"Nasal Cauterization with Silver Nitrate for Recurrent Epistaxis," by David A. Gudis (Columbia) and Zachery M. Soler (Medical University of South Carolina) was published June 24, 2021, in the New England Journal of Medicine. The vessels keep the area well supplied with blood, which is critical for the health of the sinuses. Some 60% of people will have at least one nosebleed in their lifetime. The Florida Department of Health added a record 10,109 cases of COVID-19, making it the ninth consecutive day that at least 5,000 new cases. Frequent use of nasal sprays for treatment of allergy symptoms or colds/congestion. This nosebleed is caused by a bleed in larger blood vessels in the back part of the nose near the throat. Anything that dries out the tissues in your nose or causes injury can potentially lead to a nosebleed. Use these quick fixes to stop nighttime nosebleeds. But under certain circumstances, such as if you're taking blood thinners like aspirin or warfarin, nosebleeds can be quite concerning and require medical care. In such cases, your healthcare provider may need to adjust the dose of blood-thinning medication, he says. WHY not Swab the inside of your HIGHLY CONTAGIOUS MOUTH?, Smith also speculated that rather than retrieving a sample, nasal COVID-19 tests could actually be implanting something., Smith told USA TODAY that he came up with the post with a couple drinking buddies, and did not provide sources to back up the claims, saying "the post was ASKING QUESTIONS about Implementation not Stating Facts.". "That was a population-based protocol that was done early on in South Korea and in some other areas such as Singapore and Hong Kong. Here's what may be causing your nose bleed and how to stop it. We do not endorse non-Cleveland Clinic products or services. I have had a handful of patients who have had pain for a couple days afterwards. Every day the White House issues assurances about the availability of testing and this country's unrivalled ability to keep the impact of the virus to a minimum. What's the least amount of exercise we can get away with? You may need medical attention right away for this type of nosebleed. resting with your head higher than your heart. Use your thumb and index finger to pinch together the soft part of your nose. One condition, called hereditary hemorrhagic telangiectasia, or HHT, is a genetic condition that causes abnormal blood vessel formation. Be sure not to insert the swab more than inch into your nose. She does not meet the criteria of having known exposure to someone who had tested positive for coronavirus, or travelled to a country deemed to be high risk. Modern Science can take a swab from the inside of your cheek and do a COMPLETE DNA MAPPING, Smith wrote. Heres What Experts Say [Health], Jacobs School Will Benefit From UBs Hiring Initiative, Commencement Keynote Speakers Had Key Roles During COVID, National Study Seeks Patients With ATP1A3 Mutations, WC4BL Chapter Kicks Off With Arts Workshop, Study Focuses on Brain Lesions, MS Progression, 2022 Retrospective: Commitment to Excellence. But it can result in frequent nosebleeds. Even though it's essentially unnoticeable to the average person, over time it can cause trauma to the mucous membrane that covers Kiesselbachs plexus and cause recurrent nosebleeds, Gudis says. In a July 7 post on Facebook, David D. Smith questioned why COVID-19 tests do not swab the mouth noting that the virus is spread in microscopic saliva particles and that that cheek swabs. To make it smoother for both the individual and the health care worker, Kuritzkes advised people to try as best they could to relax. The good news is that most nosebleeds are not serious and can be managed at home. Pence and DeSantis remain positive as Florida hits new daily record. All rights reserved. "I almost feel like I'm a lone voice screaming, 'Open your eyes, we have to do something about this!'". A health care worker will gently insert what looks like a long Q-tip as far as itll go into a persons nose, twirl the swab to get a good sample, then remove it and place it in a vial, which is then sent to a lab for testing. After several terrible days of sickness, Dr Bahorik hears of eight coronavirus testing sites in the neighbouring county of Lehigh Valley. For most respiratory viruses, the best place to sample is the back of the nose, said Dr. Daniel Kuritzkes, chief of the division of infectious diseases at Brigham and Women's Hospital in Boston. At the hospital, she has to do another flu test and RSV test, this time, however, the new chest X-ray shows she has now developed pneumonia in her left lung. Learn more. An occasional nosebleed is usually nothing to worry about. "Trace, test and treat" has been the mantra of global health bodies in tackling the spread of Covid-19. "I feel like I've done as much as I can, but that the system has beaten me down," she says. Eight complication-related visits (7 females, 1 male; age range, 14.0-78.6 years; mean [SD] age, 39.5 [20.9] years) were identified in 2899 otorhinolaryngology ED patients4 nasal bleeds and 4 broken swabs, all occurring immediately after sampling ().None of these 8 patients tested positive for COVID-19. High altitudes. The virus can lead to pneumonia, respiratory failure, heart problems, liver problems, septic shock, and death. If you use heat or air conditioning or live in a dry climate, your home might have a low humidity level. They can be due to a slew of possible causes, including: Dry air Picking. And the area in the middle of the nose, known as the septum, is especially prone to irritation and bleeding if you touch it. How Singapore stayed one step ahead of the virus, Harry: I always felt different to rest of family, US-made cheese can be called 'gruyere' - court, AOC under investigation for Met Gala dress, The children left behind in Cuba's exodus, Mbappe breaks PSG goal record in win over Nantes, Alex Murdaugh's legal troubles are far from over, Walkie Talkie architect Rafael Violy dies aged 78, Saving Private Ryan actor Tom Sizemore dies at 61. For double defense against nighttime nosebleeds, pair your humidifier with a nasal moisturizer. Two days in particular play on her mind; the day in early March on which she shared a room with dozens of prospective jurors, and the funeral the following day. People who are mildly symptomatic and in the early stages of infection have very high concentrations of the virus in their nasopharangeal secretions, so thats a very good way of sampling the bug, Kuritzkes said. If a nosebleed is severe enough that it can fill up a cup with blood, then we are in the territory of something where urgent medical attention is necessary. Most nosebleeds, also known as epistaxis, come from the small blood vessels in the mucous membrane that lines the inside of your nose. Even stress can cause congestion.. The swab is quick but can be "moderately uncomfortable," doctors say. You may want to purchase a hygrometer, a device that measures humidity levels. You may have noticed that more and more people are testing positive for COVID-19 after using a rapid test to swab their throats. Recurrent nosebleeds can often be managed bysimply holding pressure on the nose, but in some cases, medical or surgical intervention is necessary. I would really defer to the patient, Gudis says. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.enthealth.org/conditions/nosebleeds/), (https://accessemergencymedicine.mhmedical.com/content.aspx?sectionid=55139195&bookid=991&jumpsectionID=55142214&Resultclick=2#1101228338), (https://www.merckmanuals.com/home/ear,-nose,-and-throat-disorders/symptoms-of-nose-and-throat-disorders/nosebleeds#v28572888), (https://www.sciencedirect.com/science/article/pii/S027823910501815X?via%3Dihub), (http://ovidsp.dc2.ovid.com/sp-4.02.1a/ovidweb.cgi?WebLinkFrameset=1&S=MHCEFPAFODEBDGIGIPCKPEPEFCBOAA00&returnUrl=ovidweb.cgi%3f%26Full%2bText%3dL%257cS.sh.43.51%257c0%257c00152193-201210000-00012%26S%3dMHCEFPAFODEBDGIGIPCKPEPEFCBOAA00&fromjumpstart=0&directlink=http%3a%2f%2fovidsp.dc2.ovid.com%2fovftpdfs%2fFPEBIPPEPEIGOD00%2ffs047%2fovft%2flive%2fgv024%2f00152193%2f00152193-201210000-00012.pdf&filename=Nosebleeds.&link_from=S.sh.43%7c46&pdf_key=FPEBIPPEPEIGOD00&pdf_index=/fs047/ovft/live/gv024/00152193/00152193-201210000-00012&D=yrovft), Visitation, mask requirements and COVID-19 information. Examples include anticoagulants like Coumadin or Jantoven (warfarin), the anti-platelet medication Plavix (clopidogrel bisulfate), over-the-counter drugs like aspirin, and prescription or over-the-counter NSAIDS like naproxen. There's no doubt I have all the symptoms.". Its not anybodys pleasantest experience, but then getting a deep throat swab of the tonsils often makes some people gag. If your nose bleeds frequently, make an appointment to discuss the situation with your doctor. A fact sheet from the Office of the Assistant Secretary for Health states that nasal sampling is actually less invasive and results in less patient discomfort than alternative sampling sites. Accidental injury to the blood vessels in the nostril from nose picking can cause a nosebleed. Keep the inside of the nose moist, and you wont have as much desire to pick, says Dr. Appachi. Sellick says nosebleeds definitely are not a main symptom of COVID-19, but adds were at the time of year where people get nosebleeds anyway, due to allergies and being in air conditioning.. As more Americans get tested for the new coronavirus and the disease it causes, COVID-19, they're discovering the test involves a deep nasal swab that can be uncomfortable . Recent studies have shown that there is an increased risk of blood clotting, both arterial and venous, up to three months after discharge from Covid infections. Heres why nosebleeds happen while sleeping and what you can do to prevent them. Getting Too Many Nosebleeds? An upper respiratory infection like a cold. Learn when to call or visit a doctor. Claudia Bahorik calls back her family doctor. Some, however, should be checked by your doctor. It all started as far back as the last week of February. I wish there was a better way to do it., Got tested lol. 3. More: Fact Check: No, schools will not require a COVID-19 vaccine, with RFID chip, for students. There is no evidence to suggest that COVID-19 tests could be "implanting something.". Overusing them can cause nosebleeds. If a nosebleed just gets a few tissues or paper towels wet and then eventually stops, that might feel like a lot of blood, Gudis says, but in terms of the body's volume of blood, that is not really a severe nosebleed.. If you touch the blood vessels, they can crack and bleed.. But this is the story of Dr Bahorik's determined, though so far unsuccessful plight - involving clinics, hospitals and even a senator's office - to find out if she has the coronavirus. Examples of these items include small toys, pebbles, food, erasers, and dirt. Abstract. And you can often fix these problems with home remedies. The short answer is: Researchers debate this question. You may need to stop using these drugs for a short period of time or may need to stop them altogether. Policy. A nosebleed, also known as epistaxis, isnt usually serious. At Columbia's HHT Center, patients have a "home" wherephysicians with expertise in the diagnosis and treatment of this disorderwork closely together to offer the best possible care for our patients. These medications - antihistamines and decongestants - can dry out the nasal membranes. 2005-2023 Healthline Media a Red Ventures Company. You want to avoid direct contact with the septum.. The swab is quick it takes just a few seconds. Most nosebleeds, also known as epistaxis, come from the small blood vessels in the mucous membrane that lines the inside of your nose. Nosebleeds (also called epistaxis) are common. Doing so can actually cause an increase in the chance of a nosebleed. Many COVID-19 . All rights reserved. Cleveland Clinic 1995-2023. Why Alex Murdaugh was spared the death penalty, Why Trudeau is facing calls for a public inquiry, The shocking legacy of the Dutch 'Hunger Winter'. Sometimes the blood clot comes out if the nose begins to bleed again. A deviated septum, holes in the septum, bony spurs, or fractures to your nose could be . And there are plenty of reasons that's the case from a sinus infection to a deviated septum to a common cold. Whats Causing That Salty Taste in Your Mouth? Usually it's five or 10 minutes of discomfort and by the time the patient's out the door, it doesn't hurt anymore. If your nose is still bleeding, continue squeezing the nose for another 10 minutes. Columbia University Irving Medical Center, Meet Our CEO and Dean, Katrina Armstrong, MD, Diversity, Equity, and Inclusion at CUIMC, Vagelos College of Physicians and Surgeons, Herbert Irving Comprehensive Cancer Center, COVID-19 Information and Resources for Clinical Staff, Nasal Cauterization with Silver Nitrate for Recurrent Epistaxis. Few patients may develop severely low platelet count and bleeding manifestations like skin bleeds, bleeding from the nose, gums or blood in urine or stool. She is sent home with antibiotics and told to wait 3-5 days for result of the test. Use saline spray, then some ointment before going to bed, says Dr. Appachi. There have been times the wheezing and the gurgling in my chest have been so bad at night that it's woken me up. Blood clots are clumps of blood that form in response to an injured blood vessel. Centers for Disease Control and Prevention. Most of the patients with low platelet count have a mild fall in platelet count and are asymptomatic. Cleveland Clinic Community Care puts patients first by offering comprehensive, coordinated, personalized healthcare. Blood clotting incidence can be significantly decreased by continuing anticoagulation in high-risk patients post-discharge up to three months, but a regular follow up is mandatory, as there is a risk of bleeding in these patients," said Bansal. Fact Check: No, schools will not require a COVID-19 vaccine, with RFID chip, for students, Centers for Disease Control and Prevention, fact sheet from the Office of the Assistant Secretary for Health, first at-home diagnostic test using saliva samples, Centers for Disease Control and Prevention, Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens for COVID-19, Centers for Disease Control and Prevention, What you should know about COVID-19 to protect yourself and others, Office of the Assistant Secretary for Health, Nasal (Anterior Nasal) Specimen Collection for SARS-CoV-2 Diagnostic Testing, Food and Drug Administration, Coronavirus Testing Basics, Food and Drug Administration, FDA Authorizes First Diagnostic Test Using At-Home Collection of Saliva Specimens, MD Anderson Cancer Center, 10 things to know about COVID-19 testing, National Institutes of Health/National Library of Medicine, Genetics Home Reference, How is genetic testing done?, "OU Med doctor, OSDH address rumors and conspiracy theories surrounding COVID-19 testing", Your California Privacy Rights/Privacy Policy. Insomnia Tied to Dramatic Rise in Heart Attack Risk, Just 500 Extra Steps a Day Can Lower Heart Disease Risk in Seniors, Study Suggests. 1996-2023 Everyday Health, Inc., a Ziff Davis company. "Basically, youve poked your nose with your finger too much, and thats a common way the region becomes traumatized., What constitutes very frequent nosebleeds? Read all the Latest News, Breaking News and Coronavirus News here, Simantini Dey is Principal Correspondent at News18.com. There are two main types and one is more serious than the other. It can result in heavy bleeding, which may flow down the back of the throat. For a good specimen, nasal swabs have to go pretty far back and collect cells and fluids from the base of the nose to the back of the throat, Dr. Micah Bhatti told the MD Anderson Cancer Center. Nosebleeds (also called epistaxis) can occur easily because of the location of the nose and the close-to-the-surface location of blood vessels in the lining of your nose. Kevin Campbell, MD, a cardiologist at Wake Heart and Vascular in Raleigh, North Carolina, says Nosebleeds are rarely life-threatening. Most adults have experienced a nosebleed at some point in their lives, and the nosebleeds are usually isolated incidents that stop on their own. Previously, she was a writer, producer and editor at CNN. Despite our best efforts to avoid them, though, nosebleeds can still happen and stopping them is important. 23 . This type of nosebleed is more common in adults. Advertising on our site helps support our mission. Yes. But it is testing that has been such a crucial element of controlling the spread of the virus in countries that are seen as having been successful in doing so. We do not endorse non-Cleveland Clinic products or services. In adults, turbulent airflow can lead to nosebleeds. This can be unpleasant but is not painful. If nosebleeds are troublesome for the patient, upsetting, or interfering with daily activities, it's worth seeing a specialist.. She calls the office of Senator Bob Casey, where she is advised to contact the Department of Health. Policy. Frequent use of nasal sprays and medications to treat itchy, runny or stuffy nose. It is also. It was not until May 8 that the FDA authorized the first at-home diagnostic test using saliva samples, and the authorization was exclusive to one lab. Saliva would be unreliable, he added. Runny noses cause irritation and dehydration in the nose, often leading to an unexpected nosebleed. If it doesnt come out on its own, consider gently blowing it out as it might prevent a better clot from forming. The best way to stop a nosebleed is to pinch the soft part of the nose. Russian minister laughed at for Ukraine war claims. Blood may take longer to clot in mid-life and older adults. Dry air can be caused by hot, low-humidity climates or heated indoor air. Claudia Bahorik - who is 69 and lives in Bernville, Pennsylvania - does not say this lightly. DO NOT blow or rub your nose for several days. The air is thinner (lack of oxygen) and drier as the altitude increases. And if you've had a heart attack, your doctor may have recommended a daily aspirin to help prevent a recurrence. When you have to blow your nose, do it gently.. Street fighting in Bakhmut but Russia not in control, Russian minister laughed at for Ukraine war claims. Blood vessels in the nose expand while pregnant, which puts more pressure on the delicate blood vessels in the lining of the nose. On protesting, a nurse suggests she speak to her congressman. The feeling may be mild and go away when the infection clears or the . Many people stop applying pressure after a minute or two, before the blood has clotted. This will keep the blood from running down your throat, which can cause. Sleeping with your head to the side also may put direct pressure on the nasal cavity and may be another reason for nosebleeds at night. Antibody tests, also known as serology testing, detect anti-viral proteins in the blood made by your immune system to neutralize the virus. They dont feel quite as invasive. Sellick says nosebleeds definitely are not a main symptom of COVID-19, but adds "we're at the time of year where people get nosebleeds anyway, due to allergies and being in air conditioning." 8/5/21 Is a Nosebleed a Sign of COVID-19? She is told to go to the emergency room at nearby St Joseph's Hospital, where the clinician in charge has given assurances she can get a coronavirus test. What Is Hemophilia? These devices are filled with water and moisturize the air. Anecdotal evidence from every part of the nation, like Dr Bahorik's experience, illustrates how difficult it remains for countless Americans to get a coronavirus test. They will use a small speculum to hold the nostril open and use various light sources or an endoscope (lighted scope) to see inside your nasal passages. If the bleeding doesn't stop, repeat these steps for up to a total of 15 minutes. Posterior nosebleeds, on the other hand, are much less common. The local health system's protocol requires that he first carry out an influenza test, a test for RSV (Respiratory Syncytial Virus), a chest X-ray and some laboratory work to rule out other possibilities. And if youre blowing your nose forcefully and frequently, your nose will get even more irritated. Felt like I was being stabbed in the brain, she wrote in the caption. Liver disease, kidney disease, chronic alcohol consumption, or another underlying health condition can lower your bloods ability to clot and therefore cause your nose to bleed. Adults between ages 45 and 65. These patients can be kept under close observation, and platelet count may recover spontaneously. Dr. Dale Bratzler explained to Oklahoma's News 4 that there is no truth to rumors and conspiracies about thespecialized swabs. The post is correct, though, that cheek swabs called buccal smears, which retrieve a few cells from inside the cheek are often used for genetic tests, according to the National Institutes of Health. Inflammation can lead to post recovery nosebleed Inflammation results in an increased blood flow to the organ and when the nasal mucosa is infected, it causes bleeding of the nose. If the bleeding is coming from higher up, the doctor may need to apply packing up into your nose if it doesn't stop on its own. Keep pinching your nose continuously for at least 5 minutes (timed by clock) before checking if the bleeding has stopped. See your doctor if youre always congested so you can find out the cause and explore other treatment options. J Am Acad Physician Assistants 2014;27(11):35-39. Dr Levine acknowledged that the window had probably now closed on a South Korea-style approach of widespread testing (even of those who do not show symptoms), and trying to trace the path of the virus. If youve packed your nose with cotton or a tissue, the clot will often come out when that material is removed. Have bleeding that lasts longer than 30 minutes. The septums blood vessels are very sensitive to dryness, says Dr. Appachi. I tell patients it's going to sting. These are the patients who will require treatment," the doctor said. Frustrated and even more ill, Dr Bahorik calls the Department of Health. These aren't the kind of nosebleeds that most people have experienced before, Gudis says. "We were following established criteria from the CDC (Centers for Disease Control and Prevention)," says Dr Rachel Levine, the Pennsylvania Health Secretary who spoke of a gradual increase in testing capacity. She carried on as planned, performing jury duty, attending the funeral of a friend and travelling to Washington DC for a medical appointment. Capillaries and small blood vessels in this front area of the nose are fragile and can easily break and bleed. Nosebleeds are described by the site of the bleed. But seek medical care if you: With a little prevention, you can save your pillowcases and get the rest you deserve, Dr. Appachi emphasizes. Anatomical abnormality. When you pinch your nose to stop a nosebleed, the blood there will begin to clot and typically remain in your nostril until its removed or it comes out when you gently blow your nose. mayoclinic.org/symptoms/blood-clots/basics/definition/sym-20050850, my.clevelandclinic.org/health/diseases/13464-nosebleed-epistaxis, What Causes Nosebleeds and How to Treat Them, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Glycemic Index: What It Is and How to Use It. Nosebleeds at night are common and, usually, nothing to worry about. While she cannot be certain when she got infected, in early March, Dr Bahorik became extremely ill. "By 9 March I was coughing so hard and I could hardly walk, and at that point I really suspected I had the coronavirus.". The anatomical structure of your nose may lead to bleeding when you blow your nose. If bleeding starts again, use a nasal decongestant spray (such as Afrin. Governor Andrew Cuomo says the state has carried out more tests than any other. But it does hurt briefly. Not everybody makes the same antibodies to a virus. Although most nosebleeds can be treated at home, some are severe and require medical attention. Other common causes of nosebleeds include: Other, less common causes of nosebleeds include: Call your doctor immediately or have someone drive you to the nearest emergency room or call 911 if: The doctor will ask you questions about your nosebleed including: Your doctor will also ask about medications you are taking including over-the-counter blood thinning drugs, such as aspirin, and drugs for colds and allergies. The procedure is simple, quick, and very effective. But. Theres a fair amount of room in your nose for blood to collect. Its not recommended that you blow your nose too soon after a nosebleed, but be sure to do it gently so you dont start the bleeding again. And occasionally these can turn into life-threatening emergencies.. And some nosebleeds involve such a significant amount of blood loss that they can result in airway obstruction or a life-threatening emergency. Dont point nasal spray toward the middle of your nose, Dr. Appachi advises. Then get a humidifier for your home or run a vaporizer in your bedroom each night. "I'm still sick, it hasn't improved. These are the patients who will require treatment," the doctor said. Because hereditary hemorrhagic telangiectasia (HHT) is rare, it is often misdiagnosed and is not well understood by many physicians. You have vomited because youve swallowed a large amount of blood. Next, your doctor will examine your nose to determine the source of the bleed and what may have caused it. Your nose appears to have an odd shape following an injury and you think it could be. Essentially the silver ions in the silver nitrate are released around the blood vessels and cause an inflammatory reaction that creates scarring in the little arteries and veins in the nose. Waking up to a bloodstain on your pillowcase for no apparent reason can be gross, unsettling and downright scary. This combination may indicate a more serious condition such as a blood clotting disorder (hemophilia or von Willebrand disease), leukemia or nasal tumor and will need to be checked by your doctor.). A few nosebleeds start in the back of the nose. Healthline Media does not provide medical advice, diagnosis, or treatment. "When it . These people can lose a pint of blood every time they take a really hot shower or bend over to tie their shoes. The most frequent symptom of HHTis severe nosebleeds, but the condition also causes abnormal blood vessels in other parts of the body. An injury to your nose or a foreign object in your nose. None of the hospitals or clinics Dr Bahorik visited were prepared to talk about the specifics of her case, but we did hear from the Pennsylvania Department of Health, which had twice denied her a test on the basis she was not eligible. Kiesselbachs plexus also happens to be where the fingers of little kids have easy access. The BBC is not responsible for the content of external sites. Get the facts on nosebleeds, which are common in adults and children between the ages of 3 and 10. Resist the urge to let go too soon.. However, there are people who are more likely to have a nosebleed. But those tests are to examine the individuals genes, which are in all their cells. When nosebleeds are frequent, they can really get in the way of daily activities and be a significant hindrance to having a normal and healthy quality of life.. Mild decrease in platelet count or thrombocytopenia has been seen not only during active infection but also may occur or continue up to six months. Its not necessary to hold your breath during the test. Use their thumb and forefinger to pinch together the soft parts of their nose. Search for a provider by specialty, expertise, location and insurance. When it comes to influenza, for example, nasopharyngeal sampling is much more sensitive and reliable than oral sampling, he noted. To put you at ease in case you have one, we've assembled a list of common culprits, as well as tips on how to treat a bleeding nose and when to seek medical care. Multiple news outlets quotedJohn A. Sellick Jr., DO,professor ofmedicinein theDivision of Infectious Diseases,in stories on whether nosebleeds are a sign of COVID-19. Dr Bahorik calls the hospital to be told that the wait for test results is now 10 days because the samples were sent off to laboratories that are currently overwhelmed. Case presentation: A man in his seventies was transferred to our hospital for coronary angiography. And if your kids run away screaming when they see a bottle of nose spray, try gels or ointments. Blood clots can lead to a stroke or heart attack if they travel through the blood and reach the brain or heart, but the anticoagulant medications commonly used to prevent clots carry an increased risk of bleeding. Other countries are following the same procedure. If you have frequent nosebleeds, please see your doctor. All Rights Reserved. You will need medical attention for this type of bleed, especially if the bleeding occurs after an injury and the bleeding hasnt stopped after 20 minutes of applying direct pressure to your nose. Use a saline nasal spray or saline nose drops two to three times a day in each nostril to keep your nasal passages moist. Many people with the heart condition atrial fibrillation (afib), an irregular heartbeat, take anticoagulant medication to prevent blood clots from forming.