What Causes Frequent Nosebleeds in Men?

My aunt’s son is a health-conscious individual who regularly engages in fitness exercises to maintain physical well-being. However, he frequently experiences nosebleeds and must take precautions to protect his nose at all times. So, what causes recurrent epistaxis (nosebleeds) in men?

What Causes Recurrent Epistaxis in Men?

In most cases, recurrent epistaxis in men may result from trauma, sinusitis, or nasal septal deviation. Patients should undergo targeted treatment based on the underlying cause. A detailed analysis follows:

1. Trauma

Frequent nose-picking with fingers may damage the nasal mucosa, leading to mucosal rupture and bleeding. Patients are advised to use topical medications—such as mupirocin ointment or chlortetracycline hydrochloride ointment—under medical supervision, while simultaneously breaking the habit of habitual nose-picking.

2. Sinusitis

Inadequate protection against pathogens—including rhinoviruses, coronaviruses, and Streptococcus pneumoniae—may trigger inflammatory responses. This inflammation irritates the nasal mucosa and damages intranasal blood vessels, resulting in vessel rupture and bleeding. Under physician guidance, patients may be prescribed oral antibiotics such as roxithromycin tablets or cefalexin dry suspension. Additionally, increased fluid intake is recommended to facilitate viral clearance.

3. Nasal Septal Deviation

Asymmetric development of nasal bones or cartilage may lead to nasal septal deviation, causing protrusion within the nasal cavity and thinning of the lateral mucosa—resulting in mucosal erosion and bleeding. Patients should seek evaluation at an accredited hospital and consider corrective surgical intervention.

Beyond these three common causes, other conditions—including leukemia—may also contribute to recurrent epistaxis. Therefore, diagnosis and treatment must be tailored to the specific etiology. Excessive epistaxis leads to rapid blood clot formation. If clots accumulate in the pharynx without prompt expectoration, airway obstruction and asphyxiation may occur. Profuse hemorrhage can even precipitate hypovolemic shock—both life-threatening complications. Individuals experiencing frequent epistaxis should promptly consult a healthcare provider to identify the underlying cause and initiate appropriate management, thereby preventing disease progression and potentially severe consequences. We hope this information proves helpful!