The best initial treatment for a nosebleed is to pinch the soft part of your nose firmly for 10-15 minutes.
Here's a more detailed breakdown of how to handle a nosebleed:
First Aid for Nosebleeds
- Stay Calm: Anxiety can increase blood flow. Try to remain calm and reassure the person experiencing the nosebleed.
- Sit Upright and Lean Forward: This helps prevent swallowing blood, which can irritate the stomach.
- Pinch the Nose: Use your thumb and index finger to firmly pinch the soft part of your nose (below the bony bridge). Apply continuous pressure.
- Maintain Pressure: Hold the pinch for a full 10-15 minutes. Do not release to check if the bleeding has stopped, as this can disrupt the clotting process. Use a clock or timer to ensure adequate pressure is applied.
- Release and Check: After 10-15 minutes, release the pressure. If the bleeding has stopped, great! If not, repeat the pinching process for another 10-15 minutes.
- Consider Decongestant Spray: If pinching alone isn't working, a decongestant nasal spray (like oxymetazoline - Afrin) can help constrict blood vessels. Spray a small amount into the affected nostril(s) before applying pressure.
- Avoid Strenuous Activity: For the next few hours, avoid strenuous activity, nose picking, and blowing your nose forcefully.
When to Seek Medical Attention
While most nosebleeds can be managed at home, seek medical attention if:
- The bleeding doesn't stop after 30 minutes of continuous pressure (two attempts of 10-15 minutes each).
- The bleeding is heavy or rapid.
- The nosebleed is the result of an injury, such as a fall or blow to the face.
- You are experiencing dizziness or weakness.
- You have a bleeding disorder or are taking blood-thinning medications (like warfarin or aspirin).
- The nosebleeds are frequent or recurring.
- You are swallowing a significant amount of blood.
Prevention
To help prevent nosebleeds:
- Keep Nasal Passages Moist: Use a saline nasal spray or humidifier, especially in dry environments.
- Avoid Nose Picking: This can irritate and damage the delicate blood vessels in the nose.
- Treat Allergies: Manage allergies with appropriate medications to prevent nasal congestion and irritation.
- Use a Humidifier: Especially during the winter months, a humidifier can help keep the air moist and prevent dryness in the nasal passages.