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Overview

Nasal bleeding (also known as epistaxis) is a common occurrence. Approximately 60% of the population will have at least one nose bleed throughout their lives. Due to the nose’s central placement on the face and the huge number of blood vessels near to the surface of the nasal mucosa in the lining, nasal injuries and nosebleeds are common.They are very delicate and prone to bruises and bleeding. Nosebleeds are more common in adults and children between the ages of 3 and 10 who are suffering from cold symptoms. Blood is drawn from the tissue lining the inside of the nose and expelled when a nosebleed occurs.

While they may be concerning, they seldom signal the presence of a significant medical condition.

Nosebleeds may be divided into two categories. An anterior nosebleed happens when the blood vessels at the front of the nose burst or leak.

The rear or deepest region of the nasal passageways is often the site of a posterior nosebleed. In this scenario, blood flows down the throat. Nasal bleeding from the back of the nose may be quite serious.

Nosebleeds may be caused by a number of circumstances. If you suffer nosebleeds on a frequent basis, you may have a more severe problem. Dry air is the most prevalent cause of nosebleeds. The nasal membranes, which line the inside of the nose, may dry out. A crust develops within the nose as a result of the dryness. The skin may itch or irritate if you have crusting. It is possible for your nose to bleed if it is scraped or plucked.

If a doctor suspects an underlying reason, such as hypertension, anemia, or a nasal fracture, he or she may order testing before recommending a treatment option.

Causes

Nosebleeds may be caused by a variety of factors, the most prevalent of which are dryness (which is often induced by interior heat) and nose picking. These two factors work together to increase the likelihood of frequent nosebleeds: when the nasal mucus is dry and crusty, picking is more likely. Nasal bleeding may occur as a result of a cold on rare occasions.

Injuries, allergies, and the use of illicit substances like cocaine are among the less prevalent causes. Children have a tendency for pushing little things up their nostrils, resulting in nose bleeding. Nasal bleeding in the elderly may be caused by a variety of conditions such as atherosclerosis (artery hardening), infection, hypertension, or abnormal blood coagulation.

If you use blood-thinning medications, you may get persistent nosebleeds.

Recurrent nosebleeds in children are caused by a rare inherited hemorrhagic telangiectasia.

If you suffer nosebleeds on a frequent basis, you may have a more severe problem. Nasal bleeding and bruising, for example, maybe early signs of leukemia in certain people. Blood clotting or blood vessel illness, as well as a nasal tube tumor, may cause nasal bleeding (both non-cancerous and cancerous).

A nosebleed may result from a variety of incidents, such as collapsing, being in a vehicle accident, or getting hit in the face. Post-accident nosebleeds may be caused by nasal fractures, skull fractures, or internal bleeding.

Nose bleeding during pregnancy is frequent due to hormonal changes. They may seem alarming, but they are typically safe and may be treated at home as long as you do not lose a lot of blood.

Nosebleeds can also occur due to covid infection. Other conditions that are associated with bloody nose or random nose bleeds are:

·         Allergies

·         Trauma to the nose

·         Deviated septum

·         Nasal polyps

·         Alcohol usage

When to see a doctor

The majority of nosebleeds are self-limiting. If your nosebleed lasts longer than 20 minutes or if it occurs as a result of an accident, it is suggested that you seek medical attention. This might be a sign of a more serious problem. For instance, chronic nosebleeds are a sign of leukemia.

Consult your doctor if you are experiencing frequent or regular nosebleeds, even if you are able to stop them on your own quite quickly. Determining the root cause of recurrent nosebleeds is critical to treating the condition.

If you get nosebleeds, visit a doctor right away in case it includes a larger than the typical volume of blood.

Nosebleeds, in general, are not life-threatening. Frequent or severe nosebleeds, on the other hand, might suggest more significant health issues, such as high blood pressure or a blood clotting disease, and should be investigated further.

Excessive bleeding over a long period of time may lead to complications such as anemia, which can be fatal.