Reasons Behind Noctural Nosebleed

Nosebleeds are messy, inconvenient and often look much worse than they are. Nosebleeds at night, during sleep can scary, shocking and overwhelming. A pillow covered in blood is not the ideal image for anyone to wake up to.

It is actually fairly common to have nose bleeds occur at night.
The medical term for a nosebleed is epistaxis, and dry air is typically responsible for epistaxis at night.


1. A dry climate or home environment

• Dry air can crack the delicate skin inside the nose, causing it to bleed.
• Nosebleeds are more likely to occur as the seasons change and before the nasal tissues have acclimated to a rise or fall in humidity.
• Running a heater during colder months can dry out the air inside the home.

2. Picking
• Nose picking is one of the most common causes of nosebleeds. Whether you or your child do it as a force of habit or unconsciously while you sleep, you can damage your nose each time you insert your finger.
• The edge of your nail can tear the delicate blood vessels that lie just under the surface of your nose.

3. Allergies
The same allergies that cause sniffling, sneezing, and watery eyes can also make your nose bleed.

4. Infection
• Sinus infections, colds, and other respiratory infections can damage the sensitive lining of the nose. Eventually, your nose can become irritated enough to break open and bleed.
• Blowing your nose too often when you have an infection can also cause nosebleeds.

5. Chemical exposure
• A person may encounter airborne chemicals in pollution or at work.
• These chemicals can irritate or damage the inside of the nose, making it prone to bleeding. Cigarette smoke can have the same effect.

6. Heavy alcohol use
Drinking heavily can contribute to the risk of nocturnal nosebleeds in two ways.
• First, alcohol interferes with the activity of the blood’s platelets, which are the cells that cause blood to clot.
• Second, alcohol can enlarge the superficial blood vessels in the nasal cavity, making them more prone to injury and bleeding.

7. Medications
Some medications interfere with the blood’s ability to clot. These include:
• Prescription blood thinners, or anticoagulants
• Nonsteroidal anti-inflammatory drugs, such as aspirin and ibuprofen.


  1. • Take the following steps to stop most nosebleeds:
  2. • Sit, bending slightly at the waist. Refrain from lying down or tilting the head back, which can lead to swallowing blood and choking or vomiting.
  3. • Grip the soft parts of the nostrils at the base of the nose, applying pressure to both sides. Note that gripping the bony bridge will not stop the bleeding.
  4. • Children should squeeze their nostrils shut for 5 continuous minutes. Adults should do the same for 10 minutes. Remember to breathe through the mouth.
  5. • Applying a cold compress or ice pack to the bridge of the nose may help to slow the bleeding by constricting the blood vessels.
  6. • If the bleeding does not stop, repeat the previous steps. Apply pressure for at least 30 minutes.


By – Tutor – Ms. Vaibhavi Dora
Department of Nursing
College Of Nursing UCBMSH
Uttaranchal (P.G.) College Of Bio-Medical Sciences & Hospital

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