Most nose bleeds come from small blood vessels at the front of the nasal septum and stop with simple first aid. Recurrent bleeds, bleeding from one side only, or bleeding in older adults with high blood pressure should be examined by an ENT specialist.
Nose & Sinus Condition
Nose Bleeding (Epistaxis)
Bleeding from the nose — usually minor, but recurrent or heavy bleeding needs ENT evaluation.
Overview
Common symptoms
- Bleeding from one or both nostrils
- Blood trickling into the throat
- Repeated small bleeds
Common causes
- Dry air and nose picking
- Nasal injury
- High blood pressure
- Blood-thinning medicines
- Deviated septum or nasal growths
How it is diagnosed
Nasal endoscopy to locate the bleeding point
Blood pressure check
Blood tests when needed
Treatment
First aid: sit up, lean forward and pinch the soft part of the nose for 10–15 minutes. In the clinic, the bleeding vessel can be sealed (cautery). Underlying causes such as a deviated septum or growth are treated.
Surgical treatment options
See a doctor promptly if you have:
- Bleeding that doesn't stop after 20 minutes of pressure — go to the nearest hospital
- Heavy bleeding or feeling faint
- Repeated bleeds from one side
Frequently asked questions
No. Lean forward so blood doesn't go into the throat, and pinch the soft part of the nose.
Most are minor, but heavy or recurrent bleeding needs medical attention.
This page is for general patient information and does not replace a medical consultation. The right treatment depends on your examination and test results.
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