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Ask a doctor: 'Why am I getting nosebleeds and how can I stop them?'

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Ask a doctor: 'Why am I getting nosebleeds and how can I stop them?'

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Having a nosebleed can be a startling and somewhat scary experience, but medical experts say the condition is generally not serious. 

“Nosebleeds are quite common, and over half of the population will experience them at some point,” David A. Gudis, M.D., chief of rhinology and anterior skull base surgery at Columbia University Irving Medical Center in New York City, told Fox News Digital. 

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“Most nosebleeds are not major medical emergencies, but they can be alarming and occasionally quite dangerous.”

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Here’s what to know. 

What causes nosebleeds?

The lining of the nasal cavity (the “mucosa”) has a very robust blood supply, and various causes can lead to bleeding from this area, according to Gudis. 

Having a nosebleed can be startling and somewhat scary, but medical experts say the condition is generally not serious.  (iStock)

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“In children, the front of the nasal cavity is susceptible to irritation from doing what everybody does – nose-picking,” he said.  

In adults, this area of the nose can become dry, resulting in a thinning of the mucosa over these blood vessels.

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Another cause, Gudis said, could be a deviated septum, which is when the wall that separates the left and right sides of the nose is off-center or crooked.

This “can cause the airflow in the nose to be more turbulent, which can further dry out the front of the nose,” the doctor said.

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“Nosebleeds are quite common, and over half of the population will experience them at some point,” a doctor said. (iStock)

Trauma or injury to the nose — such as getting hit in the face with a ball or being involved in an accident of some type — can also result in nosebleeds, he added.

Medical issues are another potential trigger. 

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“These may include uncontrolled hypertension (high blood pressure), anticoagulant medication (blood thinners) and bleeding/clotting disorders,” Gudis told Fox News Digital.

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Beyond these reasons, a person’s environment may be the culprit. 

“In children, the front of the nasal cavity is susceptible to irritation from doing what everybody does – nose-picking,” a doctor said. (iStock)

One common cause of nosebleeds is dry indoor air, said Natasha Bhuyan, M.D., a family physician with One Medical in Phoenix, Arizona. 

  

“We tend to see this the most in the wintertime,” she told Fox News Digital.

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One way to prevent this is to use a humidifier.

“Most nosebleeds are not major medical emergencies, but they can be alarming and occasionally dangerous.”

In terms of overall prevention, it’s best to stay hydrated and keep the nasal passage moist, experts advise. 

“Also, avoid picking inside your nose — and, of course, people should avoid smoking tobacco,” added Bhuyan.

How to stop a nosebleed

“Holding pressure” is a simple and very effective solution to most nosebleeds, according to Gudis.

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“The key is to hold pressure where the nose becomes soft, to pinch it closed,” he said. 

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In many cases, individuals don’t know the best protocol to stop a nosebleed. 

“Many people are erroneously instructed to pinch the ‘bridge’ of the nose — but squeezing the hard nasal bones does not transmit pressure to the actual source of bleeding,” Gudis noted.

When to seek medical care

If the bleeding is persistent, heavy and doesn’t stop — or if you start to have other symptoms, such as lightheadedness or nausea — it’s best to seek medical attention right away, advised Gudis. 

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If the bleeding is persistent, heavy and doesn’t stop — or if you start to have other symptoms, such as lightheadedness or nausea — it’s best to seek medical attention right away, experts advise. (iStock)

If nosebleeds occur frequently or take a long time to stop, don’t hesitate to seek medical care with an otolaryngologist (an ear, nose and throat specialist), he said.

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“In the office, we can use small nasal endoscopes to identify the source of bleeding,” Gudis told Fox News Digital. 

In some cases, he said, patients require surgery to cauterize the blood supply to certain parts of the nose.

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‘SuperAgers’ stay mentally sharp well past 80, as scientists reveal the reason

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‘SuperAgers’ stay mentally sharp well past 80, as scientists reveal the reason

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Stat of the week

More than 59% of women may have high blood pressure by 2050, according to a new report from the American Heart Association.

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Heart disease threat projected to climb sharply for key demographic

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Heart disease threat projected to climb sharply for key demographic

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A new report by the American Heart Association (AHA) included some troubling predictions for the future of women’s health.

The forecast, published in the journal Circulation on Wednesday, projected increases in various comorbidities in American females by 2050.

More than 59% of women were predicted to have high blood pressure, up from less than 49% currently.

The review also projected that more than 25% of women will have diabetes, compared to about 15% today, and more than 61% will have obesity, compared to 44% currently.

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As a result of these risk factors, the prevalence of cardiovascular disease and stroke is expected to rise to 14.4% from 10.7%.

The prevalence of cardiovascular disease and stroke in women is expected to rise to 14.4% from 10.7% by 2050. (iStock)

Not all trends were negative, as unhealthy cholesterol prevalence is expected to drop to about 22% from more than 42% today, the report stated.

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Dr. Elizabeth Klodas, a cardiologist and founder of Step One Foods in Minnesota, commented on these “jarring findings.”

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“The fact that on our current trajectory, cardiometabolic disease is projected to explode in women within one generation should be a huge wake-up call,” she told Fox News Digital.

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“Hypertension, diabetes, obesity — these are all major risk factors for heart disease, and we are already seeing what those risks are driving. Heart disease is the No. 1 killer of women, eclipsing all other causes of death, including breast cancer.”

Cardiovascular disease is the leading cause of death for women in the U.S. and around the world. (iStock)

Klodas warned that heart disease starts early, progresses “stealthily,” and can present “out of the blue in devastating ways.”

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The AHA published another study on Thursday revealing one million hospitalizations, showing that heart attack deaths are climbing among adults below the age of 55.

The more alarming finding, according to Klodas, is that young women were found more likely to die after their first heart attack than men of the same age.

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“This is all especially tragic since heart disease is almost entirely preventable,” she said. “The earlier you start, the better.”

Children can show early evidence of plaque deposition in their arteries, which can be reversed through lifestyle changes if “undertaken early enough and aggressively enough,” according to the expert.

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Moving more is one part of protecting a healthy heart, according to experts. (iStock)

Klodas suggested that rising heart conditions are associated with traditional risk factors, like smoking, high blood pressure, high cholesterol, diabetes, obesity and a sedentary lifestyle.

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Doctors are also seeing higher rates of preeclampsia, or high blood pressure during pregnancy, as well as gestational diabetes. Klodas noted that these are sex-specific risk factors that don’t typically contribute to complications until after menopause.

The best way to protect a healthy heart is to “do the basics,” Klodas recommended, including the following lifestyle habits.

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Klodas especially emphasized making improvements to diet, as the food people eat affects “every single risk factor that the AHA’s report highlights.”

“High blood pressure, high blood sugar, high cholesterol, excess weight – these are all conditions that are driven in part or in whole by food,” she said. “We eat multiple times every single day, which means what we eat has profound cumulative effects over time.”

“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health,” a doctor said. (iStock)

“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health.”

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The doctor also recommends changing out a few snacks per day for healthier choices, which has been proven to “yield medication-level cholesterol reductions” in a month.

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“Keep up that small change and, over the course of a year, you could also lose 20 pounds and reduce your sodium intake enough to avoid blood pressure-lowering medications,” Klodas added.

“Women should not view the AHA report as inevitable. We have power over our health destinies. We just need to use it.”

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