Prevention of nosebleeds is not always possible, but incorporating some of these simple measures may decrease the risk of epistaxis:

  • Saline drops or spray - Instilled into the nose 2-3 times a day, nasal drops and saline sprays can help to keep nasal passages moist and free of cracks and sores.
  • Water-Soluble Gels/Ointments - Examples include petrolatum jelly, polysporin, and Vaseline, which can be applied to the nasal tissues to keep tissues moist.
  • Avoidance Measures Avoiding vigorous blowing of the nose and sneezing with a wide-open mouth will prevent excess pressure on the nasal blood vessels. Avoid putting any objects, including a finger, in the nose.
  • Medications - Avoid over-use of medications that can cause bleeding, such as aspirin and ibuprofen. Be aware that certain homeopathic medications may also increase tendency to bleed. Do not adjust medications, such as Coumadin, without physician approval.
  • See a specialist - If allergy symptoms are not well controlled, seeing an allergist may be necessary. Other conditions that predispose to bleeding may require specialist consultation if epistaxis is frequent.
  • Quit Smoking - Smoking irritates and dries nasal passages.
  • Use protective equipment Use appropriate protective gear to prevent the inhalation of chemicals or irritating substances.