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Official websites use. Share sensitive information only on official, secure websites. A nosebleed is loss of blood from the tissue lining the nose. Bleeding most often occurs from one nostril only. Nosebleeds are very common. Most nosebleeds occur because of minor irritations of the inside of the nostrils or colds. The nose contains many small blood vessels that bleed easily. Air moving through the nose can dry and irritate the membranes lining the inside of the nose. Crusts can form that bleed when irritated. Nosebleeds occur more often in the winter, when cold viruses are common and indoor air tends to be drier. Most nosebleeds occur on the front of the nasal septum. This is the piece of the tissue that separates the two sides of the nose. This type of nosebleed can be easy for a trained professional to stop. Less commonly, nosebleeds may occur higher on the septum or deeper in the nose such as in the sinuses or the base of the skull. Such nosebleeds may be harder to control. However, nosebleeds are rarely life threatening. Repeated nosebleeds may be a symptom of another disease such as high blood pressure, a bleeding disorder, or a tumor of the nose or sinuses. Blood thinners, such as warfarin Coumadin , clopidogrel Plavix , or aspirin, may cause or worsen nosebleeds. It may help to apply cold compresses or ice across the bridge of the nose. Do not pack the inside of the nose with gauze. Lying down with a nosebleed is not recommended. You should avoid sniffing or blowing your nose for several hours after a nosebleed. If bleeding persists, a nasal spray decongestant Afrin, Neo-Synephrine can sometimes be used to close off small vessels and control bleeding. Your provider will perform a physical exam. In some cases, you may be watched for signs and symptoms of low blood pressure from losing blood, also called hypovolemic shock this is rare. You may need to see an ear, nose, and throat ENT, otolaryngologist specialist for further tests and treatment. Cummings Otolaryngology: Head and Neck Surgery. Philadelphia, PA: Elsevier; chap In: Walls RM, ed. Savage S. Management of epistaxis. In: Fowler GC, ed. Pfenninger and Fowler's Procedures for Primary Care. Also reviewed by David C. Editorial team. Nosebleed can be caused by: Irritation due to allergies, colds, sneezing or sinus problems Very cold or dry air Blowing the nose very hard, or picking the nose Injury to nose, including a broken nose , or an object stuck in the nose Sinus or pituitary surgery transsphenoidal Deviated septum tissue that divides the nose into 2 nostrils Chemical irritants including medicines or drugs that are sprayed or snorted Overuse of decongestant nasal sprays Oxygen treatment through nasal cannulas Snorting cocaine or amphetamine Repeated nosebleeds may be a symptom of another disease such as high blood pressure, a bleeding disorder, or a tumor of the nose or sinuses. To stop a nosebleed: Sit down and gently squeeze the soft portion of the nose between your thumb and finger so that the nostrils are closed for a full 10 minutes. Lean forward to avoid swallowing the blood and breathe through your mouth. Wait at least 10 minutes before checking if the bleeding has stopped. Be sure to allow enough time for the bleeding to stop. Things you can do to prevent frequent nosebleeds include: Keep the home cool and use a vaporizer to add moisture to the inside air. Use nasal saline spray and water-soluble jelly such as Ayr gel to prevent nasal linings from drying out in the winter. When to Contact a Medical Professional. Get emergency care if: Bleeding does not stop after 20 minutes. Nose bleeding occurs after a head injury. This may suggest a skull fracture, and x-rays or other imaging should be taken. Your nose may be broken for example, it looks crooked after a hit to the nose or other injury. You are taking medicines to prevent your blood from clotting blood thinners. You have had nosebleeds in the past that needed specialist care to treat. Contact your health care provider if: You or your child has frequent nosebleeds Your nose may be broken for example, it looks crooked after a hit to the nose or other injury Nosebleeds are not associated with a cold or other minor irritation Nosebleeds occur after sinus or other surgery. What to Expect at Your Office Visit. You may have the following tests: Complete blood count with platelet count CT scan of the nose and sinuses or entire facial structures Nasal endoscopy examination of the nose using a camera at the end of a short tube Partial thromboplastin time measurements Prothrombin time PT Toxicology screen screening for drug use The type of treatment used will be based on the cause of the nosebleed. Treatment may include: Controlling blood pressure Closing the blood vessel using heat, electric current, or silver nitrate sticks Nasal packing Reducing a broken nose or removing a foreign body Reducing the amount of blood thinner medicine or stopping aspirin Treating problems that keeps your blood from clotting normally You may need to see an ear, nose, and throat ENT, otolaryngologist specialist for further tests and treatment. Alternative Names. Nosebleed Nosebleed. Learn how to cite this page. Related MedlinePlus Health Topics. Bleeding Nose Injuries and Disorders.

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The opioid family of drugs includes natural, synthetic and semi-synthetic opioids. Opiates, such as morphine and codeine, are natural opioids found in the opium poppy. Synthetic opioids, such as methadone , are chemically made. Heroin is a semi-synthetic opioid: it is made from morphine that has been chemically processed. It enters the brain quickly and produces a more immediate effect. Most heroin is produced in Asia and Latin America, where opium poppies are grown. Morphine is extracted from the opium gum in laboratories close to the fields, and then converted into heroin in labs within or near the producing country. In its pure form, heroin is a fine, white, bitter-tasting powder that dissolves in water. Street heroin may come in the form of a white powder, a brown and sometimes grainy substance or a dark brown sticky gum. The purity of heroin varies from batch to batch. Some additives, such as sugar, starch or powdered milk are used to increase the weight for retail sale. Other drugs may be added to increase the effects of the heroin. Fentanyl , a prescription opioid that is times more powerful than morphine, is sometimes used to cut heroin or other street drugs. It may also be made into tablets that look like prescription medication. Many overdoses have occurred because people did not know that what they were taking was contaminated with fentanyl. If you or someone you know uses opioids, it is a good idea to have a free naloxone kit. Naloxone is a medication that can temporarily reverse the effects of an opioid overdose and allow time for medical help to arrive. Heroin is used by a range of people from a variety of cultural, social, economic and age groups. First-time users tend to be in their teens or 20s, but most people who use heroin regularly are over New users often experience nausea and vomiting. The desired effects include detachment from physical and emotional pain and a feeling of well-being. Other effects include slowed breathing, pinpoint pupils, itchiness and sweating. Regular use results in constipation, loss of sexual interest and libido and irregular or missed periods in women. If heroin is injected into a vein, the rush is felt in seven or eight seconds and lasts from 45 seconds to a few minutes. When it's injected under the skin or into a muscle, the effect comes on slower, within five to eight minutes. Regardless of how it is used, the effects of heroin generally last for three to five hours, depending on the dose. People who use heroin daily must use every six to 12 hours to avoid symptoms of withdrawal. Regular use of heroin can lead to addiction within two to three weeks. Signs of addiction include:. Not all people who experiment with heroin become addicted. Some people use the drug only on occasion, such as on weekends, without increasing the dose. However, with regular use, people develop tolerance, and they need more of the drug to achieve the same effects. This leads to physical dependence on heroin. Once someone is dependent, stopping their use can be extremely difficult. People who have used heroin for a long time often report that they no longer experience any pleasure from the drug. They continue to use heroin to avoid the symptoms of withdrawal and to control their craving for the drug. Heroin is dangerous for a number of reasons. The most immediate danger is overdose. In an opioid overdose, breathing slows down and may stop completely. A person who has overdosed is unconscious and cannot be roused, and has skin that is cold, moist and bluish. If someone is overdosing, call immediately. While you are waiting for medical help to arrive, you can use your naloxone kit to temporarily reverse the effects of the overdose. Research using brain scans shows that long-term regular use of heroin results in changes in the way the brain works. While the effect of these changes is not fully understood, this research illustrates that it may take months or years for the brain to return to normal functioning after a person stops using heroin. A free tutorial on addictions is available on the Mental Health page. Back to top. Keep your finger on our pulse — latest CAMH news, discoveries and ways to get involved delivered to your inbox. To unsubscribe at any time click the link in our mailing or email: unsubscribe camh. Where does it come from? What does it look like? Who uses it? How does it make you feel? How long does the feeling last? Is it addictive? Signs of addiction include: using over a longer period or using more than planned wanting to quit or cut down, or trying unsuccessfully to quit spending a lot of time and effort getting, using and recovering from opioids experiencing cravings failing to fulfil responsibilities at work, school or home as a result of opioid use continuing to use opioids despite the negative social consequences caused by opioid use giving up activities that were once enjoyable using opioids in dangerous situations needing to take more of the drug to get the same effect tolerance , a sign of physical dependence feeling ill when opioid use suddenly stops withdrawal , a sign of physical dependence showing signs of opioid intoxication e. Is it dangerous? The risk of overdose is increased by: the unknown purity of the drug, which makes it difficult to determine the correct dose injection, because the drug reaches the brain more quickly than by other ways of taking the drug, and because the dose is taken all at once combining heroin with other sedating drugs, such as alcohol , benzodiazepines or methadone. Additional dangers of heroin use include: Injection: Injection drug use puts a person at high risk of bacterial infections, blood poisoning, skin infections and collapsed veins. Sharing needles increases the risk of becoming infected with, or spreading, HIV and hepatitis B or C. Addiction: The constant need to obtain heroin and the repeated use of the drug can result in criminal involvement or other high-risk behaviour, breakdown of family life, loss of employment and poor health. Pregnancy: Women who regularly use heroin often miss their periods; some mistakenly think that they are infertile, and become pregnant. Continued use of heroin during pregnancy is very risky for the baby. What are the long-term effects of using it? Can we count on your support Donate. Please select a newsletter. Please complete the following:. CAMH Foundation - provides updates on the mental health movement and ways you can get involved. First Name Please input a first name. Last Name Please input a last name. Email Please input an email address. I agree to the Terms of Use for privacy and use of my personal data. Please agree to the Terms of Use. Sign Up. Thanks for Subscribing. We look forward to keeping you informed, inspired and involved in all things CAMH. Help us change mental health care forever. Every donation moves us closer to a future where no one is left behind. Give Once Give Monthly. My gift is in memory or honour of someone. I am donating on behalf of an organization. Other Ways to Give. Join our team Donate.

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