What causes frequent nosebleeds inside the nose?

Under normal circumstances, recurrent bleeding inside the nose may be caused by trauma, internal heat ("fire excess"), dry rhinitis, atrophic rhinitis, or deviated nasal septum. Patients should promptly visit a正规 medical facility to determine the underlying cause and receive appropriate treatment. Specific analyses are as follows:

1. Trauma

External impact to the nose, excessive nose picking, or forceful nose blowing can damage the nasal mucosa and lead to recurrent nosebleeds. It is recommended to clean the nasal cavity promptly and apply ice packs as directed by a healthcare provider to alleviate symptoms.

2. Internal Heat ("Fire Excess")

This may result from pathological heat affecting the lungs, excessive stomach heat, or ascending liver fire. For example, consuming overly spicy or greasy foods may irritate the gastrointestinal tract, leading to excessive stomach heat and subsequent nosebleeds. Under medical guidance, patients may take medications such as Long Dan Xie Gan Wan (Gentiana Liver-Clearing Pills), Tian Wang Bu Xin Dan (Emperor’s Heart-Nourishing Pills), or Niu Huang Qing Fei Wan (Bezoar Lung-Clearing Pills) to relieve discomfort.

3. Dry Rhinitis

Prolonged exposure to dry environments or irritants such as dust and chemical substances may cause nasal mucosal dryness and congestion, potentially leading to mucosal rupture and persistent nosebleeds. As directed by a physician, patients may use medications such as Bi Yan Kang Pian (Rhinitis Health Tablets), Xiang Ju Jiao Nang (Chrysanthemum Capsules), or Qian Bai Bi Yan Pian (Qianbai Rhinitis Tablets) for treatment.

4. Atrophic Rhinitis

Atrophic rhinitis is a chronic type of rhinitis characterized by progressive thinning and atrophy of the nasal mucosa, resulting in nasal dryness and recurrent nosebleeds. It may also cause symptoms such as nasal congestion, runny nose, and headaches. Patients are advised to follow medical recommendations and use medications such as mometasone furoate nasal spray, fluticasone propionate nasal spray, or oxymetazoline hydrochloride nasal spray for treatment.

5. Deviated Nasal Septum

A deviated nasal septum may arise from abnormal bone development or trauma, leading to nasal congestion, headaches, nasal discomfort, and recurrent nosebleeds. Under medical supervision, patients may consider surgical treatments such as septoplasty, three-line tension-reducing surgery, or nasal septum resection.

During treatment, it is important to maintain nasal hygiene. Avoid using sharp tools to pick the nose, as this may further irritate the nasal mucosa, worsen nosebleeds, and delay recovery.