Primary preventive measures include:
Avoiding picking or rubbing inside the nose
Home humidification
Application of petroleum jelly, saline spray, or saline nasal gels, to discourage intranasal excoriation and preserve mucosal integrity.
Primary prevention
Secondary prevention
Secondary preventive measures are the same as primary preventive measures.
Further preventive measures include avoiding, if possible, medicine that impairs clotting, such as cold medicines containing aspirin, and non-steroidal anti-inflammatory drugs, particularly in people who have recurrent epistaxis. These drugs do not initiate nosebleeds but may prolong bleeding.
Medicines that impair clotting should also be avoided, if possible, during healing.[1][2][47]
Liberal moisturisation during dry, cold months may reduce the frequency of epistaxis in patients with a history of epistaxis.
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