How recurrent nosebleeds are assessed

The clinician asks about frequency, duration, which nostril is affected, possible triggers, medicines and bleeding history. Examination may identify a visible bleeding point, inflammation or another nasal problem; endoscopy may be considered when the source is not clear.

Management depends on the cause and can include practical measures to protect the nasal lining, review of contributing medicines with the prescriber, or treatment of a visible bleeding point. Do not stop prescribed blood thinners without medical advice.

What to tell the clinician

  • How often bleeding occurs and how long it lasts
  • Whether the bleeding is always from the same nostril
  • Dryness, nasal sprays, nose picking or recent injury
  • Blood-thinning medicines, easy bruising or other bleeding
When bleeding needs emergency care

For heavy bleeding, sit upright and lean forward while pinching the soft part of the nose continuously. Seek urgent care if it does not stop after sustained pressure, causes weakness, or follows significant trauma.

This information is general and does not replace an individual medical assessment.