1. Sit upright and lean forward. By remaining
upright, you reduce blood pressure in the veins of your nose. This discourages further bleeding. Sitting forward will help you avoid swallowing blood, which can irritate your stomach.
2. Pinch your nose. Use your thumb and index finger to pinch your nostrils shut. Breathe through your mouth. Continue to pinch for five to 10 minutes. Pinching sends pressure to the bleeding point on the nasal septum and often stops the flow of blood.
3. To prevent re-bleeding, don’t pick or blow your nose and don’t bend down for several hours after the bleeding episode. During this time remember to keep your head higher than the level of your heart.
4. If re-bleeding occurs, blow out forcefully to clear your nose of blood clots and spray both sides of your nose with a decongestant nasal spray containing
oxymetazoline (Afrin, Mucinex Moisture Smart, others). Pinch your nose again as described above and call your doctor.
Seek medical care immediately if
1. The bleeding lasts for more than 20 minutes
2. The nosebleed follows an accident, a fall or an injury to your head, including a punch in the face