What is a common first-line treatment for a nosebleed?

• A. Manual squeezing of the soft portion of the nose
• B. Blowing the nose vigorously
• C. Inhaling steam
• D. Drinking cold water

Answer: (A)

Direct pressure on the soft part of the nostrils to compress the bleeding vessel is the first-line approach. The common nosebleed often comes from vessels in the anterior nasal septum, and applying firm, steady pressure helps form a clot and stop the bleed. Have the person sit up, lean slightly forward to prevent swallowing blood, and pinch the soft part of the nose for about 5 to 10 minutes without releasing. If the bleeding stops, keep the head forward and avoid nose blowing for several hours; a cold compress can be added to reduce blood flow. If bleeding continues after this, or if there’s heavy bleeding or the person is on anticoagulants, seek medical care for possible further treatment like nasal packing or cautery. Blowing the nose vigorously, inhaling steam, or drinking cold water do not stop the bleeding and can make it worse.