Most nosebleeds are minor and can be stopped if you apply
direct pressure by pinching your nostrils shut for 10 minutes. See how to stop a nosebleed. Bleeding in the back of the nose (posterior
epistaxis) may cause a heavy nosebleed that continues after 10 to 20 minutes of
home treatment. This type of nosebleed is less common and usually requires
medical treatment to stop the bleeding.
If severe bleeding occurs with signs of
shock, call 911 or other emergency services immediately.
You may be more likely to have problems with nosebleeds
if you have other health problems that affect blood clotting, such as
idiopathic thrombocytopenic purpura. You may also have
more frequent nosebleeds if you take medicines that thin your blood, such as aspirin, warfarin (Coumadin, for example), enoxaparin (Lovenox), clopidogrel (Plavix), or nonsteroidal anti-inflammatory drugs (NSAIDs).
It may be harder to
stop a nosebleed if you have
high blood pressure (hypertension). This is because
blood is pumping at a higher pressure, so it may take longer for your blood to
March 18, 2013
William H. Blahd, Jr., MD, FACEP - Emergency Medicine
& David Messenger, MD
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