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What causes frequent nosebleeds?

Most frequent nosebleeds come from dry air, nose picking, forceful blowing, allergy sprays used wrong, or blood-thinning medicines. The fragile vessels sit just inside the front of the nose.

Stop one properly: lean forward, pinch the soft part firmly for 10 to 15 unbroken minutes, cold on the neck helps. Prevention: humidify, saline spray, petroleum jelly just inside the nostril, aim steroid sprays outward toward the ear.

Bleeds that soak through despite twenty minutes of pressure need emergency care. Frequent bleeds plus easy bruising, or in anyone on blood thinners, deserve a blood check and medication review.

Source: NHS, nosebleed

See a doctor promptly if

  • Bruises appearing with no injury, especially on the trunk, or many at once
  • Bruising with bleeding gums, frequent nosebleeds, or blood in urine or stool
  • Sudden easy bruising with fever, drenching night sweats, or feeling very unwell
  • A large, rapidly swelling, very painful bruise after a minor injury

Why they happen, and which ones matter

ResultIn shortWhat it means
Dry air, picking, rubbingAlmost all of themThe front of the septum has a cluster of fragile vessels sitting just under the surface. Winter heating, air conditioning and a cold are the classic combination.
Nasal sprays and decongestantsCommon and fixableSteroid sprays aimed at the septum rather than out toward the cheek dry and crack it. Changing the angle and adding a saline gel usually stops the bleeding entirely.
Blood thinners and aspirinLonger, not more oftenThey rarely cause the bleed but they make it take longer to stop. That is worth knowing before panicking about frequency.
High blood pressureWeaker link than believedVery high pressure makes a bleed harder to stop, but routine high blood pressure is not a common cause of nosebleeds. It is still worth checking.
Bleeding from the back of the noseNeeds careBlood running down the throat rather than out of the nostril, both nostrils at once, or bleeding you cannot stop in twenty minutes of correct pressure. Go in.
With bruising or bleeding gumsGet bloods doneNosebleeds alongside easy bruising, heavy periods or bleeding elsewhere point at platelets or clotting rather than at the nose.

Correct pressure is the soft part of the nose, pinched firmly, leaning forward, for a full ten minutes without checking. Check it against the guidelines.

Look up another result

A result is rarely the only one on the page. Each of these gives the bands, in both unit systems, and what happens next.

Answered by the AskDoc Medical Team · Medically reviewed under our Medical Director, MBBS · How we review

If you are buying a thermometer

A basic digital stick thermometer is accurate and costs a few dollars. Forehead scanners are fine for quick checks on children; ear thermometers need good technique to read true.

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