John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Nosebleeds are common due to the location of the nose on the face, and
the large amount of blood vessels in the nose.
The most common causes of nosebleeds are drying of the nasal membranes
and nose picking (digital trauma) and
this can be prevented with proper lubrication of the nasal passages and not
picking the nose.
Most nosebleeds can be stopped at home.
Consult a doctor for a nosebleed if bleeding cannot be stopped, there is
a large amount of blood lost, or you feel weak or faint.
A doctor may use nasal packs to stop nosebleeds when conservative
Do not take aspirin or other blood thinning products when you get a
nosebleed (if they are doctor-prescribed, consult your doctor before
stopping any medication).
The nose is a part of the body rich in blood vessels (vascular) and is situated in a vulnerable position as it protrudes on the face. As a result, trauma to the face can cause nasal injury and bleeding. The bleeding may be profuse, or simply a minor complication. Nosebleeds can occur spontaneously when the nasal membranes dry out and crack. This is common in dry climates, or during the winter months when the air is dry and warm from household heaters. People are more susceptible to
a bloody nose if they take medications that prevent normal blood clotting
aspirin, or any anti-inflammatory medication). In this situation, even a minor trauma could result in significant bleeding.
The incidence of nosebleeds is higher during the colder winter months when
upper respiratory infections are more frequent, and the temperature and humidity fluctuate more dramatically. In addition, changes from a bitter cold outside environment to a warm, dry, heated home results in drying and changes in the nose which make it more susceptible to bleeding. Nosebleeds also occur in hot dry climates with low humidity, or when there is a change in the seasons. The following factors predispose people to nosebleeds:
Trauma, including self-induced by nose picking, especially in children