Can a Sinus Infection Make Your Nose Bleed?

Sinus infections can lead to nosebleeds. While nosebleeds have various causes, inflammation and changes within nasal passages during a sinus infection can increase bleeding risk. This article explores how these infections cause nasal bleeding, how to identify a sinus infection, and when medical guidance is necessary.

How Sinus Infections Lead to Nosebleeds

Sinus infections, or sinusitis, involve inflammation of the tissues lining the sinus cavities. When these tissues swell, delicate blood vessels in the nose become more exposed and fragile, making them prone to rupture and bleeding.

Fluid accumulation within the sinuses due to infection creates increased pressure, further stressing these sensitive blood vessels. Congestion from a sinus infection often leads to mouth breathing, which can dry out nasal membranes. Dryness makes the nasal lining more susceptible to cracking and bleeding.

Frequent or forceful nose blowing, common to clear congested passages, can also irritate and damage fragile blood vessels, triggering a nosebleed. Certain medications for sinus symptoms, such as decongestant nasal sprays, may also contribute to dryness and irritation of the nasal lining, increasing bleeding risk.

Recognizing a Sinus Infection

Identifying a sinus infection involves recognizing common symptoms. Individuals often experience pain and pressure around the cheeks, eyes, or forehead. This discomfort can worsen when bending over or moving the head.

Nasal congestion and a blocked or runny nose are typical indicators, often accompanied by thick, discolored yellow or green mucus. A reduced sense of smell or taste can also occur. Other symptoms include a persistent cough, especially at night, and a sore throat due to postnasal drip. A low-grade fever, headache, or even toothache may also be present.

When to Seek Medical Attention

While many nosebleeds and sinus infections can be managed at home, certain situations warrant medical evaluation. For nosebleeds, seek immediate attention if bleeding is heavy (more than a cup of blood), persists for over 15 to 20 minutes despite pressure, or occurs after a head injury. Dizziness, weakness, or feeling faint alongside a nosebleed also require medical help. Frequent nosebleeds, even if not severe, should be discussed with a healthcare provider.

For sinus infections, consult a doctor if symptoms are severe, do not improve after 7 to 10 days, or worsen after initial improvement. A high fever, particularly over 103°F (39.4°C), requires medical attention. Symptoms such as vision changes, swelling around the eyes, or a severe headache could indicate a more serious condition and require urgent care.

Relief and Recovery

Managing a nosebleed involves first aid techniques. Sitting down and leaning slightly forward helps prevent blood from flowing down the throat, which can cause nausea. Gently pinch the soft part of the nose just above the nostrils for 10 to 15 minutes continuously to help stop the bleeding. Breathing through the mouth during this time is helpful.

For sinus infection symptoms, several home remedies can provide relief. Saline nasal rinses help clear nasal passages and moisten membranes. A humidifier adds moisture to the air, soothing irritated nasal passages and thinning mucus. Applying warm compresses to the face can also ease facial pain and pressure.

Staying well-hydrated by drinking plenty of fluids helps thin mucus, promoting drainage. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can manage facial pain and headaches. Decongestants reduce swelling and stuffiness, but nasal sprays should be used cautiously for only a few days to avoid rebound congestion. Adequate rest also supports recovery.