Nose Bleeds in Adults

Nosebleeds, or epistaxis, in adults can be caused by a variety of factors and often occur due to the fragility of blood vessels in the nasal passages. Here’s an explanation of the causes and treatment options:

Causes of Nosebleeds in Adults:


  • Dry Air: Dry indoor air, especially during winter months or in arid climates, can cause the nasal membranes to dry out and become more susceptible to bleeding.
  • Nasal Trauma: Injury to the nose, such as from picking, blowing too hard, or contact sports, can lead to nosebleeds.
  • Allergies: Allergic reactions to pollen, dust, mold, or other allergens can cause inflammation and irritation in the nasal passages, leading to nosebleeds.
  • Sinus Infections: Infections of the sinuses can cause inflammation and congestion, leading to increased pressure on blood vessels and potential nosebleeds.
  • Nasal Deformities: Structural abnormalities in the nasal passages, such as a deviated septum or nasal polyps, can increase the risk of nosebleeds.
  • Underlying Medical Conditions: Certain medical conditions, such as hypertension (high blood pressure), blood clotting disorders, or chronic liver disease, can contribute to nosebleeds.
  • Nose cancer can also present this way. It is therefore important to evaluate any persistent nose bleeds
  • Medications: Some medications, such as blood thinners (anticoagulants) or nasal sprays used for allergies or congestion, may increase the likelihood of nosebleeds as a side effect.


Treatment Options for Nosebleeds in Adults:


  • First Aid:
    • Sit upright and lean forward slightly to prevent blood from flowing down the throat.
    • Pinch the soft part of the nose, just below the bridge, for about 10-15 minutes to apply pressure and stop the bleeding.
    • Avoid tilting the head back, as this can cause blood to flow into the throat and may lead to swallowing or choking.
  • Moisturize and Hydrate:
    • Use a saline nasal spray or apply a thin layer of petroleum jelly inside the nostrils to keep the nasal passages moist.
    • Drink plenty of fluids to stay hydrated, which helps maintain the moisture levels in the nasal membranes.
  • Avoid Irritants:
    • Refrain from blowing the nose forcefully or picking at it, as this can exacerbate irritation and prolong bleeding.
    • Avoid exposure to known allergens or irritants that may trigger nasal inflammation and bleeding.
  • Medical Interventions:
    • If nosebleeds are frequent or severe, consult a healthcare professional like an Ear Nose Throat Specialist for further evaluation.
    • In some cases, cauterization (sealing off the bleeding blood vessel) or nasal packing may be necessary to stop recurrent nosebleeds.
    • Often a nasal scope of the nose is needed to exclude any significant issues.
  • Address Underlying Conditions:
    • Manage underlying medical conditions, such as hypertension or blood clotting disorders, with the guidance of a healthcare provider.
    • Adjust or monitor medications that may contribute to nosebleeds, under medical supervision.

Remember, while most nosebleeds in adults are minor and resolve with simple home care, seek medical attention if nosebleeds are frequent, prolonged, or accompanied by other concerning symptoms such as dizziness, difficulty breathing, or signs of significant blood loss. Your healthcare provider can offer personalized advice and treatment options based on the underlying cause and severity of the nosebleeds.



Pang Xin Yi
Pang Xin Yi
I consult Dr Pang for various issues - from nose bleed to chronic hives to ear block. He is always very thorough in his work. Dr Pang is very easy to talk to, and always tries to understand not just your condition, but your medical history and the environment you live and work in. He asked thorough questions about my medical and lifestyle history, carried out allergen tests to narrow down possible causes and gave very detailed advice on how to manage my hives condition. Appointment times are also adhered to (give and take 10-15min allowance which I find totally acceptable). Dr Pang also shares treatment options openly but always left it to my own discretion to pick the one I am most comfortable with. I also appreciate his staff for always being friendly and patient, and giving clear instructions when I had tests to take. It’s hard to find a clinic these days where you could have a comfortable and relaxed visit so I am glad that I found them.
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Oriana De Saint Priest
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Poh Wee Koon
Poh Wee Koon
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Stefan Andersson
I’ve had a very good experience at Dr Pang’s clinic. I had concerns around sleep apnea and Dr Pang identified that I was suffering from a lot of different allergies and food sensitivities. Now I’m getting treated for some of these allergies and it has improved my life quality a lot which I’m so grateful for. Him and his team of nurses are also super friendly and down to earth so it’s always a nice experience visiting the clinic as well! Highly recommended.
Elizabeth Lee
Elizabeth Lee
First visit to Dr Pang was almost 10 years ago where he treated my extremely severe allergic rhinitis. My allergies were so bad that I would get attacks triggered every single day in normal environments. Ever since the treatment I have probably only experienced allergy attacks less than 5 times in the past 10 years, and those times I can pinpoint were in dusty conditions. Thank you Dr Pang for changing my life for the better!! Will always be grateful to you and your clinic :)
Aditi Mann
Aditi Mann
Thank you Dr Pang Yoke Teen for helping me to cope with my allergies! I went to Dr Pang after suffering from severe allergies for several years. My nose congestion and eye irritation would completely ruin my quality of life. At the first consultation Dr Pang was able to diagnose the problem and prescribed the necessary medication. I started to feel better after taking the medication for just a couple of days. I have been under Dr Pang’s care for more than 6 months now and I have almost forgotten what it is to have an allergy! A special mention for Sheila and the other staff who also make the experience to the clinic an easy and comfortable one - thank you too!
Shao Wei Tan
Shao Wei Tan
I’ve had a sensitive nose and sinus issues since childhood. After consulting Dr Pang, I went for a surgery and on a course of immunotherapy. It just works — I almost never get runny / blocked nose anymore unless I’m actually sick!
Derrick Tan
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