Nosebleeds can be prevented by avoiding nose-picking or blowing the nose too hard. Keeping your nose clean and moist with nasal saline (saltwater) and gels can also help. Additionally, using a humidifier to keep the air moist will help keep your nose moist, which can prevent a nosebleed.
A nosebleed can be stressful. Keeping calm and knowing how to stop a nosebleed ahead of time can help. Once a nosebleed starts, lean forward and pinch the soft part of the nose for at least five minutes. If the nosebleed slows, keep holding for a full 15 minutes.
Nasal saline (saltwater) gel or spray can help moisturize the inside of the nose. Oxymetazoline (pronounced ok-see-muh-taz-uh-leen) or phenylephrine (pronounced fen-l-ef-reen) are nasal sprays which can help slow nosebleeds. Blow the nose to clear any clots and then spray two sprays in the bleeding nostril and keep holding the soft part of the nose for five minutes. You may repeat this once.
If your nosebleed does not stop even after you tried the above methods, you should call a medical professional. If the bleeding is heavy, long-lasting, or you feel weak or lightheaded then seek immediate care at an emergency room department or call 911.
You have to treat your nose with care to allow the area to heal. Avoid nose blowing, tiring activity, heavy lifting, or placing any cotton or tissues in the nose for at least a week. You may use saline (saltwater) gel or spray to help wet the nose one to three times a day.
You should quickly check with the healthcare provider who prescribed the blood thinning medication, since these medications are usually given to treat or prevent serious medical problems. If your nosebleed is heavy, do not take additional doses of blood thinner until you are checked up by a healthcare provider and you should not delay the checkup.
Tunkel DE, Anne S, Payne SC, et al. Clinical practice guideline: nosebleed (epistaxis). Otolaryngol Head Neck Surg. 2020;162(1_Suppl):S1-S38.