Hi there 👋 This is Dr. Nikhil Chauhan. Nine years of daily nosebleeds is not normal – let’s cut to what you need to know.
🩸 Why this is serious (and not “just your nose”)
· Daily bright red bleeding + congestion for 9 years → points beyond simple dry nose. · Family history of a bleeding disorder (even distant) → cannot ignore possible clotting problem (e.g., von Willebrand, platelet issue).
🔍 What you should do now
1. Stop home remedies – they haven’t worked in 9 years. 2. Ask your doctor for these 3 tests: · CBC + platelet count · PT / aPTT (clotting time tests) · von Willebrand panel (common inherited bleeding disorder) 3. See an ENT – they need to look inside with a nasal endoscope to check for: · Hidden blood vessel (telangiectasia) · Chronic infection or polyp · Hereditary Hemorrhagic Telangiectasia (HHT) – rare but possible
✅ What you can try safely while waiting
· Saline nasal spray 3–4x daily (not medicated sprays) · Humidifier at night · Avoid picking, blowing hard, aspirin/NSAIDs (ibuprofen)
⚠️ Go to ER if:
· Bleeding doesn’t stop after 20 minutes of pinching nostrils · You feel dizzy, weak, or pale
Bottom line: Your nose is likely the site of the problem, but the cause may be in your blood or a hidden vessel. This is fixable – but you need proper testing.
You’ve suffered long enough. Get tested this month. 🌟
— Dr. Nikhil Chauhan
Hello, thank you for sharing your concern. This can understandably be worrying. Daily nosebleeds for years are not considered normal, but in many cases, they are due to local (nose-related) causes rather than a serious disease. The most common causes include: Dryness of the nasal lining, Fragile blood vessels in the front part of the nose, Chronic nasal irritation or inflammation, etc. The fact that: Blood is bright red, You have nasal congestion, General health is otherwise good, suggests a local nasal cause is more likely. Since this has been going on for 9 years with daily episodes, it is important to properly evaluate the inside of your nose, even if earlier reports were normal. Here is my advise-
1. Consult an ENT specialist for: Nasal endoscopy (to see the exact bleeding point). To check for any fragile vessel or structural issue. Many cases can be treated easily with cauterization of the bleeding vessel.
2. Supportive care- Keep nose moist: Use saline nasal spray regularly. Apply a small amount of petroleum jelly inside nostrils (gently). Avoid: Nose picking, Forceful blowing. Use a humidifier if environment is dry.
3. Get these basic tests done- CBC, PT-INR, LFT. This is especially useful since you mentioned a family history (even distant).
Seek urgent care if you develop- Bleeding that does not stop after 10–15 minutes of pressure. Heavy bleeding or feeling dizzy/weak Bleeding from other sites (gums, urine, etc.).
Even though the duration is long, most chronic nosebleeds are due to treatable local causes, and many patients get significant relief once the exact source is identified and managed. The key step now is a proper ENT examination with endoscopy, as this can both diagnose and treat the problem effectively.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
Hello Thanks for sharing these details. Having daily nosebleeds for 9 years, especially with bright red blood and nasal congestion, is definitely something that needs a closer look—even if your basic hospital tests have been “clean.”
The most common cause is usually a problem inside the nose itself, like: - Chronic dryness or irritation of the nasal lining - Allergies or frequent nose blowing - A small blood vessel close to the surface (sometimes called a “bleeder” or septal vessel) - Chronic nasal congestion causing fragile blood vessels
What you can do: - Use a saline nasal spray or gel to keep your nose moist. - Avoid picking your nose or blowing it too hard. - Apply a thin layer of petroleum jelly inside your nostrils at night. - Use a humidifier if your environment is dry.
Less commonly, it could be due to a structural issue (like a deviated septum, nasal polyp, or rarely, a small growth), or a bleeding/clotting disorder, but these are usually picked up in hospital tests.
Most likely, the problem is with the lining or blood vessels in your nose, and it can usually be managed or treated. If you ever have heavy bleeding that won’t stop, feel faint, or see blood coming from both nostrils or in your spit, seek emergency care.
Next steps: Since this has been going on for years, you should see an ENT (Ear, Nose, and Throat) specialist if you haven’t already. They can look deeper inside your nose with a special scope and may find a small vessel or area that needs treatment (like cauterization).
Thank you
Hello
Persistent daily nosebleeds for 9 years are NOT normal and need a proper evaluation beyond routine checks. Yes, the problem is likely related to the nose or blood vessels, but sometimes it can also involve blood pressure, sinus disease, or a clotting issue.
What to do now:
1. See an ENT (Ear, Nose, Throat) specialist for a detailed nasal examination — possibly with a nasal endoscopy.
2. Ask for these tests if not already done: • Complete blood count (CBC) • Bleeding/clotting profile • Blood pressure check • Sinus or nasal imaging (if needed)
3. Meanwhile, basic care: • Keep the nose moist (saline spray or petroleum jelly inside nostrils) Avoid nose picking/blowing hard • Use a humid environment if air is dry
If bleeding starts: pinch the soft part of the nose for 10–15 minutes while leaning forward
Possible causes that should be ruled out: • Fragile blood vessels in the nose (most common) • Chronic sinus or nasal inflammation • Deviated septum or nasal growth/polyp • High blood pressure • Bleeding disorder (especially with family history)
Important warning signs — seek urgent care if present: • Bleeding lasts >20 minutes despite pressure • Very heavy bleeding or dizziness • Frequent anemia or weakness
Take care
Having daily nosebleeds for 9 years, even with normal hospital checks, most likely points to a chronic local nasal issue rather than a dangerous disease, especially since the blood is bright red and you also have nasal congestion. The most common cause is fragile blood vessels in the front part of the nose (often related to dryness, irritation, allergies, or frequent touching/picking), though conditions like a deviated septum, chronic sinus inflammation, or less commonly a clotting tendency can contribute. Even if previous tests were normal, persistent daily bleeding is not considered typical and should be re-evaluated by an ENT specialist, who can directly examine the inside of your nose and may treat it with methods like cauterization or prescribe medicated nasal ointments/sprays. In the meantime, keeping the nose moist (using saline sprays or petroleum jelly), avoiding nose picking or forceful blowing, and managing congestion can help reduce episodes. Overall, this is usually a treatable nose-related condition, but given the long duration and frequency, a focused ENT assessment is strongly recommended for proper diagnosis and lasting relief.
Persistent nosebleeds lasting 9 years is unusual and warrants thorough evaluation. Firstly, if you’re experiencing frequent nosebleeds, it may indicate an underlying issue not immediately evident through basic examinations. Consider seeing an ENT specialist who can perform a more detailed nasal examination possibly using a nasal endoscope. They will look for any anatomical concerns like deviated septum, nasal polyps or blood vessel abnormalities that may contribute to recurrent bleeding. Conditions like nasal septum perforation may also be noted. Sometimes, the cause can be simple, such as dry air or nasal picking, but it’s essential to exclude more serious causes. Testing for nasal pathologies, coagulation disorders, and systemic diseases that affect blood vessels, like hypertension or liver disease, might be advisable. Depending on findings, treatments could range from moisturizing nasal sprays to more intensive interventions like cauterization of offending vessels. If nothing was found structurally, evaluate and manage any lifestyle factors — avoiding nasal irritants, humidifying the environment, and ensuring good control of blood pressure if it’s high. Use saline sprays to keep the nasal passages moist, and avoid blowing your nose too hard. If you experience nosebleeds with other symptoms, like bruising or bleeding elsewhere, immediate evaluation for a bleeding disorder should be a priority. Persistent or unexplained symptoms should not be ignored, and you may need to advocate for more in-depth testing to find an elusive cause. Consider also a complete blood count test to rule out conditions like anemia, which can sometimes be associated with frequent nosebleeds. Addressing any contributory factors can be significant in reducing the frequency or severity of nosebleeds.
Daily nosebleeds for years are not normal, even if past tests were “clean,” and they usually come from a fragile blood vessel inside the nose (often due to dryness, irritation, or a small recurrent bleeding point). This is most often a local nasal issue rather than a serious disease, but it needs proper examination—especially since it’s been happening for so long. You should see an ENT specialist for nasal examination (sometimes cauterization of the bleeding vessel helps), and also consider basic blood tests to rule out clotting issues.
