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What Causes Nose Bleeding When I Blow Nose?

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Posted on Wed, 31 Dec 2014
Question: i do pick my nose. and i do see blood in it when i use a handkerchief every now and then. i do cough occassionally. lately the blood at first is mixed really well with the phlegm, then bright red.then its gone after a few spits in the morning.
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Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)
Brief Answer:
Nasal bleed is secondary to dryness and nose picking...

Detailed Answer:
Hi

Thanks for posting the query. I do understand your concern and will try my best to help you with this problem.

The front part of the nasal septum is richly supplied with the blood. There is also confluence of the blood vessels in the front part of the nose (Little's area) and this is the foremost area to get exposed to the outer environment. This area also becomes vulnerable for drying up frequently. Dryness of the nasal mucosa causes crusting and the presence of the latter causes irritation. Repeated nose picking to remove the crusts causes the nasal skin to become raw and leads to recurrent bleeding.

The blood that oozes out gets mixed with the nasal secretions and when you cough it out you will notice the blood tinged phlegm. Do not worry! This is one of the commonest problems of nasal bleed, with appropriate treatment this can be cured completely.

My suggestions to you are:
1. Drink plenty of warm water.
2. Use saline nasal spray and saline nasal ointment available OTC.
3. Avoid chilled food and beverages/coffee/smoking, if any.
4. Avoid nose picking and using tissue into the nose.

With the above measures you will definitely feel better. Revert back to me if you have any follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Naveen Kumar Nanjasetty

Otolaryngologist / ENT Specialist

Practicing since :2001

Answered : 2540 Questions

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What Causes Nose Bleeding When I Blow Nose?

Brief Answer: Nasal bleed is secondary to dryness and nose picking... Detailed Answer: Hi Thanks for posting the query. I do understand your concern and will try my best to help you with this problem. The front part of the nasal septum is richly supplied with the blood. There is also confluence of the blood vessels in the front part of the nose (Little's area) and this is the foremost area to get exposed to the outer environment. This area also becomes vulnerable for drying up frequently. Dryness of the nasal mucosa causes crusting and the presence of the latter causes irritation. Repeated nose picking to remove the crusts causes the nasal skin to become raw and leads to recurrent bleeding. The blood that oozes out gets mixed with the nasal secretions and when you cough it out you will notice the blood tinged phlegm. Do not worry! This is one of the commonest problems of nasal bleed, with appropriate treatment this can be cured completely. My suggestions to you are: 1. Drink plenty of warm water. 2. Use saline nasal spray and saline nasal ointment available OTC. 3. Avoid chilled food and beverages/coffee/smoking, if any. 4. Avoid nose picking and using tissue into the nose. With the above measures you will definitely feel better. Revert back to me if you have any follow-up queries. Regards Dr. Naveen Kumar N. ENT and Head & Neck Surgeon