This information is designed to help you cope with any nasal bleeding you may suffer and to suggest ways that may help prevent further episodes.
Often the cause is unknown. However, some causes can include:
The nose has a rich blood supply. Blood capillaries all converge in the nasal septum (the thin piece of cartilage separating the nostrils).
The area of the septum which contains all these blood vessels is known as the Little’s area. Most nosebleeds arise from this point and can be stopped by applying pressure.
Occasionally they can arise from further back in the nose - which makes them more difficult to stop by simply pinching the nose.
It may be helpful to measure the amount of blood loss. We realise that this is difficult, but try to catch any blood in a bowl.
If after 10-15 minutes the bleeding continues attend the nearest accident and emergency department or call an ambulance.
Sometimes very severe nosebleeds may make you feel faint or dizzy, so make sure you are sitting down. (Standing up may lower and already low blood pressure).
Severe nosebleeds can arise higher and further back in the nose. These nosebleeds sometimes do not respond to pressure alone and may require insertion of nasal packing to stop the bleeding. The packs place pressure on the bleeding vessels and so stop the bleeding.
Occasionally the doctor may cauterise the bleeding vessels, which means silver nitrate sticks are inserted into the nostril for a few seconds to seal the bleeding vessel.
If you have had a nasal pack inserted you will need to stay in hospital. This is usually for 24-48 hours to ensure the bleeding will not recur (packs usually remain for up to 24 hours).
In Bristol the ENT department is based at the Bristol Royal Infirmary - and you will be transferred here if you need to stay in.
If you are on anticoagulant or aspirin the doctor should have advised you what to do regarding taking this medication after your nosebleed. If you have not been told what to do with your anticoagulation medication please do ask the emergency department team or your GP.
© North Bristol NHS Trust. This edition published April 2024. Review due April 2027. NBT002300.
Gate 35, Level 0
Brunel building
Southmead Hospital
Southmead Road
Westbury-on-Trym
Bristol
BS10 5NB
Emergency Department Main Reception Gate 35: 0117 4145100 or 0117 4145101