Most nosebleeds come from small vessels at the front of the nasal septum and stop with correct pressure. The problem is that most people do the exact opposite: they tip the head back.

In short — what to do

  1. Sit and tilt the head slightly forward — not back.
  2. Pinch the soft part of the nose (just below the bone) between thumb and index finger.
  3. Hold for a full 10 minutes without lifting to check — every peek restarts the clock.
  4. Breathe through the mouth; a cold compress on the bridge of the nose may help.
  5. Once it stops: don’t blow the nose, don’t put anything in it, and avoid bending and exertion for a few hours.

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Head slightly forward, pinching the soft part for 10 minutes without lifting
Head slightly forward, pinching the soft part for 10 minutes without lifting
The full details

Why is head-back wrong?

Because the blood runs down the throat and is swallowed — irritating the stomach and causing nausea and vomiting — and, more importantly, you can no longer tell how much has actually been lost, with some risk of blood entering the airway.

The right method

  1. Sit and tilt the head slightly forward — not back.
  2. Pinch the soft part of the nose (just below the bone) between thumb and index finger.
  3. Hold for a full 10 minutes without lifting to check — every peek restarts the clock.
  4. Breathe through the mouth; a cold compress on the bridge of the nose may help.
  5. Once it stops: don’t blow the nose, don’t put anything in it, and avoid bending and exertion for a few hours.

Go to the ER if

  • Bleeding continues after 20 minutes of correct, uninterrupted pressure.
  • The bleeding is heavy, or a lot of blood runs into the throat despite tilting forward.
  • It followed an injury or a heavy blow to the face or head.
  • The person takes blood thinners or has a clotting disorder.
  • Pallor, dizziness or a racing pulse appear.
  • Nosebleeds recur frequently over a short period, or come from one nostril in an older adult with no clear cause.

Prevention

Dry air and air-conditioning dry the nasal lining. A humidifier, or a little moisturising ointment inside the nostril, reduces recurrence — and trimming children’s nails removes their commonest cause.

This content is for general health education only and is not medical advice. Always seek guidance from a qualified healthcare professional. In an emergency, call 998.

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