Most nosebleeds can be treated successfully at home by pinching the nose firmly for 15 minutes while sitting upright. Drinking cold water can clear blood from the throat. A persistent nosebleed may require treatment with a nasal anesthetic, nasal decongestant, nasal packing, and nasal cautery. Treatment for a nosebleed caused by an injury often includes cold compresses and pain medications.
Those with lacerations may require wound care, wound cleansing, tetanus vaccine, and facial wound repair. Some nasal injuries may require surgery to realign a nasal bone fracture.
Treatment options for a nosebleed includes:
- Topical anesthetic for nosebleed:
- Decongestant nasal spray
- Nasal packing:
- Foam gauze is inserted into the nose to stop bleeding
- Inflatable nasal balloon
- Avoid aspirin and nonsteroidal anti-inflammatories:
- These medications can promote bleeding
- Acetaminophen (Tylenol, Aspirin Free Anacin, Feverall)
- Antibiotics may be appropriate in some cases:
- Nasal cautery:
- The bleeding vessel is sealed by a chemical reaction.
- Surgery for epistaxis:
- For rare cases of severe bleeding or severe nasal injuries
Continue to Epistaxis Home Care
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- Leong SC, Roe RJ, Karkanevatos A. No frills management of epistaxis. Emerg Med J. 2005 Jul;22(7):470-2. 
- Pollice PA, Yoder MG. Epistaxis: a retrospective review of hospitalized patients. Otolaryngol Head Neck Surg. 1997 Jul;117(1):49-53. 
- Pope LE, Hobbs CG. Epistaxis: an update on current management. Postgrad Med J. 2005 May;81(955):309-14.