Why does my nose bleed every morning?

Epistaxis - nosebleeds occur against the background of elevated body temperature, high blood pressure, as a result of a violation of the integrity of the ENT organs. Blood from the nose after sleep does not always indicate the development of pathologies. This phenomenon can occur in healthy people, regardless of their emotional and physical state.

To minimize risks and prevent the development of complications, it is necessary to determine the nature of bleeding from the nasal cavities and draw up a therapeutic regimen. In what cases can you do without outside intervention, and when is qualified medical care necessary?

Nose bleeding in the morning: causes

The nasal mucosa is rich in venous vessels, damage to which provokes nosebleeds . The anatomical features of the structure of capillaries, close to the surface, make them vulnerable to mechanical damage.

Otolaryngologists identify several factors that can provoke bleeding through the nostrils:

increased blood pressure , in which there is an increase in the effect of blood on the thin walls of blood vessels, as a result - a violation of their integrity. The risk of developing hypertension increases with age; injuries - nosebleeds can be triggered by the procedure of blowing your nose, damaging the crust formed with various forms of rhinitis, acute respiratory viral infections, or acute respiratory infections with a handkerchief;

nosebleeds in the morning

Epistaxis does not exclude the possibility of developing a malignant tumorEpistaxis does not exclude the possibility of developing a malignant tumor

deformation of the nasal structures , paranasal sinuses, soft tissues as a result of falls, bruises, fractures, concentration of foreign bodies in the ENT organs; unfavorable thermal indicators , which causes drying out of the mucous membrane in dry air and low temperatures; disorders of blood coagulation , as well as taking thinning drugs such as acetylsalicylic acid; use of medications , nasal sprays, including corticosteroid and antihistamine medications; vitamin deficiency - lack of vitamin C and K negatively affects the condition of blood vessels. A deficiency of beneficial macroelements increases capillary fragility and makes the immune system vulnerable; growths in the nasal mucosa . The development of polyps prevents optimal oxygen saturation of the circulatory system and makes breathing difficult. If your nose bleeds every morning, abnormal benign tumors may be to blame; hormonal changes during pregnancy and puberty; pathologies of the abdominal cavity , dysfunction of the cardiovascular system, oncological diseases.

nosebleeds in the morning

The release of blood clots in children is a sign of hemophilia, the development of rhinitis

Unreasonable nosebleeds in children from the Kieselbach area (lower edge of the nasal septum) are due to the close concentration of blood vessels and the thin nasal mucosa, which reacts to the slightest changes.

Determining internal causes of bleeding through the nostrils is more difficult than local ones. Providing qualified medical care involves a thorough examination, on the basis of which the doctor makes a diagnosis of why the nose bleeds in the morning.

Fact! Climbers and divers suffer from epitaxy due to sudden changes in barometric pressure.

Indications for drawing up a therapeutic regimen are heavy nosebleeds ( more than 30 minutes ), deformation of the nasal contours. Taking care of your health is necessary with the regular release of blood cells.

Causes and associated symptoms

If your nose bleeds every morning, this can be caused by various reasons, more about which in the table:

Type of reasonWhat provokes it?
SystemVascular diseases
Emphysema
Whooping cough
Hormonal disbalance
Allergy
Measles
High blood pressure
Cold
Scarlet fever
Avitaminosis
Blood diseases
Alcohol abuse
Side effects of certain medications
LocalNose injury
Inflammatory processes
Inhalation of illegal substances (substance abuse and drug addiction)
Using medications that dry out the nasal mucosa
Use of steroid sprays
Barotrauma
Tumors
Dry air

Polyps in the nasal cavity


This symptom often occurs with nasal polyposis.
This is one of the common factors that causes blood to flow from the nasopharynx. This pathology is caused by the proliferation of the mucous membrane, which disrupts its functions. Polyps provoke both nosebleeds and dryness, along with difficulty breathing. The patient may want to scratch from the inside, thereby damaging the formation and causing it to reappear. To eliminate this unpleasant phenomenon, it is enough to contact a surgeon who will prescribe surgical treatment.

Pheochromocytoma

A rather rare tumor of the adrenal glands, which, influencing the increase in the level of stress hormones, provokes bleeding (hemorrhages). If it is detected during a diagnostic examination, you must immediately contact a doctor who will select the optimal treatment regimen.

Other risk factors

People over the age of 65, with a predisposition to arterial hypertension, may experience nosebleeds when their blood pressure rises.

Epistaxis is often provoked by the use of cocaine, since inhaling it through the nasal canal causes drying, irritation and destruction of the mucous membranes. Due to the constant dryness in the nasopharynx that occurs in people who abuse cocaine, any irritant can cause hemorrhage. Injuries, stress that increases blood pressure, inflammation, colds, hormonal disorders, infections and overheating can also be factors in the occurrence of such an unpleasant symptom.

Causes of bleeding

nosebleeds in the morning

If you notice that your nose bleeds periodically in the morning, you should not put off visiting the clinic. Until the cause of this phenomenon is established, there is no point in panicking. No more than 10% of this anomaly indicates a serious illness.

A nosebleed in the morning can occur for various reasons.

The most common ones:

excessive stress caused by physical and emotional factors; exposure to dry air flow in apartments in winter or prolonged exposure to low temperatures; brain dysfunction after prolonged exposure to the sun; mechanical damage resulting in injury; rhinitis; In the morning, nosebleeds may occur due to inflammation of the paranasal sinuses; with increased blood pressure; each of us has used a spray for a runny nose, and it can cause irritation of the mucous membrane; tumor processes within this organ; inserting objects into the nose (babies often sin with this); inhalation of drugs;

surgical interventions; liver pathologies; alcohol abuse; diseases of the hematopoietic system; lack of vitamins C and K in the body; cardiovascular failure; sudden changes in atmospheric pressure; hormonal disorders during pregnancy; polyps;

Bleeding may be caused by decreased blood clotting or exposure to blood thinners.

Why is there a problem?

All causes of nosebleeds in the morning can be divided into several groups:

  • local (appears only locally);
  • systemic (affect the entire body).

The first group of factors causing morning nosebleeds includes:

  • falls, blows and other injuries;
  • entry of foreign bodies into the nasal cavity;
  • mechanical damage to the mucous membrane (by nails, when blowing your nose);
  • low indoor humidity levels;
  • acute and chronic diseases of inflammatory organs (sinusitis, sinusitis) – the course of these is accompanied by the formation of crusts on the nasal mucosa, which injure blood vessels and lead to bleeding;
  • allergic rhinitis;
  • using steroid (hormone) nasal sprays;
  • deformation of the nasal cartilage, atrophy of the mucous membrane;
  • tumor formations inside the nose;
  • previous operations (due to injuries, rhinoplasty).

Systemic causes of epistaxis in children and adults:

  • diseases of the cardiovascular system;
  • arterial hypertension (high blood pressure);
  • VSD;
  • problems with blood clotting;
  • taking anticoagulants (blood thinning drugs);
  • overheating, hypothermia, febrile conditions;
  • alcohol abuse;
  • barotrauma (a sharp increase in pressure at depth or high altitude);
  • hormonal disorders (in adolescents, pregnant women, during menopause);
  • overwork, insomnia, stressful situations;
  • hereditary increased fragility of blood vessels.

The fact that blood flows from the nose every morning may be due to dizziness, headaches, increased intracranial pressure and a host of other individual factors.

Children's nosebleeds pose a particular danger. Common causes of this abnormal phenomenon are unformed blood vessels and nasal mucosa, trauma, dry air in the room, foreign bodies entering the nasal cavity, regular use of vasoconstrictor nasal drops, vitamin deficiency, bacterial, viral infections, etc. In any case, if your child has frequent morning nosebleeds, you should immediately seek help from a specialist.

Nosebleeds in men, women and children

Often the reason why the nose bleeds in the morning is a deviated septum due to injury. And also the reasons that blood flows in the morning can be: smoking, harmful working conditions, vascular atrophy due to overwork, strong nose blowing.

If a person has weak blood vessels, it is enough to simply rub the bridge of the nose to draw blood.

In the body of a pregnant woman, hormonal changes occur in the body to ensure the normal development of the fetus. During this period, a woman’s load on her cardiovascular system increases.

This can lead to thinning of the nasal mucosa, and at the slightest change in pressure, bleeding may begin. High blood pressure poses a threat to the normal development of the fetus, which is why it is necessary to notify your doctor about this.

According to statistics, nosebleeds occur most often in men who have reached the age of fifty.

During this age period, the human mucosa becomes thinner and drier, contractions of blood vessels are reduced, and arterial hypertension is noted.

Bleeding from the nose in children occurs due to:

Straining when sneezing or coughing. Abnormal development of the nasal septum. Unformed vessels. Presence of crusts in the nose. Vitamin deficiency. Anemia. High blood pressure. Viral infections. Pathological phenomena of vascular permeability. Hormonal changes during adolescence.

Bleeding from the nose in a child

Often, if a child is bleeding from the nose, the cause may be the Kisselbach point, i.e., a concentration of blood vessels located in the anterior portion of the nasal septum. Due to simple damage to the mucous membrane (for example, due to injury, finger picking, insertion of a foreign body), a child's nose may bleed. The condition can be accompanied by high fever, runny nose and sinusitis (in this case, hyperemia of the mucous membrane is observed).

Parents whose children are prone to nosebleeds should remember to prohibit giving them salicylates as antipyretics (Aspirin). These drugs reduce blood clotting and may themselves cause nosebleeds.


When it comes to first aid, never place a child (or adult) flat on their back. Firstly, it facilitates blood flow into damaged vessels and increases bleeding. Secondly, the patient suffocates with blood that flows down his throat.

A person should sit, or even better, stand. You need to hold the child's nose with a wet cold cloth for 2-3 minutes. The pressure exerted by the index finger and thumb should be very strong, despite the baby’s protests. Sometimes this procedure needs to be repeated several times.

But in any case, repeated morning bleeding from the nasal passages in a child is an indication that you need to go to the doctor. As a rule, he prescribes blood clotting tests and a consultation with an otolaryngologist. Kisselbach's point is often cauterized using trichloroacetic acid or silver nitrate. In rare cases, a minor surgical procedure is required (detachment of the mucous membrane or removal of part of it).

Other causes of nosebleeds

Local:

  1. Injuries.
  2. Infectious diseases (rhinitis, sinusitis, adenoids).
  3. Entry of a foreign body into the nasal cavity.
  4. Tumors in the nasal cavity.

Are common:

  1. Hypertension is high blood pressure.
  2. Overwork.
  3. Disorders in the cardiovascular system.
  4. Overheating.
  5. Diseases of the blood, spleen, liver, poor blood clotting.
  6. Oncological diseases.
  7. Tuberculosis.
  8. Hormonal changes during pregnancy and puberty.
  9. Taking certain medications.
  10. Avitaminosis.
  11. Deviation of the nasal septum.

To eliminate the problem, consult with doctors, lead a healthy lifestyle, and do not overexert yourself mentally and physically. Try to avoid stressful situations.

Are you familiar with the situation: you wake up in the morning in a great mood, and suddenly your nose starts bleeding, and a strange noise appears in your head? The mood is spoiled, clothes need to be washed or put in order. You can forget about being productive all day long. Bleeding is a signal from the body that all is not well. This is a wake-up call about problems that need to be addressed to a doctor.

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