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5 Common Causes of Nosebleeds and Proven Ways to Stop Them

5 Common Causes of Nosebleeds and Proven Ways to Stop Them

Frequent nosebleeds can be alarming and disruptive. Drawing from medical insights, we've outlined five common triggers and reliable methods to manage them effectively. Always consult a healthcare professional for persistent issues.

1. Dry Air from Temperature Changes

Shifts between cold outdoor air and warm indoor heating in winter—or air conditioning in summer—can dry out your nasal passages. Just like chapped lips, this leads to cracks in the delicate lining inside your nose, causing bleeding.

Related reading: 'Do I have a cold or allergy?'

2. Excessive Nose Blowing or Picking

Frequent nose blowing during colds or allergies, or habitual picking, irritates the nasal tissue and vessels. You might notice streaks of blood rather than heavy flow. Minimize touching your nose; try steam inhalation for congestion or consult your doctor about allergies.

3. Allergies and Nasal Sprays

Allergies prompt repeated blowing, while some antihistamines or decongestant sprays dry out your nose. Use nasal sprays correctly: keep your head upright, use the opposite hand, aim straight back toward the back of your nose (not the septum), and inhale gently as you spray.

4. Certain Medications

Blood thinners, aspirin, and some allergy drugs increase bleeding risk. If nosebleeds start after new medication, speak with your doctor promptly—they may suggest alternatives.

5. Blood Vessel Abnormalities

Rarely, conditions like hereditary hemorrhagic telangiectasia (HHT), or Rendu-Osler-Weber disease, cause underdeveloped vessels prone to bleeding. Frequent nosebleeds are a hallmark symptom. If everyday factors don't explain yours, seek medical evaluation.

How to Stop a Nosebleed

These evidence-based steps can help control bleeding quickly:
1. Pinch Your Nostrils: Use your thumb and index finger to firmly close both nostrils for 10-15 minutes without peeking. Stay upright to avoid swallowing blood, which can cause nausea.
2. Nasal Spray: A decongestant spray constricts blood vessels. Use sparingly—no more than three days—or see a doctor if bleeding persists.
3. Apply Ice: Wrap ice in a cloth and press gently against your nose bridge to narrow vessels and promote clotting.