Nosebleeds can be a little scary—especially when they seem to happen often. If you’re someone who frequently reaches for tissues because of a sudden nosebleed, you might be wondering: Is this normal? The answer depends on several factors, including frequency, severity, and underlying causes.

Let’s explore the causes, prevention tips, and when it’s time to see a doctor.



How Common Are Nosebleeds?

Nosebleeds are extremely common, affecting about 60% of people at least once in their lifetime. However, only 6% of cases require medical attention, and a mere 1.6 in 10,000 are severe enough to need hospitalization. They occur most frequently in two age groups:

• Children (ages 2–10) – Due to fragile blood vessels and nose-picking habits
• Adults (ages 50–80) – Often linked to high blood pressure, medication use, or nasal dryness

A 2024 study tracking 1,684 patients found that nosebleeds are most common in winter-- December had the highest incidence-- due to dry indoor air and cold weather. Additionally, 48.8% of nosebleeds occurred overnight, possibly due to blood pressure fluctuations during sleep.

Why Do Nosebleeds Happen?

Nosebleeds, medically called epistaxis, happen when the blood vessels inside your nose burst and bleed. The nasal lining is packed with tiny, delicate blood vessels close to the surface, making it prone to bleeding—especially in dry or irritating conditions.

There are two main types of nosebleeds:

• Anterior nosebleeds (most common) – Bleeding comes from the front of the nose, usually from dry air or nose-picking.
• Posterior nosebleeds (less common but more serious) – Bleeding originates deeper in the nose, often due to high blood pressure or injury.

What Counts as "Frequent" Nosebleeds?

While an occasional nosebleed (a few times a year) is normal, frequent nosebleeds are generally defined as occurring more than once a week or multiple times a month without an obvious trigger. Children often experience them more due to fragile nasal blood vessels, but in adults, frequent episodes—especially if heavy or lasting longer than 20 minutes—could signal underlying issues like high blood pressure, medication side effects, or clotting disorders. If nosebleeds disrupt daily life or occur alongside dizziness or fatigue, it’s best to consult a doctor.

Top Causes of Frequent Nosebleeds

If nosebleeds happen more than once a week, they may signal an underlying issue. Common triggers include:

1. Dry Air & Weather Changes - Cold weather, indoor heating, or dry climates can dry out nasal membranes, making them more likely to crack and bleed.
2. Nose-Picking or Excessive Blowing - Frequent rubbing, blowing, or picking can damage nasal tissues.
3. Allergies and Sinus Infections - Inflammation weakens the nasal tissues.
4. Medications - Blood thinners (like aspirin or warfarin), antihistamines, and nasal sprays may increase bleeding risk.
5. Underlying Health Conditions - High blood pressure, blood clotting disorders, or nasal deformities (like a deviated septum) can contribute.
6. Hormonal Changes - Pregnancy or hormonal fluctuations can sometimes lead to more frequent nosebleeds.

If nosebleeds are persistent and unexplained, it’s always wise to talk to a doctor.

How to Stop a Nosebleed Effectively

If you get a nosebleed, follow these steps:

• Stay calm – Anxiety can raise blood pressure, worsening bleeding.
• Sit upright, lean slightly forward – Prevents blood from flowing into the throat.
• Pinch the soft part of your nose for 10–15 minutes without releasing.
• Apply a cold compress to constrict blood vessels.
• Avoid blowing your nose for several hours afterward.

If bleeding persists, seek emergency care since persistent posterior bleeds may require nasal packing, cauterization, or surgery.

Preventing Frequent Nosebleeds

1. Use a humidifier – Adds moisture to dry indoor air
2. Moisturize with a nasal moisturizer oil or gel can be helpful. This is especially useful during the dry winter months.
3. Avoid nose-picking – Trim nails and resist the urge.
4. Stay hydrated – Drinking water helps maintain mucous membranes.
5. Manage allergies and sinus infections to reduce irritation.

When to Seek Emergency Care

Seek immediate medical attention if you experience any of the following:

✔ Bleeding that soaks through more than one tissue every five minutes

✔ Blood flowing down the throat (posterior bleed sign)

✔ Dizziness, weakness, or fainting (possible blood loss anemia)

While occasional nosebleeds are normal, frequent episodes warrant attention. If simple measures don’t help, consult a doctor to rule out serious conditions. With proper care, most nosebleeds can be managed effectively.

If nosebleeds persist despite prevention efforts, our board-certified ENT specialists at ENT Care Centers offer compassionate care for your ear, nose, and throat concerns. To schedule an appointment, please call us at (502) 837-7838 or visit one of our Care Centers located in and around Louisville, Kentucky, and Southern Indiana. You and your family will receive the attentive care you deserve.