HomeHealth articlesnasal bleedingWhat Are the Causative Factors for Nose Bleeding During Pregnancy?

Nosebleed In Pregnancy - All You Need to Know

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Nosebleeds are a common occurrence during pregnancy, particularly in the second and third trimesters. Read more in the article.

Medically reviewed by

Dr. Sanap Sneha Umrao

Published At June 27, 2023
Reviewed AtJune 27, 2023

Introduction:

Nose bleeding during gestation is a common finding, as this occurs due to hormonal changes. The women worry because of nosebleeds during pregnancy, but there is nothing to worry about if there is blood loss in smaller quantities. They should be concerned if there is blood loss in larger quantities that cannot be managed at home. During nose bleeding, there is a loss of blood from one or both nostrils.

What Are the Causative Factors for Nose Bleeding During Pregnancy?

Nosebleeds during gestation are relatively common and can be caused by a variety of factors. The following are the causative factors for nose bleeding during pregnancy:

  • Elevated Blood Volume: Pregnant people are more susceptible to nose bleeding because the blood vessels in the nose enlarge due to the pressure of all the new blood moving throughout the body. Blood circulation elevates by fifty percent when they are pregnant. During gestation, the volume of blood elevates in a woman's body significantly. This elevated blood volume can put pressure on the delicate blood vessels in the nose, making them more prone to bleeding.

  • Hormonal Changes: Hormonal changes during pregnancy can also contribute to nosebleeds. The increased production of estrogen can cause the blood vessels in the nose to become more sensitive and prone to rupture.

  • Dehydration: This leads to drying of the mucus membrane, which causes nose bleeding. Hence pregnant women are recommended to drink more water.

  • Dry Air: Dry air can irritate the delicate tissues inside the nose, leading to dryness and cracking. This can make the blood vessels more susceptible to bleeding.

  • Allergies: Pregnancy can make women more susceptible to allergies, which can cause inflammation and irritation in the nasal passages. This can lead to nosebleeds. A medical condition referred to as pregnancy rhinitis (the mucus membrane swells in the nose) leads to nasal congestion and stuffing, mainly in the first trimester. It can also contribute to nose bleeding.

  • Trauma: Accidental trauma to the nose, such as a blow or bump, can cause nosebleeds in pregnant women just as it can in anyone else.

If pregnant women are experiencing nosebleeds during pregnancy, it is essential to consult the physician to rule out any underlying medical conditions and to determine the best course of treatment.

What Is the Management for Nose Bleeding During Pregnancy?

Nosebleeds are a common occurrence during pregnancy, and they usually stop on their own. However, if they want to stop a nosebleed during pregnancy, the women can try the following steps:

  • Sit upright and lean forward slightly to avoid swallowing blood.

  • Pinch the nostrils together with the fingers and hold for 10 to 15 minutes.

  • Apply a cold compress to the nose and forehead to help reduce swelling and bleeding.

  • Avoid blowing their nose, as this can further irritate the blood vessels in the nose.

  • Use a saline nasal spray to keep the nasal passages moisturized and help prevent further nosebleeds.

  • If the nosebleed persists, or if they experience other symptoms such as dizziness or difficulty breathing, they should seek medical attention immediately. The physician may be able to suggest additional treatments or tests to determine the cause of the nosebleeds.

While nosebleeds are usually not serious, they can be uncomfortable and inconvenient. Here are some precautions that can help avoid nosebleeds during pregnancy:

  • Stay Hydrated: Drinking plenty of water helps maintain moisture in nasal passages and inhibit dryness, which can lead to nosebleeds.

  • Use a Humidifier: Using a humidifier in the rooms is useful in adding moisture to the surroundings and preventing dryness in the nasal passages.

  • Avoid Dry Environments: Try to avoid spending time in areas with low humidity, such as air-conditioned rooms or dry climates, as these can contribute to dryness in the nasal passages.

  • Use Saline Nasal Spray: Saline nasal spray helps to keep moisture in nasal passages. It can also help flush out any irritants or allergens that may be causing nosebleeds.

  • Avoid Picking the Nose: Picking the nose can irritate the delicate nasal tissues and lead to nosebleeds. Use a tissue to gently blow the nose instead.

  • Avoid Hot, Spicy Foods: Hot, spicy foods lead to nasal passages irritation and elevate nosebleeds. Avoid these foods if they are prone to nosebleeds.

  • Be Gentle When Blowing the Nose: Blowing the nose too hard can cause the delicate nasal tissues to bleed. Use a tissue and blow the nose gently.

  • Avoid Using Aspirin: Aspirin can thin the blood and increase the risk of bleeding. If they need to take pain relievers, choose Acetaminophen instead.

  • Talk to the Physician: If they are experiencing frequent or severe nosebleeds, talk to the physician. They may recommend additional precautions or treatment options to help prevent nosebleeds.

Is Nose Bleeding During Pregnancy an Indication of Anemia?

  • Nosebleeds during pregnancy are relatively common, and they are usually not indicative of anemia.

  • In anemia, on the other hand, there are no required hemoglobin or red blood cells that are essential for the transportation of oxygen to the tissues. Signs of anemia are weakness, pale appearance of skin, tiredness, and shortness of breath, but not nosebleeds.

  • If they are concerned about anemia during pregnancy, it is essential to discuss the symptoms with the physician. They may recommend blood tests to check the hemoglobin levels and provide appropriate treatment if needed.

In What Situations Is It Necessary to Consult a Physician for Nosebleeds During Pregnancy?

Here are some situations in which they should consult a physician for nosebleeds during pregnancy:

  • Heavy Bleeding: If the bleeding is heavy and lasts for more than 20 minutes, seek medical attention immediately.

  • Frequent Nosebleeds: If they experience frequent nosebleeds, it may indicate an underlying medical condition, like elevated blood pressure or any other clotting or bleeding disorders. The doctor may want to perform some tests to determine the cause of the nosebleeds.

  • Other Symptoms: If the nosebleeds are accompanied by other symptoms, such as headaches, blurred vision, or swelling in the face or hands, contact the doctor immediately.

  • Medication: If they are taking medication that may elevate bleeding risk the medications like blood thinners, it is important to discuss any nosebleeds with the doctor.

Conclusion:

However, if the nosebleeds are frequent, heavy, or associated with other signs like drowsiness, dizziness, and headaches, it is necessary to consult a physician. These symptoms may indicate an underlying medical condition that requires treatment. To prevent nosebleeds during pregnancy, it is recommended to keep the nasal passages moisturized by using a saline nasal spray or humidifier. It is also important to avoid picking the nose and to be gentle when blowing the nose.

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Dr. Sanap Sneha Umrao
Dr. Sanap Sneha Umrao

Obstetrics and Gynecology

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