Although fairly rare, some people may develop a nosebleed after undergoing a nasal swab to test for COVID-19. Bathula SSR, et al. An official website of the United States government, : Read on to know more about its causes, prevention, and first-aid. All Rights Reserved. So rather than going directly upwards with the swab, try to go horizontally and about 2-3 centimetres back. Almost half of the studys patients were supported by a ventilator and a quarter breathed room air. Its important to obtain the best possible specimens, so COVID-19 nasal swab testing that includes nucleic acid testing, which is what we do for our patients here at MD Anderson, remains the best option. Only the most blessed people on this planet will still be in the oblivion of COVID-19 as the pandemic has impacted almost everyone. Do NOT touch the tip of the swab (the soft bit that goes in your nose) with your fingers or allow it to come into contact with other surfaces. In addition, long exposure to high temperatures may impact the test performance. When a longer shelf-life is authorized, the expiration dates will be extended and the test manufacturer may send a notice to customers to provide the new authorized expiration dates, so the customers know how long they can use the tests they already have. If the line(s) do not appear in the correct location(s) and within the correct time as shown in the test instructions when you perform the test, then the results may not be accurate, and a new test is needed to get an accurate result. COVID-19 antigen tests are less accurate than molecular tests and may not detect the SARS-CoV-2 virus early in an infection or in people who do not have COVID-19 symptoms. But how many of us are using them correctly? We just cant say that with any confidence yet. Inflammation results in an increased blood flow to the organ and when the nasal mucosa is infected, it causes bleeding of the nose. Not everybody makes the same antibodies to a virus. About 17.9 to 33.3 percent of people with it don't . They produce nasal dryness and crust formation, which in turn weaken the mucosa (the moist lining of the nose), increasing the likelihood of bleeding. Its called a PCR assay, which stands for polymerase chain reaction, and it is a specific type of nucleic acid test. Current approaches to epistaxis treatment in primary and secondary care. The researchers concluded that nosebleeds might be a symptom of coronavirus infection, but larger studies are needed to confirm this. Dont let the kit freeze. Based on experience with tests and stability testing, accelerated testing typically provides sufficient assurance to label tests with a shelf-life of up to six months. , De Luca Kashif J. Piracha, MD, FACP, FASN, FNKF, is a practicing physician at Methodist Willowbrook Hospital. However, you should worry about a nosebleed if you can't stop the bleeding, have lost a lot of blood, have trouble breathing, or you're vomiting from swallowing blood. Many primary care providers offer COVID-19 nasal swab testing, as are many urgent cares, walk-in-clinics and local testing sites. But they are less sensitive than the COVID-19 nasal swab test. Tabassom A, Cho JJ. A single copy of these materials may be reprinted for noncommercial personal use only. Accessed Aug. 28, 2020. Find out more about at-home testing, when and how often to test, and understanding your test results at Understanding At-Home OTC COVID-19 Antigen Diagnostic Test Results. Posterior nosebleeds are often more severe. Wrist blood pressure monitors: Are they accurate? Allergies . Epistaxis. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. The preliminary data look really promising. All rights reserved. This is especially important if you also have a headache, chest pain, or faintness. What began as predominantly a respiratory illness can now affect the body in a range of ways, including gastrointestinally and neurologically. You should test for COVID-19 in the following situations: Find out more about when and how often to test for COVID-19 at Understanding At-Home OTC COVID-19 Antigen Diagnostic Test Results. Diagnostic testscan show if you have an active COVID-19 infection and need to take steps to quarantine or isolate yourself from others. Only place the cardboard carton and paper instructions in recycling. Second, the tests used in our laboratory have undergone a verification process to confirm that they perform as expected. Why Are COVID-19 Patients Experiencing Nosebleeds? We also take a look at other more common symptoms of the virus. Nosebleeds. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Heavy, nonstop, or frequent bleeding is cause for concern. In a 2020 study published in the Journal of International Medical Research, 30 COVID-19 patients developed nosebleeds while they were hospitalized. S. All rights reserved. Centers for Disease Control and Prevention. In a July 7 post on Facebook, David D. Smith questioned why COVID-19 tests do not swab . Excessive blood loss can make a bloody nose an emergency. Major incidents like falling down stairs, sports accidents, and fights can cause a bloody nose that becomes a medical emergency. Frequent nose-blowing can also prompt the nose to bleed. Most of the time, nosebleeds caused by COVID-19 are minor. Nonetheless, complications involve anatomically challenging locations and may be life threatening. It should be noted that Finland has a national public health service. CEJ. But as it evolves, the coronavirus may move into the lower respiratory tract, where it can cause breathing trouble, a more productive cough and low oxygen levels in your blood. Z, Luff Health's content is for informational and educational purposes only. They also tend to be from major blood vessels. why is my old dog bleeding from her private. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. And, in all cases, the time between the negative and positive test results was more than 72 hours, opening up the possibility for infection to have occurred between the two tests administration. How is the expiration date determined for an at-home COVID-19 diagnostic test? During the 7-month study period, 643284 SARS-CoV-2 RT-PCR tests were performed. The reagents (essential test kit ingredients) will not work properly at cold temperatures. T. Benjamin F. Asher, MD, is a board-certifiedotolaryngologist. Can a Loss of Taste and Smell Be a Symptom of COVID-19? Are their results reliable? Cancer Center. Customize your JAMA Network experience by selecting one or more topics from the list below. Immune thrombocytopenia, an autoimmune condition characterized by reduced platelets, Hereditary hemorrhagic telangiectasia, a rare genetic condition, Certain cancers such as leukemia, lymphoma, or nasal and sinus cancer. Can I use an authorized at-home COVID-19 diagnostic test if it was left outside in freezing temperatures or in the heat? Similarly, even if I knew youd had the coronavirus and generated antibodies, we simply dont know enough to say that they would protect you against reinfection. A bloody nose usually stops after a few minutes and is nothing serious. fever or chills. 2014;37(1):26-36. doi:10.1007/s00270-013-0776-y. Most RATs shouldnt be used on children under two years old, so check the instructions if youre not sure. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. #HealthBytes: Nose bleeding after COVID-19 recovery; causes, prevention, and first-aid. Secure .gov websites use HTTPS Soon after, she developed headache, nausea,. One bleed resulted from the sphenopalatine artery (black asterisk), and in 1 case, the bleeding site could not be identified. The swab is in the nasopharynx . While more common in kids and middle-aged adults than in other populations, about 60% of people will experience a nosebleed at least once. If you get a nosebleed and you have a history of high blood pressure, contact your healthcare provider. However, if the situation persists, visit an ENT doctor to rule out other causes. Read our, Your Bloody Nose Was Caused by Severe Trauma. Try leaning slightly forward and gently pinching your nostrils together. The life-threatening bleeds resulted from the anterior ethmoid artery, 1 from the lateral and 1 from the medial nasal wall (blue asterisks). But viruses have lots of different proteins and the antibody response can be very individualized. The authors note that one large, multicenter study reported an overall bleeding risk of 4.8% among hospitalized COVID-19 patients, which increased to 7.6% among critically ill patients. But for most, the procedure causes "a five- to eight-second shock of unpleasantness," Dr. Shawn Nasseri, an ear, nose, and throat surgeon in Los Angeles, told Business Insider. Where can I get COVID-19 nasal swab testing if I'm not an MD Anderson patient? Prolonged nosebleeds are also a concern if you are taking medications that thin the blood, such as: Rapid blood loss can cause anemia, which is a lack of red blood cell volume. The difference between the two groups was found to be statistically significant. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). During the pandemic, though, patients have reported them with enough frequency for researchers to take note and investigate. Be sure to ask if there is a cost for testing and how long it will take to receive the test results. But viruses have lots of different proteins and the antibody response can be very individualized. All Rights Reserved, Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine, 2021;147(7):672-674. doi:10.1001/jamaoto.2021.0715. Symptoms vary between people but most commonly include a fever, cough, and fatigue. ACE-2 is found in many parts of your body, including the cells that line your: The tissues that line your nose have the highest concentration of ACE-2 of any part of your respiratory tract. The specific conditions that were validated are included in the authorized Instructions for Use for each test. What happens if my COVID-19 nasal swab test results are negative, but doctors still suspect I have the coronavirus? Other, less common causes of nosebleeds include: Alcohol use. RATs also cannot detect the virus later than about seven or eight days after exposure. The shelf-life is how long the test should perform as expected and is measured from the date the test was manufactured. A:Yes. However, single case reports1-4 and clinical observations indicate the possibility of severe complications. L, Maltoni Can whole-grain foods lower blood pressure? You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Not really. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Treatment and Sequelae of 8 Patients Treated for Complications After SARS-CoV-2 Nasopharyngeal Swab Test, Mughal why is my old dog bleeding from her private. Last medically reviewed on April 26, 2021. What Does Green Snot Tell You About Your Health? According to the World Health Organization, the most common symptoms of COVID-19 are: Less common but still frequently reported symptoms include: If you think you have COVID-19, you should isolate yourself from other people for 10 days. During a COVID-19 nasal test, Nasseri said normally the nasopharynx, an air-filled cavity at the top of the respiratory tract 3 inches behind the nose, is swabbed. Bloody noses towards the front of the nose are usually less severe. Coughing at Night? Most can be stopped if you lean forward and gently pinch your nostrils. A: If you receive a positive result on any COVID-19 test, assume you have COVID-19. Klopfenstein T, et al. Let the kit sit out of the fridge for about 30 minutes before using it. Here Are 7 Possible Causesand How To Treat Them, Why COVID-19 May Cause Some People To Cough Up Blood, Epistaxis in hospitalized patients with COVID-19, 1611 significant epistaxis secondary to COVID-19 nasopharyngeal swab, Isolation and precautions for people with COVID-19, Upper respiratory infections and sinusitis, which can cause repeated sneezing, coughing, and nose blowing, Cocaine and other drugs inhaled through the nose, Overuse of nasal sprays and medications to treat an itchy, runny, or stuffy nose. (2020). Is there any way to confirm that I had it or that Im immune to it now? Delayed massive epistaxis from traumatic intracranial aneurysm after blunt facial injury. Most common COVID-19 symptoms of the nose, ncbi.nlm.nih.gov/pmc/articles/PMC7404437/, ncbi.nlm.nih.gov/pmc/articles/PMC7218357/, cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html, ncbi.nlm.nih.gov/pmc/articles/PMC7459174/. A nosebleed is the loss of blood from the tissue that lines the inside of your nose, according to the Cleveland Clinic. If your nose bleeds for longer than 20 minutes or you lose a lot much blood, get emergency help. In November 2022, the FDA required all manufacturers of EUA-authorized COVID-19 antigen tests to update their labeling to reflect the need for repeat testing at least twice over three days for individuals with symptoms of COVID-19 and at least three times over five days for individuals without symptoms of COVID-19, as appropriate based on their authorized uses. You may opt-out of email communications at any time by clicking on Your nose has a lot of blood vessels close to the surface in the lining of your nose, making it easy to bleed. Trauma, especially a blow to the head, can make a bloody nose an emergency. Its best not to visit a doctor in person if you have mild symptoms because it may put others at risk of getting the virus. Not only do COVID-19 patients have a heightened clotting risk, but they may also have an imbalance in their ability to break down clots, according to a study published in the journal Scientific Reports.This imbalance contributes to a high bleeding risk, which raises concerns about the current practice of giving high dose anticoagulants to COVID-19 patients during the course of their disease. This persistent inflammation of the mucosal lining has been observed in patients who recovered have from COVID-19 even five months after recovery. Repeated nose-blowing. This is because prolonged use of high flow oxygen tends to dry out the nasal mucosa and this can cause bleeding, too. They can be due to a slew of possible causes, including: Several studies point to a correlation, indicating that nosebleeds may be a result of what COVID-19 or its treatments do to the mucous membranes, rather than a clear symptom of the disease. Physician Relations Continuing Education Program, Specialized Programs of Research Excellence (SPORE) Grants, Prevention & Personalized Risk Assessment, MD Anderson UTHealth Houston Graduate School, Comparative Effectiveness Training (CERTaIN), Cancer Survivorship Professional Education, Post Graduate Fellowship in Oncology Nursing, Argyros Postdoctoral Research Fellowship in Oncology Nursing, Professional Student Nurse Extern Programs, COVID-19 herd immunity: 7 questions, answered, Your COVID-19 vaccine questions, answered. The information in this story is accurate as of press time. There is a problem with So, a negative test result doesnt necessarily mean you were not exposed to COVID-19. You can check the Expiration Date column of the List of Authorized At-Home OTC COVID-19 Diagnostic Tests to see if the expiration date for your at-home OTC COVID-19 test has been extended and how to find any new expiration date. In addition to nucleic acid testing, which detects a virus genetic material, there is also antigen testing, which detects the presence of viral proteins that spur the production of antibodies, or the immune systems response to invaders. Choose from 12 allied health programs at School of Health Professions. If you live in the Houston area, you can find local testing information by calling 832-393-4220. The first step of home treatment is to stop the bleeding. However, you should worry about a nosebleed if you can't stop the bleeding, have lost a lot of blood, have trouble breathing, or you're vomiting from swallowing blood. E, Okonkwo They required oxygen therapy, which was administered through continuous airway pressure or a nasal cannula, a thin tube. CB, Schwalje Is a Headache a Common Symptom of COVID-19? Our website services, content, and products are for informational purposes only. , Hussain If your nose bleeds while or after recovering from COVID-19, lean forward and breath from the mouth, while pinching the soft part of the nose between the index finger and thumb for 10-15 minutes. AskMayoExpert. Radiological diagnosis and management of epistaxis. What is MD Anderson doing to reduce the chances of getting a false-negative when running COVID-19 nasal swab testing for its patients? Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Test, test, testa complication of testing for coronavirus disease 2019 with nasal swabs. It is a very alarming symptom and a cause of concern for patients and their families. However, incorrect use of at-home COVID-19 tests can cause harm if the parts of the test kit, such as liquid solutions in small vials that may contain chemicals like sodium azide, are swallowed or if the liquid solutions touch a persons skin or eyes. 2014;3(1):e111-e127. 2021;108(Supplement_6):znab259.576. Here are the diva's fitness secrets, Five gentle back pain stretches for senior citizens, World Obesity Day: Explaining 6 possible treatments for losing weight, World Wildlife Day 2023: Role of CITES and India's contribution, 5 situations where you could be unintentionally rude, What is so special about these futuristic, ultra-modern cities. For one thing, it activates the lachrymal reflex, which means itll bring tears to your eyes if its done correctly. The FDA has provided recommendations to promote the safe use of at-home COVID-19 tests in a Safety Communication issued March 18, 2022, including to keep all parts of at-home COVID-19 tests out of reach of children and pets before and after use, and to follow the tests step by step instructions exactly, including the Warning, Precautions, And Safety Information. 2023 American Medical Association. From the WebMD Archives. If you did not purchase your at-home COVID-19 diagnostic test directly from the test manufacturer, you may not receive such a notice. Some COVID-19 patients have a higher chance of bleeding, Not only do COVID-19 patients have a heightened clotting risk, but they may also have an imbalance in their ability to break down clots, according to a study published in the journal. Losing Your Sense of Smell May Be an Early Symptom of COVID-19, In Early Testing, Nasal Spray Shows Signs It Can Fight COVID-19, FDA Panel Recommends Approval of First RSV Vaccine: What to Know, CDC Says Flu Shot Was Effective for Many Adults and Most Kids: What to Know, COVID-19 Pandemic: A 3-Year Retrospective on Masks, Vaccines, and Immunity, Norovirus: Why Cases are on The Rise and How to Avoid It, Can Bird Flu Infect People? Experts Answer Questions About the Outbreak, 20.4 percent reported a reduced ability to smell, 12.6 percent experienced a condition called phantosmia, which is when you smell things that arent there, 32.4 percent experienced distortion of smells, pale gray or blue skin, lips, or nail beds. At-home tests typically involve an individual collecting their own specimen and then shipping it to a testing facility. Live Chat with us, Monday through Friday, 8:30 a.m. to 5:00 p.m. EST. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. It takes a median of three days to test positive. J, Westblade https://www.clinicalkey.com. One night in June 2022, Nina Rayburn Dec started feeling sniffly and congested. But who actually needs coronavirus testing, and what types of tests are most accurate? The study, funded by NHLBI, included 118 COVID-19 patients and 30 healthy controls. PLoS ONE. Do another one. An upper respiratory infection like a cold. . Can a sinus infection cause a bloody nose? Elsevier Point of Care. For example, for a proposed 12-month shelf-life, the manufacturer would evaluate the performance after storing the test for 13 months. This study was approved by the Research Administration of Helsinki University Hospital (HUS/58/2020). The sampling swab should be directed along the nasal floor, not too laterally nor too cranially, until resistance is encountered (Figure).6. Blood on the nasal swab will give you an inaccurate result. Can the expiration date of an at-home COVID-19 diagnostic test be extended? To date, this last scenario has occurred in less than 1% of our tests. If they see abnormalities that indicate an infectious process, then theyd weigh the risks and benefits of performing a more invasive procedure to obtain samples from inside your lungs. 2023 The University of Texas MD Anderson As part of our mission to eliminate cancer, MD Anderson researchers conduct hundreds of clinical trials to test new treatments for both common and rare cancers. 1. Patients with coronavirus disease 2019 (COVID-19) have elevated D-dimer levels. Are there any other types of COVID-19 tests available? This is because prolonged use of high flow oxygen tends to dry out the nasal mucosa and this can cause bleeding, too. Seek emergency care at once of you have this type of nosebleed. If you've seen news footage of people being tested for COVID-19 by having a long swab shoved up their nose, you might rightly wonder if that process hurts. Breaking of the swab tip has resulted in a foreign body in the nasal cavity,1 the esophagus2 and, after sampling through tracheostomy, the bronchus.3 A case of test-related cerebrospinal fluid leak, probably owing to preexisting encephalocele, has been reported.4, Sampling should always be performed bearing in mind the anatomical structures of the nasal cavity and its surroundings to ensure safe sampling and correct results.5,6 Force should never be used, especially in patients with known prior operations of the nose or skull base. Antibody tests, also known as serology testing, detect anti-viral proteins in the blood made by your immune system to neutralize the virus. Its important to point out that a negative test result may occur in a patient who is in the early stages of the infection and shows no symptoms. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Evidence of nosebleeds following the procedure is documented in a 2021 study in the British Journal of Surgery, indicating a need for careful swabbing, particularly in older, frail patients. Recent data from the Centers for Disease Control and Prevention found that over 15% of norovirus tests are coming back positive. Conflict of Interest Disclosures: None reported. When inserting the nasal swab, you are not trying to swab the inside of your nostril but the tissue further back in the nasal passages. Read more: In a control group of 40 people without nosebleeds, only 2.5 percent tested positive. Whether you're planning a trip or suspect you may have the novel coronavirus (COVID-19), you may be wondering about testing. One of those procedures is a bronchoscopy, where a fiber-optic camera is inserted down the throat and into the lungs to look around and collect samples. Government and health officials are talking a lot about coronavirus testing. You can be tested for antibodies, but the results arent going to change how youll be treated if youre a patient, or how you should conduct yourself out in the world. Sometimes, though, it can be hard to judge how much blood you've lost. Some RATs need nasal swabs, others use saliva. J Otolaryngol Head Neck Surg. Anatomical Structures Related to Nasopharyngeal Sampling, Table. Inflammation results in an increased blood flow to the organ and when the nasal mucosa is infected, it causes bleeding of the nose. A few possible causes. Tracheal swab from front of neck airway for SARS-CoV-2; a bronchial foreign body. As COVID-19 mutates and produces variants, more and more symptoms of the virus emerge. Nosebleeding is an increasingly common condition that is being reported by patients who have recovered from COVID-19 during the second wave of the pandemic. What is hypertension? COVID-19 vaccination doesn't eliminate the need for testing in these medical situations. 7th ed. The Lyda Hill Cancer Prevention Center provides cancer risk assessment, screening and diagnostic services. This imbalance contributes to a high bleeding risk, which raises concerns about the current practice of giving high dose anticoagulants to COVID-19 patients during the course of their disease. Blood pressure: Does it have a daily pattern? A deviated septum. Cerebrospinal fluid leak after nasal swab testing for coronavirus disease 2019. A man's persistently runny nose following a COVID-19 test wasn't caused by allergies as he suspected, but rather cerebrospinal fluid leaking from his brain, according to a new report. That said, nosebleeds can have many everyday, more benign causes. However, since accelerated testing only estimates the test stability, it does not provide as much assurance as real-time data, especially for longer time periods. So, if you think you might need to be tested for COVID-19, contact your primary care physician or visit a clinic that offers testing. Koskinen A, Tolvi M, Jauhiainen M, Keklinen E, Laulajainen-Hongisto A, Lamminmki S. Complications of COVID-19 Nasopharyngeal Swab Test. Most healthy people should be able to stop a bloody nose at home in 20 minutes or less. (2021). A few possible causes include: Researchers have established that the virus that causes COVID-19 can enter cells through a receptor called angiotensin-converting enzyme-2 (ACE-2). How accurate is COVID-19 nasal swab testing? But high tPA was linked to death. All patients presenting to the dedicated otorhinolaryngology emergency department (ED) of Helsinki University Hospital Department of OtorhinolaryngologyHead and Neck Surgery between March 1 and September 30, 2020, were retrospectively screened for complications after SARS-CoV-2 nasopharyngeal swab sampling. Blow your nose before doing a nasal swab as you dont want to sample snot. Functional Endoscopic Sinus Surgery: Everything You Need to Know. 1611 significant epistaxis secondary to COVID-19 nasopharyngeal swab. The way virus is extracted from the sample, the number of drops to add to the testing device, and the timeframe to read the results differ between brands. Another common cause that leads to nosebleeds in patients who have recovered from COVID-19 is ill-fitting nasal prongs that are used for oxygen delivery. Can Anal Swabs Be Used to Test for Coronavirus? If pinching does not stop the dripping, use a container to catch the blood. The SARS-CoV-2 enters the cells by attaching to the ACE-2 receptors that are found in different tissues of the human body, including the nasal epithelium. These often occur due to: Yes. A runny nose was reported in 2.1 percent of people. privacy practices. Other common causes of nosebleeds include: foreign object stuck in the nose chemical irritants allergic reaction injury to the nose repeated sneezing picking the nose cold air upper. A systematic review of the relationship between blood loss and clinical signs. Read on to know more about its causes, prevention, and first-aid. Cardiovasc Intervent Radiol. RATs should be kept at 2-30 for them to work as intended. In an August 2020 study, researchers sought to evaluate the frequency of coronavirus infection among people visiting a hospital with nosebleeds. El-Anwar MW, et al. Dont use a test that requires nasal swabbing if you are prone to nose bleeds. In one case study, researchers examined the frequency of nosebleed in a group of 104 people admitted to a hospital with confirmed COVID-19. Outside test results are helpful to your care team but will not replace MD Anderson COVID-19 testing if your care team determines you need it. Dtsch Arztebl Int. information and will only use or disclose that information as set forth in our notice of Epistaxis. If you've been tested for COVID-19 by nasal swab outside of MD Anderson, share a copy of your results with your care team before your appointment. And finally, we are tracking when repeat tests are positive on individuals who had previously tested negative. Administrative, technical, or material support: All authors. A negative test result may occur in a patient who is in the early stages of the infection and shows no symptoms. Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): A multicenter European study. Acute Med Surg. Author Contributions: Dr Lamminmki had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. If your nosebleeds happen more than once a week, see a healthcare provider. People with COVID-19 who receive oxygen may be at an increased risk of developing nosebleeds due to increased nose dryness and tissue injury from the cannula. LF, Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Among these 357 people: Another review of studies found nasal congestion in 4.1 percent of people in a group of 1,773 people with COVID-19.