Causes, When to Worry & ENT Treatment in Kuala Lumpur
Nose bleeding, medically known as epistaxis, is a common condition that can occur at any age. While many nosebleeds are mild and self-limiting, recurrent or severe nose bleeding should never be ignored, as it may indicate an underlying nasal or systemic problem.
As an ENT specialist, I frequently manage patients who experience repeated nosebleeds that disrupt daily life, cause anxiety, or lead to hospital visits.
What Is Nose Bleeding?
Nose bleeding occurs when fragile blood vessels inside the nose rupture. It may be:
- Anterior nosebleed (front of the nose – most common)
- Posterior nosebleed (back of the nose – less common but more serious)
Bleeding may occur from one or both nostrils, and severity can vary from spotting to heavy bleeding.
Common Causes of Nose Bleeding
1. Dry Nasal Lining
Air-conditioning, dry weather, or frequent nasal cleaning can damage nasal blood vessels.
2. Nose Picking or Trauma
Common in children but can occur in adults.
3. Allergic Rhinitis and Sinusitis
Inflamed nasal lining becomes fragile and prone to bleeding.
4. Nasal Septum Deviation or Spur
Causes airflow turbulence leading to dryness and bleeding.
5. High Blood Pressure
Often contributes to prolonged or difficult-to-control bleeding.
6. Medications
- Blood thinners
- Aspirin or antiplatelet drugs
- Nasal sprays when used incorrectly
7. Nasal Tumours or Nasopharyngeal Cancer (Rare but Important)
Recurrent one-sided nose bleeding, especially with nasal blockage or ear symptoms, should be evaluated urgently.
🚨 When Should You Worry About Nose Bleeding?
Seek ENT assessment if:
- Nose bleeding occurs frequently
- Bleeding is heavy or prolonged
- Bleeding is one-sided and recurrent
- There is associated nasal blockage
- There is blood-stained saliva or ear blockage
Early evaluation is crucial to rule out serious causes.
First Aid: What to Do During a Nose Bleed
- Sit upright and lean slightly forward
- Pinch the soft part of the nose firmly for 10–15 minutes
- Breathe through the mouth
- Avoid lying flat or tilting the head backwards
If bleeding persists beyond 20 minutes, seek medical care.
How an ENT Specialist Assesses Nose Bleeding
Assessment may include:
- Detailed history of bleeding episodes
- Nasal examination
- Nasal endoscopy to identify the bleeding source
- Blood tests when indicated
Identifying the exact bleeding site allows targeted treatment.
Treatment Options for Nose Bleeding
✅ Medical & Office-Based Treatment
- Chemical or electrical cauterisation
- Nasal packing (if required)
- Topical nasal treatments
✅ Addressing Underlying Causes
- Allergy management
- Blood pressure control
- Medication adjustment
✅ Surgical Treatment (Rare)
- Endoscopic control of bleeding
- Tumour management if detected
Treatment is tailored to severity and cause.
Frequently Asked Questions (FAQ)
Q: Is frequent nose bleeding normal?
No. Recurrent nosebleeds should be evaluated.
Q: Can stress cause nose bleeding?
Indirectly, through blood pressure elevation.
Q: Should children with frequent nosebleeds see an ENT?
Yes, especially if bleeding is recurrent or severe.
When Should You See an ENT Specialist in Kuala Lumpur?
You should consult an ENT specialist if:
- Nosebleeds keep recurring
- Bleeding interferes with daily activities
- First aid measures fail
- There are warning symptoms
ENT care ensures accurate diagnosis and safe management.
Dr. Ameen, ENT Specialist in Kuala Lumpur 