Epistaxis (Nosebleed)

What is epistaxis?

Epistaxis is the medical term for a nosebleed. Epistaxis is most often caused by trauma. In cancer patients, epistaxis may be caused by:

• A low platelet count.
• Tissue/blood vessels that are weakened or damaged from radiation or a tumor.

How is epistaxis managed?

If you are at risk of getting nosebleeds, blow your nose gently and avoid putting anything (tissues, fingers, etc.) into your nose.
Here are some tips to follow if you get a nosebleed:

• Stay upright and lean slightly forward. Do not lie down or tilt your head back.
• Apply firm pressure by pinching the bridge of your nose just below the bony ridge for at least five minutes.
• If your nose keeps bleeding after five minutes, repeat the first two steps. It may help to put ice on the bridge of your nose.
• After the bleeding has stopped, do not blow your nose as this may cause your nose to bleed again.
• Use a cool-mist humidifier to keep the inside of your nose moist to lower the risk of nosebleeds.

When should I call my care team?

If a nosebleed does not stop after 15-30 minutes, call your provider. If you are having nosebleeds often, speak to your care provider.