:</p> <ul fingerprint="4445e8d9" fingerprint-exact="e5025f47"> <li>Changes in the environment, such as: <ul><li>Cold, dry climates; low humidity.</li><li>High altitude.</li><li>Chemical fumes.</li><li>Smoke.</li></ul></li> <li>Injury to the nose, such as: <ul><li>Hitting or bumping the nose.</li><li>Blowing or picking the nose.</li><li>Piercing the nose.</li><li>An object in the nose. This is more common in children, who may put things up their noses.</li></ul></li> <li>Medical problems, such as: <ul><li>An abnormal structure inside the nose. Examples are <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stn166178" data-hw-section="stn166178-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stn166178" data-hwid="stn166178" hw:section-href="stn166178-sec" href="?id=stn166178#stn166178-sec"><span class="HwLinkText">nasal polyps</span></a> and a <a class="HwLinkMultiMedia" data-hw-type="MultiMedia" data-hw-document-href="tp12146" data-hw-section="tp12146-sec" rel="MultiMedia" hw:document-type="MultiMedia" hw:document-href="tp12146" data-hwid="tp12146" hw:section-href="tp12146-sec" hw:link-type="image" href="?id=tp12146#tp12146-sec"><span class="HwLinkText">deviated nasal septum</span></a>.</li><li>Colds, allergies, or sinus infections.</li><li>High blood pressure.</li><li>Kidney disease.</li><li>Liver disease.</li><li>Blood clotting disorders. These include <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sth149702" data-hw-section="sth149702-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sth149702" data-hwid="sth149702" hw:section-href="sth149702-sec" href="?id=sth149702#sth149702-sec"><span class="HwLinkText">hemophilia</span></a>, <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stl158137" data-hw-section="stl158137-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stl158137" data-hwid="stl158137" hw:section-href="stl158137-sec" href="?id=stl158137#stl158137-sec"><span class="HwLinkText">leukemia</span></a>, <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stt11273" data-hw-section="stt11273-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stt11273" data-hwid="stt11273" hw:section-href="stt11273-sec" href="?id=stt11273#stt11273-sec"><span class="HwLinkText">thrombocytopenia</span></a>, and <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stv5464" data-hw-section="stv5464-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stv5464" data-hwid="stv5464" hw:section-href="stv5464-sec" href="?id=stv5464#stv5464-sec"><span class="HwLinkText">von Willebrand's disease</span></a>.</li><li>Abnormal blood vessels in the nose.</li></ul></li> <li>Medicines, such as: <ul><li>Those that affect blood clotting. These include aspirin, other <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sta123312" data-hw-section="sta123312-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sta123312" data-hwid="sta123312" hw:section-href="sta123312-sec" href="?id=sta123312#sta123312-sec"><span class="HwLinkText">blood thinners</span></a>, and nonsteroidal anti-inflammatory drugs (<a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="stn166055" data-hw-section="stn166055-sec" rel="Definition" hw:document-type="Definition" hw:document-href="stn166055" data-hwid="stn166055" hw:section-href="stn166055-sec" href="?id=stn166055#stn166055-sec"><span class="HwLinkText">NSAIDs</span></a>).</li><li>Cold and allergy medicines.</li><li>Oxygen.</li><li>Nasal inhalers, such as Afrin.</li><li>Steroid nasal sprays.</li></ul></li> <li>Nasal use of <a class="HwLinkDefinition" data-hw-type="Definition" data-hw-document-href="sts15200" data-hw-section="sts15200-sec" rel="Definition" hw:document-type="Definition" hw:document-href="sts15200" data-hwid="sts15200" hw:section-href="sts15200-sec" href="?id=sts15200#sts15200-sec"><span class="HwLinkText">illegal drugs</span></a>, such as cocaine and amphetamines.</li> </ul> <p fingerprint="ca503575" fingerprint-exact="46890372">A less common but more serious type of nosebleed starts in the back of the nose (posterior epistaxis). It often involves both nostrils. Large amounts of blood may run down the back of the throat. This type occurs more often in older adults because of other health problems they may have. Medical treatment will be needed to control the bleeding from this type of nosebleed.</p> </div><div class="HwNavigationSection HwSectionCYS" id="sec-hw98177"><h2 class="HwSectionTitle" fingerprint="1bc87b1b" fingerprint-exact="d719d6f6">Check Your Symptoms</h2><div><div class="HwAsset" hw:assetid="nosbd"> <div id="HwSxBody" data-hw-version="4.0.3.2"><div class="HwSxQuestion HwSxTrunkQuestion HwSxTopicConfirmationQuestion" id="HwSxQuestion1366" data-hw-entity-key="1366" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Do you have a nosebleed problem?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2890" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2890" data-hw-parent-entity-key="1366">Yes</div><div class="HwSxAnswerSummary">Nosebleed problem</div></div><div class="HwSxAnswer" id="HwSxAnswer2891" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="2891" data-hw-parent-entity-key="1366">No</div><div class="HwSxAnswerSummary">Nosebleed problem</div></div></div></div><div class="HwSxQuestion HwSxAge" id="HwSxQuestion616" data-hw-entity-key="616" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">How old are you? </div><div class="HwSxAnswerSet"><div class="HwSxAnswer HwSxAgeResponse" id="HwSxAnswer1332" data-hw-type="HwSxDemographicsAnswer" data-hw-age-range="47"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="1332" data-hw-parent-entity-key="616">Less than 4 years</div><div class="HwSxAnswerSummary">Less than 4 years</div></div><div class="HwSxAnswer HwSxAgeResponse" id="HwSxAnswer1333" data-hw-type="HwSxDemographicsAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="1333" data-hw-parent-entity-key="616">4 years or older</div><div class="HwSxAnswerSummary">4 years or older</div></div></div></div><div class="HwSxQuestion HwSxNonTopic" id="HwSxQuestion30" data-hw-entity-key="30" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Are you male or female?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer HwSxGenderResponse" id="HwSxAnswer71" data-hw-type="HwSxDemographicsAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="71" data-hw-parent-entity-key="30">Male</div><div class="HwSxAnswerSummary">Male</div></div><div class="HwSxAnswer HwSxGenderResponse" id="HwSxAnswer70" data-hw-type="HwSxDemographicsAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="70" data-hw-parent-entity-key="30">Female</div><div class="HwSxAnswerSummary">Female</div></div></div><div id="SxWhyAskDiv"><button id="SxWhyAskAccordianBtn" tabindex="0" aria-expanded="false" aria-controls="SxWhyAskBodyDiv" type="button" aria-live="assertive"><div class="SxWhyAskAccordion">Why do we ask this question?</div><div class="SxWhyAskAccordion SxWhyAskAccordionArrow_Down" id="SxWhyAskAccordionArrow"> </div></button><div id="SxWhyAskBodyDiv" role="tabpanel"><div class="SxWhyAskParaChild" id="SxWhyAskHeaderDiv" tabindex="-1"><h4>The medical assessment of symptoms is based on the body parts you have.</h4></div><div class="SxWhyAskParaChild" id="SxWhyAskParaDiv" tabindex="-1"><ul><li>If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you <b>now</b> have in the area where you are having symptoms.</li><li>If your symptoms aren’t related to those organs, you can choose the gender you identify with.</li><li>If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.</li></ul></div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion222" data-hw-entity-key="222" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Have you had a head injury in the past 24 hours?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer498" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="498" data-hw-parent-entity-key="222">Yes</div><div class="HwSxAnswerSummary">Head injury in past 24 hours</div></div><div class="HwSxAnswer" id="HwSxAnswer499" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="499" data-hw-parent-entity-key="222">No</div><div class="HwSxAnswerSummary">Head injury in past 24 hours</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion1455" data-hw-entity-key="1455" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Have you had a nose injury in the past 2 weeks?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer3072" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="3072" data-hw-parent-entity-key="1455">Yes</div><div class="HwSxAnswerSummary">Nose injury in past 2 weeks</div></div><div class="HwSxAnswer" id="HwSxAnswer3073" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="3073" data-hw-parent-entity-key="1455">No</div><div class="HwSxAnswerSummary">Nose injury in past 2 weeks</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion747" data-hw-entity-key="747" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Do you have symptoms of shock?</div><div class="HwSxQuestionSubText">The <a class="quickdefine HwSxDefinition" href="#tf6947">symptoms in an adult or older child</a> are different than the <a class="quickdefine HwSxDefinition" href="#tf6948">symptoms in a young child</a>.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer1612" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="1612" data-hw-parent-entity-key="747">Yes</div><div class="HwSxAnswerSummary">Symptoms of shock</div></div><div class="HwSxAnswer" id="HwSxAnswer1613" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="1613" data-hw-parent-entity-key="747">No</div><div class="HwSxAnswerSummary">Symptoms of shock</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion12" data-hw-entity-key="12" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Are you having <a class="quickdefine HwSxDefinition" href="#abj7485">trouble breathing</a> (more than a stuffy nose)?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer25" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="25" data-hw-parent-entity-key="12">Yes</div><div class="HwSxAnswerSummary">Difficulty breathing more than a stuffy nose</div></div><div class="HwSxAnswer" id="HwSxAnswer26" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="26" data-hw-parent-entity-key="12">No</div><div class="HwSxAnswerSummary">Difficulty breathing more than a stuffy nose</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion1102" data-hw-entity-key="1102" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Would you describe the breathing problem as severe, moderate, or mild?</div><div class="HwSxQuestionSubText">The <a class="quickdefine HwSxDefinition" href="#tf6939">symptoms in an adult or older child</a> are different than the <a class="quickdefine HwSxDefinition" href="#tf6940">symptoms in a young child or baby</a>.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2346" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2346" data-hw-parent-entity-key="1102">Severe</div><div class="HwSxAnswerSummary">Severe difficulty breathing</div></div><div class="HwSxAnswer" id="HwSxAnswer2347" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2347" data-hw-parent-entity-key="1102">Moderate</div><div class="HwSxAnswerSummary">Moderate difficulty breathing</div></div><div class="HwSxAnswer" id="HwSxAnswer2348" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2348" data-hw-parent-entity-key="1102">Mild</div><div class="HwSxAnswerSummary">Mild difficulty breathing</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion1367" data-hw-entity-key="1367" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Is your nose bleeding now?</div><div class="HwSxQuestionSubText">If it is, try to <a class="quickdefine HwSxDefinition" href="#tf7222">stop the bleeding</a>.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2892" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2892" data-hw-parent-entity-key="1367">Yes</div><div class="HwSxAnswerSummary">Nosebleed now</div></div><div class="HwSxAnswer" id="HwSxAnswer2893" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="2893" data-hw-parent-entity-key="1367">No</div><div class="HwSxAnswerSummary">Nosebleed now</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion1368" data-hw-entity-key="1368" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Would you describe the nosebleed as <a class="quickdefine HwSxDefinition" href="#tf7221">severe, moderate, or mild</a>?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2894" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2894" data-hw-parent-entity-key="1368">Severe</div><div class="HwSxAnswerSummary">Severe nosebleed</div></div><div class="HwSxAnswer" id="HwSxAnswer2895" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2895" data-hw-parent-entity-key="1368">Moderate</div><div class="HwSxAnswerSummary">Moderate nosebleed</div></div><div class="HwSxAnswer" id="HwSxAnswer2896" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2896" data-hw-parent-entity-key="1368">Mild</div><div class="HwSxAnswerSummary">Mild nosebleed</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion1270" data-hw-entity-key="1270" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Can you stop the bleeding?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2685" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2685" data-hw-parent-entity-key="1270">Yes</div><div class="HwSxAnswerSummary">Able to stop bleeding</div></div><div class="HwSxAnswer" id="HwSxAnswer2686" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2686" data-hw-parent-entity-key="1270">No</div><div class="HwSxAnswerSummary">Unable to stop bleeding</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion1369" data-hw-entity-key="1369" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Have you <a class="quickdefine HwSxDefinition" href="#tf7222">kept the nose pinched shut</a> for at least 20 minutes? </div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2897" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2897" data-hw-parent-entity-key="1369">Yes</div><div class="HwSxAnswerSummary">Has tried to stop nosebleed with direct pressure for at least 20 minutes</div></div><div class="HwSxAnswer" id="HwSxAnswer2898" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="2898" data-hw-parent-entity-key="1369">No</div><div class="HwSxAnswerSummary">Has tried to stop nosebleed with direct pressure for at least 20 minutes</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion487" data-hw-entity-key="487" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Do you feel lightheaded or dizzy, like you are going to faint?</div><div class="HwSxQuestionSubText">It's normal for some people to feel a little lightheaded when they first stand up. But anything more than that may be serious.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer1060" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="1060" data-hw-parent-entity-key="487">Yes</div><div class="HwSxAnswerSummary">Feels faint</div></div><div class="HwSxAnswer" id="HwSxAnswer1061" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="1061" data-hw-parent-entity-key="487">No</div><div class="HwSxAnswerSummary">Feels faint</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion1370" data-hw-entity-key="1370" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Do you take a medicine that affects the blood's ability to clot?</div><div class="HwSxQuestionSubText">This may include blood thinners and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen. These medicines can cause bleeding and can make it harder to control bleeding.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2899" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2899" data-hw-parent-entity-key="1370">Yes</div><div class="HwSxAnswerSummary">Takes medicine that affects blood's ability to clot</div></div><div class="HwSxAnswer" id="HwSxAnswer2900" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="2900" data-hw-parent-entity-key="1370">No</div><div class="HwSxAnswerSummary">Takes medicine that affects blood's ability to clot</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion1371" data-hw-entity-key="1371" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Have you had more than 1 nosebleed in the past 24 hours?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2901" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2901" data-hw-parent-entity-key="1371">Yes</div><div class="HwSxAnswerSummary">More than 1 nosebleed in past 24 hours</div></div><div class="HwSxAnswer" id="HwSxAnswer2902" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="2902" data-hw-parent-entity-key="1371">No</div><div class="HwSxAnswerSummary">More than 1 nosebleed in past 24 hours</div></div></div></div><div class="HwSxQuestion HwSxTrunkQuestion" id="HwSxQuestion1373" data-hw-entity-key="1373" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Are you having nosebleeds more often than is normal for you?</div><div class="HwSxQuestionSubText">Some people get nosebleeds from time to time. What you are looking for is an increase in how often they occur.</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2905" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2905" data-hw-parent-entity-key="1373">Yes</div><div class="HwSxAnswerSummary">Frequent nosebleeds</div></div><div class="HwSxAnswer" id="HwSxAnswer2906" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="2906" data-hw-parent-entity-key="1373">No</div><div class="HwSxAnswerSummary">Frequent nosebleeds</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion1375" data-hw-entity-key="1375" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Have you had more than 4 nosebleeds in 1 week?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer2909" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="2909" data-hw-parent-entity-key="1375">Yes</div><div class="HwSxAnswerSummary">More than 4 nosebleeds in 1 week</div></div><div class="HwSxAnswer" id="HwSxAnswer2910" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="2910" data-hw-parent-entity-key="1375">No</div><div class="HwSxAnswerSummary">More than 4 nosebleeds in 1 week</div></div></div></div><div class="HwSxQuestion" id="HwSxQuestion285" data-hw-entity-key="285" data-hw-type="HwSxQuestion"><div class="HwSxQuestionText">Are you <a class="quickdefine HwSxDefinition" href="#tf6997">bleeding</a> anywhere else?</div><div class="HwSxAnswerSet"><div class="HwSxAnswer" id="HwSxAnswer632" data-hw-type="HwSxAnswer"><div class="HwSxConfirmation HwSxAnswerText HwSxEntity" data-hw-entity-key="632" data-hw-parent-entity-key="285">Yes</div><div class="HwSxAnswerSummary">Bleeding from other sites</div></div><div class="HwSxAnswer" id="HwSxAnswer633" data-hw-type="HwSxAnswer"><div class="HwSxAnswerText HwSxEntity" data-hw-entity-key="633" data-hw-parent-entity-key="285">No</div><div class="HwSxAnswerSummary">Bleeding from other sites</div></div></div></div><div class="HwSxDefinition" id="HwSxIdhealthrisks"><p>Many things can affect how your body responds to a symptom and what kind of care you may need. These include:</p><ul><li><b>Your age</b>. Babies and older adults tend to get sicker quicker.</li><li><b>Your overall health</b>. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.</li><li><b>Medicines you take</b>. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.</li><li><b>Recent health events</b>, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.</li><li><b>Your health habits and lifestyle</b>, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.</li></ul></div><div class="HwSxDisposition HwSxDisposition_green" id="HwSxIdgreen"><div class="HwDispositionTop"> </div><h3 class="HwSxDispositionHeading">Try Home Treatment</h3><div class="HwSxDispositionActionText"><p>You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.</p></div><div class="HwSxDispositionNextSteps"><ul><li>Try home treatment to relieve the symptoms.</li><li>Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.</li></ul></div><div class="HwSxDispositionLinks"><div class="HwSxHomeTreatmentLink"><a data-hw-type="Symptom" data-hw-document-href="nosbd" data-hw-section="hw98289" hw:section-href="hw98289" hw:document-href="nosbd" hw:document-type="Symptom" href="?id=nosbd#hw98289">HomeTreatment</a></div><div class="HwSxRelatedInformationLink"><a data-hw-type="Symptom" data-hw-document-href="nosbd" data-hw-section="nosbd-RelInfo" hw:section-href="nosbd-RelInfo" hw:document-href="nosbd" hw:document-type="Symptom" href="?id=nosbd#nosbd-RelInfo">RelatedInformation</a></div><div class="HwSxWhereToGoLink"><a data-hw-type="Symptom" data-hw-document-href="abs1987" data-hw-section="abs1988" hw:section-href="abs1988" hw:document-href="abs1987" hw:document-type="Symptom" href="?id=abs1987#abs1988">WhereToGo</a></div></div><div class="HwDispositionBottom"> </div></div><div class="HwSxDefinition" id="HwSxIdtf7222"><p><b>To stop a nosebleed</b>:</p><ul><li>Gently blow your nose to clear any clots.</li><li>Sit up straight, and tip your head slightly forward. (Do not tilt your head back. This may cause blood to run down your throat and make you vomit.)</li><li>Pinch the front, soft part of your nose shut with your thumb and index finger for at least 5 minutes.</li><li>After 5 minutes, check to see if your nose is still bleeding. If it is, pinch it shut for 10 more minutes. Most nosebleeds will stop after 10 to 20 minutes of pressure.</li></ul></div><div class="HwSxDefinition" id="HwSxIdabj7485"><p><b>Symptoms of difficulty breathing</b> can range from mild to severe. For example:</p><ul><li>You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).</li><li>It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf6939"><p><b>Severe trouble breathing</b> means:</p><ul><li>You cannot talk at all.</li><li>You have to work very hard to breathe.</li><li>You feel like you can't get enough air.</li><li>You do not feel alert or cannot think clearly.</li></ul><p><b>Moderate trouble breathing</b> means:</p><ul><li>It's hard to talk in full sentences.</li><li>It's hard to breathe with activity.</li></ul><p><b>Mild trouble breathing</b> means:</p><ul><li>You feel a little out of breath but can still talk.</li><li>It's becoming hard to breathe with activity.</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf6940"><p><b>Severe trouble breathing</b> means:</p><ul><li>The child cannot eat or talk because he or she is breathing so hard.</li><li>The child's nostrils are flaring and the belly is moving in and out with every breath.</li><li>The child seems to be tiring out.</li><li>The child seems very sleepy or confused.</li></ul><p><b>Moderate trouble breathing</b> means:</p><ul><li>The child is breathing a lot faster than usual.</li><li>The child has to take breaks from eating or talking to breathe.</li><li>The nostrils flare or the belly moves in and out at times when the child breathes.</li></ul><p><b>Mild trouble breathing</b> means:</p><ul><li>The child is breathing a little faster than usual.</li><li>The child seems a little out of breath but can still eat or talk.</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf7221"><p>A <b>nosebleed is severe</b> if:</p><ul><li>You have moderate to large amounts of blood even after you have pinched the nose shut for 10 minutes.</li><li>Your nose is still bleeding even after 15 full minutes of direct pressure.</li></ul><p>A <b>nosebleed is moderate</b> if:</p><ul><li>You have some bleeding, but direct pressure stops it within 15 minutes.</li><li>The nose bleeds small amounts of blood more than 3 times in 24 hours.</li></ul><p>A <b>nosebleed is mild</b> if:</p><ul><li>You have a little bleeding, but direct pressure stops it within 10 minutes.</li><li>The nose bleeds no more than 3 times in 24 hours, and each time the bleeding is mild.</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf6947"><p>Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.</p><p>Adults and older children often have several symptoms of shock. These include:</p><ul><li>Passing out (losing consciousness).</li><li>Feeling very dizzy or lightheaded, like you may pass out.</li><li>Feeling very weak or having trouble standing.</li><li>Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf6948"><p>Shock is a life-threatening condition that may occur quickly after a sudden illness or injury.</p><p>Babies and young children often have several symptoms of shock. These include:</p><ul><li>Passing out (losing consciousness).</li><li>Being very sleepy or hard to wake up.</li><li>Not responding when being touched or talked to.</li><li>Breathing much faster than usual.</li><li>Acting confused. The child may not know where he or she is.</li></ul></div><div class="HwSxDefinition" id="HwSxIdtf6997"><p><b>Abnormal bleeding</b> means any heavy or frequent bleeding or any bleeding that is not normal for you. Examples of abnormal bleeding include:</p><ul><li>Nosebleeds.</li><li>Vaginal bleeding that is different (heavier, more frequent, at a different time of month) than what you are used to.</li><li>Rectal bleeding and bloody stools.</li><li>Bloody or pink urine.</li><li>Gums that bleed easily when you eat or gently brush your teeth.</li></ul><p>When you have abnormal bleeding in one area of your body, it's important to think about whether you have been bleeding anywhere else. This can be a symptom of a more serious health problem.</p></div><div class="HwSxDisposition HwSxDisposition_red" id="HwSxIdred"><div class="HwDispositionTop"> </div><h3 class="HwSxDispositionHeading">Seek Care Now</h3><div class="HwSxDispositionActionText"><p>Based on your answers, <b>you may need care right away</b>. The problem is likely to get worse without medical care.</p></div><div class="HwSxDispositionNextSteps"><ul><li>Call your doctor now to discuss the symptoms and arrange for care.</li><li>If you cannot reach your doctor or you don't have one, seek care in the next hour.</li><li>You do not need to call an ambulance unless: <ul><li>You cannot travel safely either by driving yourself or by having someone else drive you.</li><li>You are in an area where heavy traffic or other problems may slow you down.</li></ul></li></ul></div><div class="HwDispositionBottom"> </div></div><div class="HwSxDisposition HwSxDisposition_yellow" id="HwSxIdyellow"><div class="HwDispositionTop"> </div><h3 class="HwSxDispositionHeading">Seek Care Today</h3><div class="HwSxDispositionActionText"><p>Based on your answers, <b>you may need care soon</b>. The problem probably will not get better without medical care.</p></div><div class="HwSxDispositionNextSteps"><ul><li>Call your doctor today to discuss the symptoms and arrange for care.</li><li>If you cannot reach your doctor or you don't have one, seek care today.</li><li>If it is evening, watch the symptoms and seek care in the morning.</li><li>If the symptoms get worse, seek care sooner.</li></ul></div><div class="HwSxDispositionLinks"><div class="HwSxHomeTreatmentLink"><a data-hw-type="Symptom" data-hw-document-href="nosbd" data-hw-section="hw98289" hw:section-href="hw98289" hw:document-href="nosbd" hw:document-type="Symptom" href="?id=nosbd#hw98289">HomeTreatment</a></div><div class="HwSxRelatedInformationLink"><a data-hw-type="Symptom" data-hw-document-href="nosbd" data-hw-section="nosbd-RelInfo" hw:section-href="nosbd-RelInfo" hw:document-href="nosbd" hw:document-type="Symptom" href="?id=nosbd#nosbd-RelInfo">RelatedInformation</a></div><div class="HwSxWhereToGoLink"><a data-hw-type="Symptom" data-hw-document-href="abs1987" data-hw-section="abs1988" hw:section-href="abs1988" hw:document-href="abs1987" hw:document-type="Symptom" href="?id=abs1987#abs1988">WhereToGo</a></div></div><div class="HwDispositionBottom"> </div></div><div class="HwSxDisposition HwSxDisposition_emergency" id="HwSxIdemergency"><div class="HwDispositionTop"> </div><h3 class="HwSxDispositionHeading">Call <span class="HwSxEmergencyNumber">911</span> Now</h3><div class="HwSxDispositionActionText"><p>Based on your answers, you need emergency care.</p></div><div class="HwSxDispositionNextSteps"><p><b>Call <span class="HwSxEmergencyNumber">911</span> or other emergency services now</b>.</p><p>Sometimes people don't want to call <span class="HwSxEmergencyNumber">911</span>. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call <span class="HwSxEmergencyNumber">911</span> for medical transport to the hospital.</p></div><div class="HwDispositionBottom"> </div></div><div class="HwSxDisposition HwSxDisposition_black" id="HwSxIdblack"><div class="HwDispositionTop"> </div><h3 class="HwSxDispositionHeading">Make an Appointment</h3><div class="HwSxDispositionActionText"><p>Based on your answers, the problem may not improve without medical care.</p></div><div class="HwSxDispositionNextSteps"><ul><li>Make an appointment to see your doctor in the next 1 to 2 weeks.</li><li>If appropriate, try home treatment while you are waiting for the appointment.</li><li>If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.</li></ul></div><div class="HwSxDispositionLinks"><div class="HwSxHomeTreatmentLink"><a data-hw-type="Symptom" data-hw-document-href="nosbd" data-hw-section="hw98289" hw:section-href="hw98289" hw:document-href="nosbd" hw:document-type="Symptom" href="?id=nosbd#hw98289">HomeTreatment</a></div><div class="HwSxRelatedInformationLink"><a data-hw-type="Symptom" data-hw-document-href="nosbd" data-hw-section="nosbd-RelInfo" hw:section-href="nosbd-RelInfo" hw:document-href="nosbd" hw:document-type="Symptom" href="?id=nosbd#nosbd-RelInfo">RelatedInformation</a></div><div class="HwSxWhereToGoLink"><a data-hw-type="Symptom" data-hw-document-href="abs1987" data-hw-section="abs1988" hw:section-href="abs1988" hw:document-href="abs1987" hw:document-type="Symptom" href="?id=abs1987#abs1988">WhereToGo</a></div></div><div class="HwDispositionBottom"> </div></div><div class="HwSxTitle" id="HwSxTitlenosei" data-hw-section="aa49624">Nose Injuries</div><div class="HwSxTitle" id="HwSxTitlehdinj" data-hw-section="hw93476">Head Injury, Age 4 and Older</div><div class="HwSxTitle" id="HwSxTitlehead3" data-hw-section="hw93719">Head Injury, Age 3 and Younger</div></div></div></div></div><div class="HwNavigationSection HwSectionSpecialSection" id="sec-hw98289"><h2 class="HwSectionTitle" fingerprint="1d4dc8a4" fingerprint-exact="5c91135b">Self-Care</h2> <h3 class="HwSubSectionTitle" fingerprint="ea375be6" fingerprint-exact="104c44fe">How to stop a nosebleed</h3> <figure class="HwMedicalImage HwMedicalImageWrapper hw-medical-figure HwMedicalImageOptional" data-hw-width="460"><img class="HwMedicalImage" data-hw-resource-path="media/medical/hw/hwkb17_066.jpg" data-hw-height="300" data-hw-width="460" src="https://ixbapi.healthwise.net/Resource/14.3/en-us/media/medical/hw/hwkb17_066.jpg" hw:resource-path="media/medical/hw/hwkb17_066.jpg" alt="Man pinching nose to stop a nosebleed." hw:release-quarter="14.3"></figure> <p fingerprint="1d281eb8" fingerprint-exact="fac0147c">Follow these steps to stop a nosebleed.</p> <ol fingerprint="3e4acb91" fingerprint-exact="cef7e772"> <li>Gently blow your nose to clear any clots. </li> <li>Sit up straight and tip your head slightly forward. <p>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.</p></li> <li>Use your thumb and forefinger to firmly pinch the soft part of your nose shut. <p>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. </p><p>Spraying the nose with a decongestant nasal spray like oxymetazoline (Afrin) before applying pressure may help stop a nosebleed. Be safe with medicines. Read and follow all instructions on the label. </p><p>You will have to breathe through your mouth.</p></li> <li>Keep pinching for at least 15 minutes. <p>Use a clock to time the 15 minutes. It can seem like a long time. Resist the urge to peek after a few minutes to see if your nose has stopped bleeding.</p></li> <li>Check to see if your nose is still bleeding after 15 minutes. <p>If it is, hold it for 10 to 15 more minutes. Most nosebleeds will stop after 10 to 20 minutes of direct pressure.</p></li> <li>Put a thin layer of a saline- or water-based nasal gel, such as NasoGel, or an antiseptic nasal cream inside your nose. <p>Do not blow your nose or put anything else inside your nose for several hours after the bleeding has stopped.</p></li> <li>Rest quietly for a few hours. </li> </ol> <h3 class="HwSubSectionTitle" fingerprint="c5b2b5b7" fingerprint-exact="1ca93d88">When to call for help during self-care</h3> <p fingerprint="0c6430b7" fingerprint-exact="37647145">Call a doctor if any of the following occur during self-care at home:</p> <ul fingerprint="4147d1bb" fingerprint-exact="4dc4e482"> <li>Your nose is still bleeding after you have pinched the nose shut 2 times for 15 minutes each time (30 minutes total).</li> <li>Nosebleeds occur 4 or more times in 1 week.</li> <li>Symptoms occur more often or are more severe.</li> </ul> <h3 class="HwSubSectionTitle" fingerprint="ffd3beac" fingerprint-exact="500b4a26">Watch</h3> <div class="HwOptionalAll"> <div class="hwMediaLinks"> <ul fingerprint="e78e6213" fingerprint-exact="be802f94"> <li class="HwOptionalAny"> <a class="HwLinkMultiMedia" data-hw-type="MultiMedia" data-hw-document-href="abo6231" data-hw-section="abo6231-sec" rel="MultiMedia" hw:document-type="MultiMedia" hw:document-href="abo6231" data-hwid="abo6231" hw:section-href="abo6231-sec" hw:link-type="video" href="?id=abo6231#abo6231-sec"><span class="HwLinkText">How to Stop a Nosebleed</span><br><img class="HwMediaImage" data-hw-resource-path="media/thumbnails/abo6231_416x312.jpg" hw:resource-path="media/thumbnails/abo6231_416x312.jpg" src="https://ixbapi.healthwise.net/Resource/14.3/en-us/media/thumbnails/abo6231_416x312.jpg" width="416" height="312" alt hw:release-quarter="14.3"></a> </li> </ul> </div> </div> </div><div class="HwNavigationSection HwSectionSpecialSection" id="sec-hw98335"><h2 class="HwSectionTitle" fingerprint="e957cf0e" fingerprint-exact="9f06dbb7">Preparing For Your Appointment</h2> <div class="HwOptionalAll"> <div class="hwSecLinks"> <p fingerprint="9351063e" fingerprint-exact="ae0777b1">You can help your doctor diagnose and treat your condition by being prepared for your appointment.</p> <ul fingerprint="b41d9a77" fingerprint-exact="dafa4155"> <li class="HwOptionalAny"> <a data-hw-type="Special" data-hw-document-href="hw226888" data-hw-section="acm4246" hw:document-type="Special" hw:document-href="hw226888" data-hwid="hw226888" hw:section-href="acm4246" href="?id=hw226888#acm4246">Making the Most of Your Appointment</a> </li> </ul> </div> </div> </div><div class="HwNavigationSection HwSectionRelatedInformation" id="sec-nosbd-RelInfo"><h2 class="HwSectionTitle" fingerprint="d5f858e0" fingerprint-exact="c0ffe04b">Related Information</h2><ul fingerprint="f9cbcb49" fingerprint-exact="52c4b4c2"><li class="HwOptionalAny"><a data-hw-type="Symptom" data-hw-document-href="obnos" data-hw-section="hw98704" hw:document-type="Symptom" hw:document-href="obnos" data-hwid="obnos" hw:section-href="hw98704" href="?id=obnos#hw98704">Objects in the Nose</a></li></ul></div><div class="HwNavigationSection HwCreditsSection HwSectionCredits" id="sec-nosbd-Credits"><h2 class="HwSectionTitle">Credits</h2><div class="HwContentInformation"><div class="HwLastUpdated"><p><span class="HwInfoLabel">Current as of: </span> September 27, 2023</p></div><div class="HwCredits"><p><span class="HwInfoLabel">Author: </span><a class="HwLinkExternal" href="https://www.healthwise.org/specialpages/legal/abouthw/en" title="Opens in a new window"><span class="HwLinkText">Ignite Healthwise, LLC Staff</span></a><br><span><b><a class="HwLinkExternal" href="https://www.healthwise.org/specialpages/legal/abouthw/en" title="Opens in a new window"><span class="HwLinkText">Clinical Review Board</span></a></b></span><br>All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.</p></div></div></div></div><div class="HwCustom" id="HwCustomContentBottom"> </div><div class="HwContentNavigation"><div class="HwSectionNavItem" style="display:block" id="secNav-hw98156"><div class="HwContentNavigationNone"> </div><div class="HwContentNavigationTop"><a href="#top">Top of the page</a></div><div class="HwContentNavigationNext"><p>Next Section: </p><a class="HwLinkNavstack" data-hw-type="Symptom" data-hw-document-href="nosbd" data-hw-section="hw98177" id="nextLink-hw98177" hw:document-type="Symptom" hw:document-href="nosbd" data-hwid="nosbd" hw:section-href="hw98177" href="?id=nosbd#hw98177">Check Your Symptoms</a><span class="HwNavLinkArrow" aria-hidden="true"> »</span></div><div class="HwClear"> </div></div><div class="HwSectionNavItem" style="display:none" id="secNav-hw98177"><div class="HwContentNavigationPrev"><p>Previous Section: </p><span class="HwNavLinkArrow" aria-hidden="true">« </span><a 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