Can high stress cause nosebleeds?

Aug 24, 2022 Source: Cainiu Health
Dr. Xu Gang
Introduction
High stress levels may trigger epistaxis (nosebleeds). The nasal mucosa lies over a rich network of blood vessels—particularly arteries—and elevated blood pressure can cause rupture of the nasal mucosa, leading to bleeding. Common sites of epistaxis include the anterior-inferior portion of the nasal septum and the anterior end of the inferior turbinate. These areas are vascular “watershed zones” where multiple blood vessels converge and also serve as primary impact points for inhaled airflow. If stress is high, it is advisable to rest adequately and avoid overtime work.

Frequent late-night activity and poor mental health can lead to epistaxis (nosebleeds). So, can high stress cause nosebleeds?

Can High Stress Cause Nosebleeds?

Yes, high stress may trigger nosebleeds. The nasal mucosa lies over a rich network of blood vessels—particularly arteries—and elevated blood pressure (often associated with stress) can cause rupture of the nasal mucosa, resulting in bleeding. Common sites of bleeding include the anterior-inferior portion of the nasal septum and the anterior end of the inferior turbinate. These areas are vascular “crossroads” where numerous blood vessels converge and also serve as impact points for airflow. When under significant stress, it’s advisable to rest and avoid overtime work. Excessive physical fatigue naturally exacerbates stress levels. During periods of heightened stress, listening to soothing music may help promote relaxation.

Repetitive nose-picking, nasal trauma, hypertension, or dry ambient air can all provoke epistaxis. When sudden nosebleed occurs, apply firm pressure with your index finger to the affected side of the nasal ala (nostril), while simultaneously applying a cold towel to the forehead and occiput—this often stops bleeding effectively. Additionally, topical application of erythromycin ointment or cod liver oil drops may soften the mucosa and stabilize fragile vessels. Avoid spicy or irritating foods, and ensure adequate sleep, rest, and blood pressure control.

Nosebleeds should be managed proactively using appropriate first-aid measures. Begin by gently rinsing the nasal cavity with cool water. Then, use soft tissue or sterile gauze to gently pack the bleeding nostril. Next, apply a cool, damp towel to the nape of the neck or bridge of the nose—or wrap ice cubes in a towel and apply them externally. This approach yields better results. Avoid applying heat, as it causes vasodilation, worsening bleeding and accelerating blood flow. We hope this article has been helpful. Wishing you a joyful life and optimal health!