What Causes Fever and Nosebleeds?

Jun 27, 2022 Source: Cainiu Health
Dr. Yang Shuwen
Introduction
The patient’s symptoms of fever and epistaxis may be caused by an upper respiratory tract infection. When the upper respiratory tract is infected with bacteria, the nasal mucosa becomes more fragile and prone to drying, making the capillaries within the nasal cavity susceptible to rupture—resulting in fever and epistaxis. The patient may also experience other symptoms of upper respiratory tract infection, such as nasal congestion, rhinorrhea, or sore throat.

I developed a fever last night. Although the fever subsided initially, it recurred the following day, accompanied by epistaxis (nosebleed). I’m somewhat anxious about potential health issues—what could be causing fever with nosebleed?

What Causes Fever Accompanied by Nosebleed?

Fever refers to an elevated body temperature. The concurrent symptoms of fever and epistaxis may stem from causes such as nasal dryness, upper respiratory tract infection, or hematologic disorders. Patients are advised to seek medical evaluation at a hospital promptly.

1. Nasal Dryness

Epistaxis during fever most commonly results from nasal dryness and damage to the nasal mucosa induced by the fever itself. Forceful nose-blowing may rupture small blood vessels in the nasal mucosa, leading to bleeding.

2. Upper Respiratory Tract Infection

Bacterial infection of the upper respiratory tract increases the fragility and dryness of the nasal mucosa, rendering capillaries within the nasal cavity more prone to rupture—resulting in fever and epistaxis. Additional symptoms of upper respiratory tract infection—including nasal congestion, rhinorrhea, and sore throat—may also be present.

3. Leukemia

Leukemia can impair both the hematopoietic and immune systems, potentially manifesting as fever and epistaxis. When these symptoms occur, patients should promptly undergo routine blood tests at a hospital for definitive diagnosis. If leukemia is confirmed, treatment options—including azathioprine tablets and prednisone acetate tablets—may be prescribed under physician guidance.

In addition to the above, nasopharyngeal carcinoma may also cause this combination of symptoms.

In daily diet, patients should prioritize high-protein, low-fat foods—such as eggs, milk, and fish or shrimp—to bolster immunity. They should also consume ample fresh vegetables and fruits to meet their vitamin requirements. Maintaining good indoor ventilation helps prevent viral and bacterial proliferation. We hope this information proves helpful!