Do you have a nosebleed problem?
How old are you?
Less than 4 years
Less than 4 years
4 years or older
4 years or older
Are you male or female?
- If you are transgender or non-binary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Have you had a head injury in the past 24 hours?
Yes
Head injury in past 24 hours
No
Head injury in past 24 hours
Have you had a nose injury in the past 2 weeks?
Yes
Nose injury in past 2 weeks
No
Nose injury in past 2 weeks
Do you have symptoms of shock?
Are you having
trouble breathing (more than a stuffy nose)?
Yes
Difficulty breathing more than a stuffy nose
No
Difficulty breathing more than a stuffy nose
Would you describe the breathing problem as severe, moderate, or mild?
Severe
Severe difficulty breathing
Moderate
Moderate difficulty breathing
Mild
Mild difficulty breathing
Can you stop the bleeding?
No
Unable to stop bleeding
Have you
kept the nose pinched shut for at least 20 minutes?
Yes
Has tried to stop nosebleed with direct pressure for at least 20 minutes
No
Has tried to stop nosebleed with direct pressure for at least 20 minutes
Do you feel light-headed or dizzy, like you are going to faint?
It's normal for some people to feel a little light-headed when they first stand up. But anything more than that may be serious.
Do you take a medicine that affects the blood's ability to clot?
This may include blood thinners and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen. These medicines can cause bleeding and can make it harder to control bleeding.
Yes
Takes medicine that affects blood's ability to clot
No
Takes medicine that affects blood's ability to clot
Have you had more than 1 nosebleed in the past 24 hours?
Yes
More than 1 nosebleed in past 24 hours
No
More than 1 nosebleed in past 24 hours
Are you having nosebleeds more often than is normal for you?
Some people get nosebleeds from time to time. What you are looking for is an increase in how often they occur.
Have you had more than 4 nosebleeds in 1 week?
Yes
More than 4 nosebleeds in 1 week
No
More than 4 nosebleeds in 1 week
Are you
bleeding anywhere else?
Yes
Bleeding from other sites
No
Bleeding from other sites
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, or natural health products can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
To stop a nosebleed:
- Gently blow your nose to clear any clots.
- Sit up straight, and tip your head slightly forward. (Do not tilt your head back. This may cause blood to run down your throat and make you vomit.)
- Pinch the front, soft part of your nose shut with your thumb and index finger for at least 15 minutes.
- After 15 minutes, check to see if your nose is still bleeding. If it is, pinch it shut for 10 to 15 more minutes. Most nosebleeds will stop after 10 to 20 minutes of pressure.
Symptoms of difficulty breathing can range from mild to severe. For example:
- You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
- It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you're at rest (severe difficulty breathing).
Severe trouble breathing means:
- You cannot talk at all.
- You have to work very hard to breathe.
- You feel like you can't get enough air.
- You do not feel alert or cannot think clearly.
Moderate trouble breathing means:
- It's hard to talk in full sentences.
- It's hard to breathe with activity.
Mild trouble breathing means:
- You feel a little out of breath but can still talk.
- It's becoming hard to breathe with activity.
Severe trouble breathing means:
- The child cannot eat or talk because he or she is breathing so hard.
- The child's nostrils are flaring and the belly is moving in and out with every breath.
- The child seems to be tiring out.
- The child seems very sleepy or confused.
Moderate trouble breathing means:
- The child is breathing a lot faster than usual.
- The child has to take breaks from eating or talking to breathe.
- The nostrils flare or the belly moves in and out at times when the child breathes.
Mild trouble breathing means:
- The child is breathing a little faster than usual.
- The child seems a little out of breath but can still eat or talk.
A nosebleed is severe if:
- You have moderate to large amounts of blood even after you have pinched the nose shut for 10 minutes.
- Your nose is still bleeding even after 15 full minutes of direct pressure.
A nosebleed is moderate if:
- You have some bleeding, but direct pressure stops it within 15 minutes.
- The nose bleeds small amounts of blood more than 3 times in 24 hours.
A nosebleed is mild if:
- You have a little bleeding, but direct pressure stops it within 10 minutes.
- The nose bleeds no more than 3 times in 24 hours, and each time the bleeding is mild.
Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.
Adults and older children often have several symptoms of shock. These include:
- Passing out (losing consciousness).
- Feeling very dizzy or light-headed, like you may pass out.
- Feeling very weak or having trouble standing.
- Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.
Shock is a life-threatening condition that may occur quickly after a sudden illness or injury.
Babies and young children often have several symptoms of shock. These include:
- Passing out (losing consciousness).
- Being very sleepy or hard to wake up.
- Not responding when being touched or talked to.
- Breathing much faster than usual.
- Acting confused. The child may not know where he or she is.
Abnormal bleeding means any heavy or frequent bleeding or any bleeding that is not normal for you. Examples of abnormal bleeding include:
- Nosebleeds.
- Vaginal bleeding that is different (heavier, more frequent, at a different time of month) than what you are used to.
- Rectal bleeding and bloody stools.
- Bloody or pink urine.
- Gums that bleed easily when you eat or gently brush your teeth.
When you have abnormal bleeding in one area of your body, it's important to think about whether you have been bleeding anywhere else. This can be a symptom of a more serious health problem.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Nose Injuries
Head Injury, Age 4 and Older
Head Injury, Age 3 and Younger