What are nosebleeds?
A nosebleed is when you bleed from your nose. Nosebleeds are very common, especially in children and in people over 65.
Nosebleeds can be distressing for children, but they can be easily stopped with first aid and don’t cause any longer lasting problems.
What symptoms are related to nosebleeds?
If a nosebleed is caused by a foreign object up the nose, as well as bleeding there may also be pain or itching, a smelly discharge from one nostril and bad breath.
If your nosebleed is caused by hay fever, you may also have a runny, itchy or congested nose, sneezing and itchy or watery eyes.
If you also have symptoms like tiredness, anaemia (making you pale, weak and breathless), repeated infections and lots of bruising, you may have a blood disorder.
CHECK YOUR SYMPTOMS — Use our nosebleeds Symptom Checker and find out if you need to seek medical help.
What causes nosebleeds?
Nosebleeds are caused when the tiny blood vessels on the inside of your nose start to bleed.
Nosebleeds can often occur if you:
- pick your nose
- blow your nose too hard
- strain too hard on the toilet
- have an infection in the nose, throat or sinuses
- have a cold
- receive a bump, knock or blow to the head or face
- have a bunged-up or stuffy nose from an allergy
- are taking some types of medicines, such as anti-inflammatories, blood thinners or nose sprays
You are more likely to get nosebleeds when you are pregnant.
Children often like to experiment by pushing items up their noses. This can make their nose bleed.
When should I see my doctor?
Most nosebleeds are mild and do not last long. You don’t need to see a doctor.
Seek emergency medical help if:
- you are injured
- there is very heavy bleeding
- you are having trouble breathing
- the nosebleed lasts longer than 15 minutes
- a child younger than 2 has a nosebleed
- you are taking blood thinning medication
- you are vomiting blood
Recurring nosebleeds can be a nuisance but are usually nothing to worry about. However, you should discuss them with your doctor as they may want to investigate that there is no underlying medical condition which is causing the bleeds.
If you suspect that your child’s nosebleeds were caused deliberately rather than by accident, you should seek help from a healthcare professional as soon as possible. Consider talking to your doctor, community nurse, emergency department or school nurse.
FIND A HEALTH SERVICE — Our Service Finder can help you find doctors, pharmacies, hospitals and other health services.
How are nosebleeds diagnosed?
If you have a lot of nosebleeds, your doctor may want to investigate the cause. They will do this by asking you about other symptoms you may have. They may order blood tests and refer you to an ear, nose and throat specialist.
How are nosebleeds treated?
A child with a nosebleed may be very frightened or distressed about it. Try to comfort and reassure your children that nosebleeds are very common and lots of other kids get them. It doesn’t mean they are ill, and they will get better very soon.
To treat a nosebleed:
- Lean forward and firmly pinch the nose below the bridge (the bony part), for 10 minutes non-stop.
- Then let go and see if the bleeding has stopped.
- Don’t tilt your head backwards as the blood may go down your throat into your stomach — this can make you feel sick.
- Breathe through your mouth and spit out any blood that enters your mouth.
- You can put an ice pack on your forehead and the back of your neck and suck on ice cubes.
When the bleeding has stopped:
- try not to pick or blow your nose, even if it feels uncomfortable, as this may cause another nosebleed
- avoid any strenuous activity, such as playing sports, for 24 hours after the bleeding has stopped
- don’t pack the nostrils with tissues or cotton wool
If bleeding starts again, repeat the advice above.
If a nosebleed is very heavy and does not stop after 15 minutes of non-stop pressure, you need to go to your nearest emergency department. It may be necessary for a doctor or nurse to pack your nose with dressings to stop the bleeding.
If you have a facial injury that means you cannot put pressure on your nose to stop the bleeding, visit your nearest emergency department for further treatment.
If your child has an object up their nose, don’t try to remove the object yourself. Take your child to your doctor or an emergency department.
If the object falls back into the throat and you or your child start to choke, call an ambulance on triple zero (000). If the object contains chemicals (like a button battery) or is a bean (which can swell) you should go to the Emergency Department.
Can nosebleeds be prevented?
If your nosebleeds persist and become a problem, you may need treatment, such as surgery to cauterise (burn) the blood vessels in the nose. Talk to your doctor about your options.
After you have had a nosebleed, try not to pick your nose. Instead, blow it gently. Prevent the inside of your nose from drying out by using a humidifier or putting a small amount of lubricant cream like Vaseline or paw paw ointment inside your nose.
Drinking plenty of fluids and eating fibre will prevent constipation, so you won’t strain on the toiled which may start another nosebleed.
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Last reviewed: November 2019