Why Did My Nose Start Bleeding After Taking Medication for Nasal Congestion?

After taking rhinitis medication, nosebleeds may be related to drug irritation, the underlying pathology of rhinitis, rhinitis combined with other diseases, or other reasons. If the bleeding is minimal, a cotton ball can be used to pack and stop the bleeding. If the bleeding is heavy, it is recommended to promptly seek medical attention and follow the doctor's instructions for treatment.

1. Drug Irritation:

If the patient suffers from rhinitis with eroded and congested nasal mucosa, taking rhinitis medication may irritate the nasal mucosa, exacerbating the erosion and congestion, leading to nosebleeds. It is recommended to stop the medication, clean the nasal cavity with saline solution, and use medications such as recombinant human epidermal growth factor gel for treatment.

2. Underlying Pathology of Rhinitis:

If the patient has rhinitis symptoms like nasal congestion, runny nose, and sneezing, taking rhinitis medication may cause local vasodilation due to the medication's effect, leading to blood vessel rupture inside the nose and subsequent nosebleeds. Medications like fluticasone propionate nasal spray can be prescribed for treatment, and surgical procedures such as endoscopic sinus surgery may be considered if necessary.

3. Rhinitis Combined with Other Diseases:

Conditions like sinusitis or nasopharyngitis, if present concurrently, may worsen after taking rhinitis medication, resulting in nosebleeds. It is essential to seek prompt medical attention and receive appropriate treatment based on the specific condition. For example, patients with maxillary sinusitis may be prescribed antibiotics like cefixime tablets and use medications like oxymetazoline hydrochloride nasal spray to alleviate symptoms.

4. Other Causes:

External factors such as trauma to the nose or picking the nostrils while taking rhinitis medication can also cause nosebleeds. In such cases, the injury should be addressed, for instance, by cleaning the wound with iodine solution. If bleeding is significant, hemostatic drugs like etamsylate should be administered promptly under medical guidance.