The nose is lined with blood vessels. When one or more blood vessels have been injured, this results in a nosebleed. While a gushing nosebleed—especially when it comes out of nowhere—can be a little unnerving, it’s usually nothing to worry about. Nosebleeds are incredibly common. In fact, according to WebMD, about one out of every seven people in the US will experience a nosebleed during their lifetime, with it being most common among children 2-10 years old. Of course, if nosebleeds are a recurring problem, it may be time to talk with an ENT doctor.

• Injury to the nasal membrane
• Picking at your nose
• Cold air
• Dry, heated air
• Repeated use of nasal sprays
• Taking aspirin often
• Blowing your nose regularly
• Respiratory infections (e.g., colds and flu; sinusitis)
• An allergic reaction
• Chemical irritants

• You may have ruptured blood vessels in the lining of the nose
• You could have a polyp or growth in the sinuses or nasal cavity
• You could have a health problem that affects blood clotting
• You could have an inherited condition known as Osler-Weber-Rendu syndrome, which results in abnormal blood vessels in the nose

Nosebleeds happen to most of us at some point during our lifetime. While it can be startling, nosebleeds are typically harmless and nothing to worry about. Of course, if you battle nosebleeds rather regularly you may be wondering what’s going on and whether you should turn to an otolaryngologist for an evaluation. Here’s what you should know about getting a nosebleed.

Common Causes of a Nosebleed

The blood vessels within our nose are very delicate, which means that they are prone to bursting and causing nosebleeds. Therefore, the two most common causes of nosebleeds are nose picking and dry air. Dry air can dry out the nasal passages, which leaves the area prone to infection and cracking.

Other causes include:

• Repeated nose blowing
• Allergies
• Broken nose
• Acute or chronic sinusitis (a sinus infection)
• Common cold
• Irritants
• Certain allergy medications (these medications can dry out the nose)
• Traumatic injury to the nose
• Deviated septum
• Bleeding disorders
• High altitude
• Excessive use of blood thinners or anti-inflammatory medications

There are two main types of nosebleeds: anterior and posterior. An anterior nosebleed is a bleed that originates in the septum of the nose (the wall that separates the two nasal passages). These nosebleeds are minor and can be treated with home care. If your child experiences nosebleeds an anterior nosebleed is usually the cause.

Posterior nosebleeds occur further back in the nose where the artery branches are located. This type of nosebleed is much heavier, occurs more often in adults and may require medical care. While rare, it is possible for a posterior nosebleed to be a sign of high blood pressure or a blood disorder (e.g. hemophilia).

When to See a Doctor

While most people will be able to treat a simple nosebleed on their own without having to seek medical care, it’s important to see a doctor right away if:

• Your nosebleed is affecting your ability to breath
• Bleeding lasts more than 20 minutes
• Your nosebleed is the result of a traumatic injury or accident
• There is a significant amount of blood

While it’s not considered an emergency situation, it is a good idea to talk with your ENT doctor if you or your child experiences nosebleeds often. During an evaluation an ear, nose and throat doctor can ask you questions about your symptoms, perform a quick examination of the nose and determine the underlying cause of your persistent nosebleeds.

If you are concerned about you or your child’s nosebleeds then it’s best to play it safe and to schedule an appointment with an otolaryngologist. Call our office today.