Do You Have Constant Nosebleeds? This Could Be Why

Nosebleeds are common, especially in dry climates or during cold and flu season. But if you're getting nosebleeds often, you may wonder if there's something more serious going on. Frequent nosebleeds—also known as recurrent epistaxis—can be a sign of an underlying issue that may need medical evaluation. Here's what you should know about the causes, symptoms, and when to seek help from an ENT specialist at BASS Medical Group.

What Causes Frequent Nosebleeds?

The inside of your nose is filled with tiny, delicate blood vessels that are close to the surface. When these vessels become irritated or damaged, they can easily break, causing bleeding.

Common triggers of nosebleeds include:

• Dry air or indoor heating
• Picking or blowing your nose too hard
• Allergies and nasal sprays
• Upper respiratory infections
• Injury or trauma to the nose
• Blood-thinning medications (aspirin, warfarin)
• High blood pressure
• Structural nasal issues (like a deviated septum)

Children are especially prone to nosebleeds from nose-picking or colds, while adults may notice them more often during winter or when taking certain medications.

Types of Nosebleeds: Anterior vs. Posterior

1. Anterior Nosebleeds:
These are the most common type and occur in the front part of the nose, where blood vessels are more likely to rupture. They’re usually mild and can often be treated at home.

2. Posterior Nosebleeds:
Less common but more serious, posterior nosebleeds occur deeper in the nose and often result in heavier bleeding. Blood may flow down the throat as well as out of the nostrils. These are more common in older adults or those with high blood pressure and typically require medical attention.

How to Stop a Nosebleed at Home

For a typical anterior nosebleed, try the following steps:

• Sit upright and lean forward slightly (to prevent blood from going down your throat).
• Pinch the soft part of your nose with your thumb and forefinger.
• Hold the pressure for 10–15 minutes without releasing.
• Apply an ice pack to the bridge of the nose to constrict blood vessels.

If bleeding continues after 15–20 minutes or if it’s very heavy, seek medical attention.

When Should You See a Doctor for Nosebleeds?

Occasional nosebleeds are normal, especially in dry environments. However, you should consult a doctor or ENT specialist if:

• You have frequent nosebleeds (multiple times per week)
• The nosebleeds last longer than 20 minutes
• You're taking blood thinners and experience heavy bleeding
• You notice blood running down your throat
• Nosebleeds are accompanied by facial trauma, headaches, or dizziness

Persistent nosebleeds may be a sign of a nasal growth, high blood pressure, or another condition that requires further evaluation.

How to Prevent Future Nosebleeds

• Use a humidifier in dry environments
• Keep nasal passages moist with saline sprays or gels
• Avoid picking or blowing your nose forcefully
• Limit use of nasal decongestant sprays
• Manage blood pressure and chronic allergies
• Stay hydrated and avoid smoking

Nosebleed Care at BASS Medical Group

At BASS Medical Group, our ENT (Otolaryngology) specialists are experienced in diagnosing and treating recurring nosebleeds. Whether your symptoms are mild or severe, our team can evaluate your condition, provide treatment, and recommend prevention strategies.

Serving patients across Walnut Creek, Oakland, San Francisco, and the Bay Area.

Schedule an ENT appointment or browse our physicians to find the right provider for you.