HomeAnswersInternal MedicinenosebleedsIs blood from only one side of the nose during a cold?

Is it normal to bleed from one side of the nose?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At July 6, 2022
Reviewed AtJanuary 16, 2024

Patient's Query

Hello doctor,

Two weeks ago, I delivered a baby boy via emergency cesarean delivery (C-section), and for the last two weeks, I have been suffering from a cold. The mucous is only from the left nose, and then today, when I blew my left nose, I saw little blood.

Answered by Dr. Prathish Kumar

Hi,

Welcome to iCliniq.com.

You are affected by an upper respiratory infection. The bleeding from the nose could be due to dryness within it. But still, because you did not report any episodes of fever, let us not rush upon antibiotics. I shall give you symptomatic medicines. Kindly take those. If your symptoms are not resolving or if you develop fever, then please do inform me and let us start you on antibiotics.

Tablet Levocetirizine 5 mg after dinner for five days.

Capsule Karvol Plus (Chlorothymol 5 mg and Menthol 55 mg) for steam inhalation.

Nasoclear saline nasal drops two drops every six hourly in the affected nostril.

Thanks.

Patient's Query

Hello,

Thank you for the reply, doctor. I have attached the pictures for reference.

My question is, why do I get it only from one nose?

Answered by Dr. Prathish Kumar

Hello,

Welcome back to icliniq.com.

I have seen the pictures (attachment removed to protect patient's identity).The phlegm is thick and viscous.

Continue the Karvol plus steam inhalation; it will help liquefy the phlegm and bring it out.

The color is also yellow suggestive of infection; as told before, let us wait for 48 to 72 hours. If the color and viscosity do not change, inform me, and let us initiate antibiotics.

And coming to your doubt for one side, there is something called "nasal septum," which is a partition in the middle of our nose on the inner side. But for nearly 90% population, it is not in the middle. It is usually bent on either one side, which we call "deviated nasal septum - DNS." Due to this DNS, there will be an anatomical and physiological alteration in the structure and function of the nose, sinuses, and its related structures. This is the reason for one side being repeatedly infected compared to the other side. Sometimes if this deviation is more angulated, we call it a "nasal spur." This nasal spur can cause bleeding.

Thanks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prathish Kumar
Dr. Prathish Kumar

General Medicine

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