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Managing Nosebleeds with a Bleeding Disorder (5019)

Managing Nosebleeds with a Bleeding Disorder (5019) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Ear Nose and Throat


Managing Nosebleeds with a Bleeding Disorder

Nasal cavities are lined with a mucous
membrane which is filled with blood
vessels. If the tissue is injured or broken a
nosebleed may result. Bleeding can result
from very dry air and often becomes worse
in the winter. It can also be caused by
allergies, sneezing, nose-picking, strong
nose blowing, or trauma. Nosebleeds pose
little threat unless they cause large amounts
of blood loss or prevent you from joining in
your normal activities.

How to treat
ξ Gently blow out mucous and large
unstable clots.
ξ Tilt your head forward so blood will
not run down the back of your throat
and cause you to have nausea and
vomiting. Avoid lying down.
ξ Firmly pinch your nose with constant
pressure for a full 10-20 minutes.
You may want to set a timer, read a
book or watch TV during this time.
ξ A soft ice pack over the bridge of the
nose may help to tighten the blood
vessels and slow bleeding.
ξ Do not stuff tissues or other things in
the nose to stop the bleeding.
Removing them often causes re-

After 10-20 minutes of constant pressure,
release the pressure to see if bleeding has
If bleeding continues, call your bleeding
disorders clinic or if you are comfortable,
reapply pressure and consider one of these:

Nonprescription Treatment Options
ξ Topical agents (such as
NasalCEASETM or NosebleedQRR )
ξ AfrinR (Oxymetazoline) nasal spray

Prescription Treatment Options
ξ Antifibrinolytic Medicines:
Aminocaproic Acid (Amicar),
Tranexamic Acid (Lysteda),
Desmopressin/DDAVP (Stimate)

Note: Most pharmacies do not stock
these medicines. If nosebleeds are a
common problem for you it is best to
keep them on hand as it can take 24+
hours for a pharmacy to have them

When to call the doctor
ξ If you or your child is vomiting
blood or coffee ground looking
ξ For any signs/symptoms of anemia
(you or your child are pale, sweaty,
dizzy, short of breath or have
ξ If the nosebleed was caused by a
head or facial injury.
ξ If the bleeding has not stopped after
these treatments or if you have any

To promote healing after a
ξ Keep nasal passages moist. A saline
gel, such as Ayr, followed by a dab
of antibiotic ointment applied at
bedtime for one week often works
ξ Cool mist humidifier
ξ Avoid nose picking and strong nose

To prevent nosebleeds
ξ Keep nasal passages moist by using
lubricating creams or ointments such
as Vaseline, antibiotic ointment,
saline gel or spray throughout the
day and at bedtime.
ξ Use a cool mist humidifier while
ξ Increase fluid intake
ξ Wear scarves to cover the nose in
ξ Avoid smoking and second-hand

Most nosebleeds are harmless and will stop
on their own. However, if nosebleeds
persist, there can be other causes in addition
to a bleeding disorder, such as allergies or
anatomic issues. These may require follow
up with a specialist. Your bleeding
disorders providers can help with referral to
a specialist if needed.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 10/2016 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5019