Frequent Nosebleeds: When to See an ENT Specialist


otolaryngologist trying to stop a nosebleed of a female patient.

Nosebleeds can be bothersome and embarrassing, appearing unexpectedly and anywhere, even during intimate family dinners or important business meetings. While they often stop with a bit of direct pressure, experiencing them frequently may understandably raise concerns. Our instinctive association of bleeding with injury doesn’t help alleviate worries either.

An Ear, Nose, and Throat (ENT) Specialist can provide clarity on when frequent nosebleeds warrant concern.

What triggers frequent nosebleeds?

Numerous factors can contribute to recurrent nosebleeds, such as:

  • Environmental Influences: Low humidity levels are a common culprit, irritating nasal passages and leading to nosebleeds.
  • Habits: Vigorous nose blowing can induce nosebleeds, particularly if done excessively.
  • Medications: Certain medications may increase the likelihood of nosebleeds. Have a discussion with your doctor if you notice a sudden uptick in occurrences.
  • Structural Variances: Some individuals have nasal structures predisposing them to more frequent nosebleeds due to inherent differences.
  • Health Conditions: Conditions affecting blood clotting can result in recurring nosebleeds.
  • Sinus Growth: Growths like polyps or tumors in the sinuses can contribute to persistent nosebleeds.
  • Colds and Allergies: Dry mucus membranes from colds or allergies can exacerbate nosebleeds.

Determining when to see an ENT specialist

It’s advisable to consult see a physician for evaluation if:

  • You’re experiencing frequent nosebleeds without prior medical evaluation.
  • Episodes are increasing in frequency or becoming more difficult to manage.

An Ear, Nose, and Throat Specialist can pinpoint the underlying cause and recommend appropriate treatment options.

When immediate medical attention is necessary

Certain scenarios warrant urgent medical care:

  • Unexpectedly heavy bleeding necessitates a trip to the emergency room.
  • Breathing difficulties despite attempts to breathe through your mouth during a nosebleed.
  • Nosebleeds following trauma or injury.
  • Inability to stop the nosebleed after 30 minutes, even with pressure.
  • Nosebleeds in children under two years old.

If seeking emergency care, arrange for transportation due to potential impairment from blood loss.

Trust your instincts

If you’re uneasy about frequent nosebleeds, consult a doctor. Generally, experiencing nosebleeds 2-3 times monthly may indicate benign causes like allergies or dry air. However, a frequency of four or more times weekly could signal a more serious issue.

Seeking appropriate medical attention can effectively manage your nosebleeds, ensuring your peace of mind and well-being. 

Find an Ear, Nose, and Throat Specialist near you if you are suffering from frequent nosebleeds that are ​​becoming more difficult to manage.

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