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Nosebleed (Epistaxis)

Question:

Was the cause of your nosebleed ever diagnosed? Submit Your Comment

Comment from: RottieMom, 45-54 Female (Patient) Published: January 09

About 6 or 7 years ago I was having frequent heavy nosebleeds. I learned quickly that getting all anxious about them were making them worse. But another thing I learned, at least for me, is I had to get the huge clots out of my nose before they would stop. I don't know why, I just know it had to be done. About 5 years ago I finally had sinus surgery to remove the chronic sinus infection. All was good until this past fall when the sinus infections are back and the bleeding has started again. Sinus surgery was the most difficult recovery I have ever had from surgery. I suffered with vertigo, extreme tiredness and depression. And now the thought of having to do that again just makes me depressed.

Comment from: mharp, 45-54 Female (Patient) Published: October 21

About 5 years ago, out of the blue, my nose started bleeding. If I leaned forward, it would just pour out. I chose to hold my head back and all of the blood went down my throat. I grabbed a cup and started spitting the blood into a cup so I wouldn't make myself sick by swallowing it. It stopped as quickly as it started. Later that night, it started again. I ended up sitting on the bathroom floor with a cup and after almost an hour and completely filling the cup, I had my husband call the dr. (at 11pm). He sent me to er. It had stopped by the time I arrived and they couldn't do anything unless it started bleeding again. After about 30 minutes, it began again. They packed my nose with what looked like green foam curlers. About 1/4" in diameter and 4" long. It hurt like HELL when they inserted them into my nostrils. Later, they gave me morphine for the pain. (I asked them why they didn't do that BEFORE they crammed those things into my nose). Long story I know but, they determined it was coming from the back of my nose and had to transfer me to another hospital where they had an ENT specialist. Finally, at 7 am, they took me into OR, knocked me out and cauterized it. I stayed another night and then went home. My nose was packed and they said it would eventually dissolve. It drove me crazy having that in my nose. For about 6 months after the surgery, the effect of the anesthesia finally wore off. It had left me weak and tired. The packing would come out in clumps and I wasn't supposed to blow my nose. The whole experience was a nightmare and I never want to go through that again. The dr. said that due to the dryer air (winter) and taking aspirin ONCE was what may have caused it. He determined that it was a "fluke" and probably wouldn't happen again. This week, my nose has been bleeding a lot...it's scaring the hell out of me.

Comment from: Bruce, 55-64 (Patient) Published: May 31

I have a low platelet count and had nose bleeds for 30 years. I finally got them under control. I use a small 15 X makeup mirror and small penlight. Every morning I look in my nose for scabbing on the sides of the nostrils. If they appear, I drink 20 ounces of an electrolyte sport drink like Gatorade, or Nuun Active tablets (healthier because no sugar). I wait 45 minutes and look again. Sometimes you need to do 40 ounces. I use a bit of saline spray to moisten the scabs, and sniff. The scabs break off and tissues return to pink. It has been a miracle for me and not had a nosebleed now for over 4 years.

Comment from: Immaculate, 45-54 Female (Patient) Published: January 05

Since my past years I have never had nosebleed. I have been having problems of flu, strong cough but I can't sneeze. Now at the age of 53, I was bending and my nose started bleeding. I bled a lot so I bent my head to release all the blood out. I want to know if there is a cause for this because it has happened twice now.

Comment from: Tink, 35-44 Female (Patient) Published: November 08

I was bending forward and it started dripping then pouring. It stopped after several minutes. I had never had a nosebleed before. They didn't happen every day. Bending forward almost always started another one. No pain, just lots of blood and lots of tissues. I had one that lasted 45 minutes. It would stop for no reason, and start suddenly. I avoided bending forward, afraid of starting another one. I was seeing my doctor for "sinus infections" and a whistle in my nose that I thought was insignificant. I had ignored it for over a year before the nosebleeds. They diagnosed me with cancer of the nose and throat. I had it at least a year before my first nosebleed. I had surgery, and six months of radiation and chemotherapy. Now I'm a 10+ year survivor. Sometimes it's just dry air that causes nosebleed, sometimes it's more serious. Don't ignore any unexplained nosebleeds. See your doctor.

Comment from: Worried Mom, 7-12 Female (Caregiver) Published: September 11

My son is 8 and he has occasional nose bleeds, especially on dry, hot and humid days. Tonight his nose bled for 30 to 45 minutes. He was scared! I wet hand towels in cold water and put them on his neck and the top of his head. Then I put an ice pack on and off on his checks and top of his nose, and it worked! The bleeding finally stopped. I cleaned him up and put a bit of lubricant Aquaphor gel inside his nostrils. I think knowing where to pinch is crucial and maintains the patient fresh and cool too.

Comment from: sharhelpmum, 75 or over Female (Caregiver) Published: July 29

My mum has very heavy nose bleeds. She had one and she woke up on the floor with blood everywhere and her nose was bleeding still, that was 2 hours! I am worried! She has had a blood transfusion because of her heavy bleeds.

Comment from: Izabella , 19-24 Female (Patient) Published: December 11

Ever since I was a baby, my mom told me I would always get nosebleeds. She said I would just open my eyes and my nose would start gushing. My nosebleeds are so bad that they would last for over an hour and I would miss school the next day because I was so drained. I had both nostrils cauterized twice finally when I was about ten. After much testing then we got somewhat of an answer. We found out I'm factor 7 deficient, which means my blood doesn't clot properly.

Comment from: bubbles10102, 25-34 Male Published: July 11

One night my dad was at a hockey game and in the 3rd period, the puck flew over the glass and hit him in the face. He got a broken nose from the hit and had to be taken to the hospital. A week later, he was fine but he was experiencing pressure in his head. My mom and my brother and I were out and my dad was at home. My dad called us around 8:30 pm, but my mom was busy so she didn't answer. He kept on calling and finally at around 9:00 pm. My dad said that his nose had started bleeding non-stop since 8:30 pm. We drove home. My mom dropped my brother and me off at my aunt's house, and then she drove my dad to the ER. His bleeding was critical. His nose was gushing blood for 5 hours without let-up. Finally the doctors used the last thing they could think of (during the 5 hours, doctors were trying different things to stop the bleeding). They were tampon-like things that the put up your nose and inside, they inflate and absorb all the blood. That method worked. My dad had to keep it in for 3 days. The bleeding finally stopped.

Comment from: 75 or over Female Published: April 10

I have a nosebleed almost every morning. When I awake my sinuses are always blocked with mucus and when I blow my nose the bleeding starts.

Comment from: fe, 13-18 Male Published: February 22

My son age 13 likes scratching his nose while his sleeping. But when he wakes up there's blood on his shirt. It normally happens after scratching and picking his nose, its only on one side of his. I consulted a doctor before and after checking his nose, she told that my son doesn't have any nasal hair so it's like inside was so thin and a bit sensitive.

Comment from: Jahommed, Male Published: January 31

I am traveling in China. One night in Beijing at around 10pm my nose began bleeding very heavily from my right nostril. I regularly had nose bleeds which stopped within five to 10 minutes. I expected this one to be no different. Unfortunately after an hour the bleeding had not stopped, at this point I was taken to the emergency department of a local hospital and luckily the ENT doctor was still on duty. A rather interesting character; he soon assured me that the bleeding point was in the forward part of the nose and was most likely caused by the extremely dry and cold weather in Beijing at the time (-15 degrees Celsius). He was however puzzled that the bleeding did not subside. Regardless, he packed my nose with gauze ribbon which unfortunately was extremely painful even with a local anesthetic. Since I was traveling onwards to Southern China the next day, he advised me to see an ENT doctor in 48 hours to have the packing removed. When the packing was removed, the doctor examined my nose and reported that the tissue was infected and the damaged nasal tissue suggested that infection was frequent thus causing the bleeding to take longer to subside and the frequency of nose bleeds to increase given dry enough conditions. He gave me some hydrating nasal spray and vitamin oil for the nose that minimized the effect of dry weather and infection. I will have a blood test on my return to Australia but I am hoping the bleeding does not return, at least while I'm traveling!

Comment from: LucyTwo, 55-64 Female (Patient) Published: December 13

I have never had nose bleeds. On Saturday, my nose started bleeding. I sat down, put tissue in my nose and it stopped bleeding. Later during the night I had another nose bleed, but it took longer to stop. On Sunday at 4:00 am, I woke up, sat up to drink some water and my nose bleed started. It bleed from one nostril. I tried pinching my nose shut for 20 minutes. Once I stopped, my nose started bleeding more, then started bleeding out both nostrils. Ten minutes later I was bleeding from my mouth. It was awful. My husband called 911 and I went to the hospital. My blood pressure was very high when the paramedics came. The hospital could not get the bleeding to stop, so the doctor inserted a balloon into my nose. OUCH. He sent me home to make an appointment with an ENT specialize in 3 days. The balloon was so painful. My nose throbbed. Three days later, I went to an ENT and he could see where the bleeding had occurred. He cauterized the area, stuffed some stuff in my nose and sent me home for a week. Actually, I can feel healing in my nose but like so many others have posted, I am so scared this will happen again. Thank you everyone for your posts. I feel better to know I am not alone in this.

Comment from: ja, 65-74 Female (Patient) Published: May 24

After reading this section briefly, decided where I was pinching was definitely the wrong place and tried the 10 min. at the top of my nose and finally the bleeding quit! Thanks for having the information from others here on this site! I know that it is very late at night and I knew not to lay my head back, but didn't know where to pinch the nose!

Comment from: Geekomatic, 13-18 Male (Caregiver) Published: March 25

My son's horrendous and frequent nosebleeds stopped immediately after being put on meds for his acid reflux (here in Australia).

Comment from: malik parvez, 45-54 Male (Patient) Published: February 16

My doctor told me that my nosebleeds were caused by high blood pressure.

REFERENCES:

Bamimore, O., MD. Acute Epistaxis. Medscape. Updated: Jun 12, 2017.
<http://emedicine.medscape.com/article/764719-overview>

Nguyen, QA, MD. Epistaxis. Medscape. Updated: Jan 15, 2017. Pediatrics.
<http://emedicine.medscape.com/article/994459-overview>

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