When one suffers a nosebleed without any apparent cause or explanation, they may wonder if the beginning of a stroke or TIA can be causing this.

The most common causes of blood dripping from the nose, other than the obvious trauma, is very dry air, picking the nose and an infection.

An extreme spike in blood pressure can also cause bleeding, as seen in strongman athletes straining to lift enormous amounts of weight.

Less commonly, chronic high blood pressure can cause a recurring nosebleed. Interestingly, chronic hypertension is a leading risk factor for a stroke or transient ischemic attack.

“Nosebleeds are almost never a primary stroke or TIA,” says Atif Zafar, MD, director of the stroke program at University of New Mexico Hospital and assistant professor of Stroke/Neurology at the UNM School of Medicine.

Classic Stroke Symptoms (all are sudden-onset)

• One side of the face drooping
• One-sided facial paralysis or numbness
• Difficulty with speech
• One-sided body paralysis, heaviness or numbness
• Double vision or other visual disturbance
• Cognitive impairment

About that Bloody Nose…

You have to remember that when a nose bleeds, the source is the very tiny capillaries in the nasal cavity.

They can rupture quite easily, even from hard nose blowing or allergies.

Dr. Zafar also explains, “Patients who are on aspirin or other blood thinners like Warfarin, Eliquis or Xarelto often present with nosebleeds, but that is more of a side effect from blood thinners rather than a stroke per se.”

Dr. Zafar is author of the book, “Why Doctors Need to Be Leaders.” His interests include vascular and endovascular neurology, and the neurosciences.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.