Epistaxis with headache


The nose is a very well perfused organ, which is why nosebleeds occur frequently. In most cases, nosebleeds are caused by harmless causes, such as dry nasal membranes in cold and dry air, a violent sneeze, or an unexpected bump or blow to the nose. But certain medical conditions can also cause nosebleeds associated with headaches.
Most often this includes high blood pressure (arterial hypertension). All arteries in the body are exposed to increased pressure, which makes it easier for the delicate arteries in the nose to tear, which can lead to nosebleeds. This is often accompanied by headaches, which is why a doctor should be consulted in any case if it occurs frequently.


The causes of nosebleeds and headaches are many and varied harmless in most cases. Even at common complaints it is often difficult to pinpoint an exact cause or trigger for the nosebleed. The most common are dry Mucous membranes combined with sensitive Vessels the nose is the cause of the discomfort.
Dry heating air in the cold winter time or a cold With sniff and frequent nose brushing can cause nosebleeds and a headache as well Tenderness on the inflamed sinuses to lead.
Frequent use of Nasal sprays dries the Nasal mucosa also, which in turn can lead to nosebleeds. But also Malformations of Nasal septum or a hole in the nasal septum, which passes through Chemicals or drugs can lead to nosebleeds. More rarely, certain diseases result like one Bleeding disorder or high blood pressure nosebleeds and headaches.


If nosebleeds occur together with headaches, illnesses can be the cause.

Fatigue and neck pain

Many diseases can be too fatigue lead, as feelings of tiredness indicate that something is wrong in the body and lead to Protection to force. Nosebleeds can make you tired for a number of reasons. If the nosebleed is particularly frequent, it can cause one Anemia (anemia), which is very often associated with fatigue. But also diseases that cause frequent nosebleeds with headaches, such as certain Heart disease or Hormonal disorders, are particularly often associated with fatigue.

Nosebleeds and Neck pain do not necessarily have to occur together. This combination of symptoms is particularly typical in Violations of the Cervical spine.
But also harmless ones Tension in the neck muscles can lead to pronounced neck pain that pulls up into the head and causes headaches. The nosebleed is more likely to have a different, separate cause.
At frequent nosebleeds however it can too Spasms in the neck muscles come when the head is held convulsively in a relieving position during the nosebleed. To be on the safe side, a doctor should be consulted if there is severe neck pain associated with headaches and nosebleeds.

Nausea and vomiting

Is nosebleed harmless in most cases and has a variety of harmless causes.
However, can be behind very heavy or frequent nosebleeds also one serious illness stuck.
nausea and Vomit nosebleed related is in most cases due to swallowed blood triggered. However, they can also cause nosebleeds, as there is a lot of pressure on them, especially when they vomit Sinuses arises and it becomes easy to one Tearing of the fine vessels of the nasal skin and thus nosebleeds can occur. However, if you have frequent nosebleeds, headache, nausea and vomiting, a physical examination so that a more serious illness can be excluded if necessary.

Racing heart and dizziness

Racing heart is a symptom that can have many different causes. A very fast pulse is often perceived as a racing heart, but also a high blood pressure can be noticeable as a racing heart.
High blood pressure (arterial hypertension) can also cause symptoms such as a headache, tinnitus, dizziness and nosebleeds.
Especially when this Symptoms in combination and more often a doctor should be consulted. The cause of high blood pressure should be clarified, as various diseases such as Thyroid- or Kidney disease which can cause high blood pressure levels. In most cases, however, the high blood pressure is essential, which means that no triggering cause can be found. High blood pressure often goes undetected for a long time, which is why symptoms such as dizziness, headache, nosebleeds and palpitations should be taken seriously and investigated.

Eye pressure and headache

The eye consists to a large extent of fluid, which is constantly re-forming in certain parts of the eye in order to supply the eye with sufficient nutrients. This mainly happens in the anterior segment of the eye, where the so-called aqueous humor is located in the anterior and posterior chambers of the eye. Normally there is a finely regulated balance between the production and the outflow of aqueous humor.

A variety of disorders or diseases can upset this balance and lead to an increase or decrease in the amount of fluid.

An increase in aqueous humor leads to increased pressure on the entire eyeball, an increased intraocular pressure. This can happen, for example, in what is known as an acute attack of glaucoma (glaucoma). This leads to a sudden increase in intraocular pressure because the outflow of water is disturbed. The eye feels hard, vision is limited and as a result headaches, nausea and nosebleeds often occur. But other causes such as the side effects of a variety of drugs can lead to headaches, nosebleeds and increased eye pressure. These include, for example, glucocorticoid (cortisone) -containing drugs or nasal sprays.


The diagnosis of nosebleeds and headaches is first made by having a detailed survey the patient's medical history (anamnese) is carried out.
How often the complaints occur which Symptoms added and whether there are certain trigger for the nosebleed, these questions are in the foreground. Furthermore, the Blood pressure and the Pulse measured as well as possibly something blood taken to a possible high Blood loss detectable by the nosebleed and possibly one increased blood pressure ascertain.
The Examination of the nasopharynx can provide further information on a possible cause of the symptoms. In rare cases, imaging tests such as one also come along Magnetic resonance imaging (MRI) or one Computed tomography (CT) for use.


Treatment of nosebleeds consists first of all in the Hemostasis.
Under no circumstance you should Tilt your head backbecause the blood is so in the throat could flow what to nausea and Vomit can lead. The easy one is recommended Bowing the headwhile looking at the affected Nostrils shut and breathes through the mouth.
A cool rag or an ice pack in neck can also help stop the nosebleed. As a rule, the nosebleed stops after a few minutes, then it should Don't brush your nose for the rest of the day and jerky head movements (e.g. in sporting activities) should be avoided so that the nosebleeds don't come back.
Should the nosebleed very strong be, have not stopped after a quarter of an hour or accompany strong headache should occur a Consulted a doctor to find the cause of the discomfort. In the case of heavy nosebleeds, a doctor can also specifically stop the bleeding by tamponades or other hemostatic measures.


Nosebleeds can be prevented by reducing the Nose is kept moist. Dry Mucous membranes can through a sufficient humidity prevented, but also special ones Nasal ointments or - oils can keep the nasal mucosa moist.
Strong Blowing your nose or frequent use of Nasal sprays can cause nosebleeds, which is why it should not be used if you have a tendency to nosebleeds. Epistaxis related a headache or other symptoms often occurs in conditions such as a high blood pressure on. If blood pressure is treated well and the cause is eliminated, the symptoms will in most cases decrease.

Nosebleeds and headache in the child

While nosebleeds are common in children, headaches should be taken seriously.

Nosebleeds in children occurs particularly often through minor injuries bleeding occurs quickly in the area of ​​the nose that is well supplied with blood. Nice frequent blowing your nose at a cold, with the Pick your nose with your fingers or wild Romp around and one slight bump on the nose can cause nosebleeds in children.
Headache associated with nosebleeds should be taken seriously in children as these symptoms are due to (rare) Diseases can point out. In most cases, the cause is as harmless as one cold. But also certain diseases, such as Falls with serious injuries (e.g. the Skull base) or in very rare cases even Tumors can manifest themselves with frequent nosebleeds in connection with severe headaches and should be clarified by a doctor.

In small children it is not uncommon for one to occur foreign body nosebleed in the nose, which should be carefully removed by an ear, nose and throat doctor.

  • Epistaxis in young children
  • Nosebleeds in children