How can epistaxis (nosebleed) be prevented?

Updated: May 08, 2020
  • Author: Quoc A Nguyen, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

To the extent possible, patients should avoid the following:

  • Strenuous activities - Protection from direct trauma from some sports activities is afforded by the use of helmets or face pieces.

  • Hot and dry environments – The effects of such environments can be mitigated by using humidifiers, better thermostatic control, saline spray, and antibiotic ointment on the Kiesselbach area.

  • Hot and spicy foods

  • Digital trauma – In children, nose picking is difficult to deter and should probably be considered inevitable. Keeping the child’s nails well trimmed may be helpful.

  • Nose blowing and excessive sneezing - Instruct patients to sneeze gently with the mouth open.

  • Inappropriate or careless use of drugs - Consider drug education relating to use or accidental ingestion of aspirin, warfarin (eg, rat poison in toddlers), or drug abuse in adolescents.


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