Epistaxis (Nosebleed) Management

Prevention

Obtain nasal saline GEL manufactured by AYR from the drugstore; this is not prescription but the pharmacist will help you find it.
Place the GEL in the nose with your finger, NOT a Q-Tip. For prevention of nosebleeds, do this at least once and up to three times per day if desired.
During the winter months and periods of intense dryness, lubricating the nose two or three times a day with an over-the-counter antibiotic ointment such as Bacitracin or Neosporin will help decrease nosebleeds.

Obtain AFRIN or 1/4% Neo-Synephrine nasal spray and cotton balls from the pharmacy.
When the nosebleed starts, place the cotton ball in a small cup and soak the cotton ball in nasal spray. Blow out any clots or blood from the nose, and place the cotton ball in the bleeding side of the nose.
With the cotton ball in the nose, place an iced washcloth over the nose and pinch the soft, fleshy part of the nose together without interruption for 5 full minutes. While you are doing this, lean slightly forward so blood doesn't run down the throat.
If the bleeding returns, repeat this procedure one time.
If the bleeding persists after two tries, go to the ER.
Remember, nosebleeds are often from blood pressure which is not well controlled. Maintain normal blood pressure by checking it from time to time and seeing your medical doctor as needed.
Remember to avoid aspirin, ibuprofen, naproxen Coumadin, or other blood thinners if you are prone to nosebleeds.