why did my nose bleed during covid test why did my nose bleed during covid test

A burning sensation in the nose may stem from inflammation or irritation brought about by an infection or allergic reaction. When it comes to influenza, for example, nasopharyngeal sampling is much more sensitive and reliable than oral sampling, he noted. Every once in a while, patients will get a gray or silver discoloration to the front of their nostril that takes a day or two to go away, Gudis says. See your doctor if your nasal allergy symptoms are not easily controlled with over-the-counter or prescription medications. Pregnant women. Inflammation can lead to post recovery nosebleed Inflammation results in an increased blood flow to the organ and when the nasal mucosa is infected, it causes bleeding of the nose. This is more likely to happen at night when youre not drinking water and breathing through your mouth.. A specialist can rule out a few diagnoses by examination or taking a history. In adults, turbulent airflow can lead to nosebleeds. Even in the absence of a family history, spontaneous mutations can cause this condition, so its a diagnosis that needs to be considered in patients who have frequent or recurrent epistaxis.. Immediate causes of nosebleeds include trauma to the nose from an injury, deformities inside the nose, inflammation in the nose, or, in rare cases, intranasal tumors. Runny noses cause irritation and dehydration in the nose, often leading to an unexpected nosebleed. 17 March - sent to hospital emergency room. Take a deep breath, bend your neck back so that the person obtaining the test can go straight back to the nasal passages and that will make it as easy as possible, he said. For an optimal experience visit our site on another browser. Claudia Bahorik sees her family doctor who agrees that she should have a coronavirus test. Nausea. They later tell her that they do not have Covid-19 testing kits. You can subscribe to our print edition, ad-free app or electronic newspaper replica here. People who are mildly symptomatic and in the early stages of infection have very high concentrations of the virus in their nasopharangeal secretions, so thats a very good way of sampling the bug, Kuritzkes said. And if your kids run away screaming when they see a bottle of nose spray, try gels or ointments. You should certainly seek medical attention in an emergency room if your nosebleed lasts longer than a few minutes, or if you're unable to stop the bleeding with direct manual pressure," Campbell says. One TikTok user who filmed herself getting the coronavirus test in a drive-thru facility cringed, winced and coughed afterwards. Most of these patients do not need any treatment as they are asymptomatic. But in the United States, we did not have the ability to do that and we are now at a later stage in the pandemic for it to be effective," she says. Using a humidifier while sleeping can help relieve dryness, and nasal sprays are helpful for moistening the nostrils. A doctor who became a patient describes what it's like to get tested for coronavirus. Kids are particularly prone to digging for gold, but adults do it, too sometimes in our sleep without realizing it. If a patient has frequent nosebleeds, without any other concerning signs or symptoms, topical moisturizing agents for the nosenasal saline gel spray or a little bit of petroleum jelly in the front of the nosecan protect the lining of the nose and minimize nosebleeds. Anyone can get a nosebleed. This will keep the blood from running down your throat, which can cause. But it does hurt briefly. It's easier for us to manage nosebleeds than to manage a stroke or a heart attack, so I would rather treat their nosebleeds aggressively so that patients can stay on their anticoagulant or antiplatelet medications.. These products can be purchased over-the-counter or made at home. The most common origin site of an anterior nosebleed is the septum, or the part of the nose that separates your nostrils. Chemical irritants (chemicals in cleaning supplies, chemical fumes at the workplace, other strong odors). But seek medical care if you: With a little prevention, you can save your pillowcases and get the rest you deserve, Dr. Appachi emphasizes. By this stage, Dr Bahorik's chest pain and coughing has worsened. The DNA is not captured," he said. In the days since the post, it has been shared more than 296,000 times. There are two types of nosebleeds: those that originate in the front of your nose, called anterior nosebleeds, and those that start in the back of it, or posterior nosebleeds. Russian minister laughed at for Ukraine war claims. Anecdotal evidence from every part of the nation, like Dr Bahorik's experience, illustrates how difficult it remains for countless Americans to get a coronavirus test. In a July 7 post on Facebook, David D. Smith questioned why COVID-19 tests do not swab the mouth noting that the virus is spread in microscopic saliva particles and that that cheek swabs are often used for other tests, like DNA tests. While sitting and leaning forward, use direct pressure to stop bleeding by. Policy. The perfect tummy control bodysuit, a popcorn gadget, more bestsellers starting at $8. Always sneeze into tissue or into the bend of your arm. The anatomical structure of your nose may lead to bleeding when you blow your nose. This is common in children, but also in adults who are prone to itching or scratching inside their nose. This is not a necessary step, but you can try this if you want. Boil water for 20 minutes, cool until lukewarm.). Sleeping with your head to the side also may put direct pressure on the nasal cavity and may be another reason for nosebleeds at night. "I almost feel like I'm a lone voice screaming, 'Open your eyes, we have to do something about this!'". The New England Journal of Medicine has a detailed video of what the test looks like: Early on in testing for COVID-19, people were getting both a nasal and an oral swab because doctors didnt know which would be most reliable, but because of swab shortages the test now involves doing just a single swab of the nose, Kuritzkes said. This article reviews all you need to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. In rare cases, Gudis says, frequent nosebleeds may be a sign of a more significant health issue, so its important to see a specialist to determine the underlying cause of the problem. Take a preventive approach to nose-picking. Heart conditions like hypertension (high blood pressure) and congestive heart failure can also cause nosebleeds, as can hypertensive crisis a sudden, rapid increase in blood pressure that may be accompanied by a severe headache, shortness of breath, and anxiety, according to the American Heart Association (AHA). The procedure is simple, quick, and very effective. One common home remedyputting a copper penny on the forehead or the noseis probably not effective. Slightly lean forward and tilt their head forward. Nosebleeds at night are common and, usually, nothing to worry about. There's no doubt I have all the symptoms.". People who have blood clotting disorders, such as. You will need medical attention for this type of bleed, especially if the bleeding occurs after an injury and the bleeding hasnt stopped after 20 minutes of applying direct pressure to your nose. "Basically, youve poked your nose with your finger too much, and thats a common way the region becomes traumatized., What constitutes very frequent nosebleeds? If you touch the blood vessels, they can crack and bleed.. The two most common causes of nosebleeds are: Dry air when your nasal membranes dry out, they're more susceptible to bleeding and infections Nose picking Other causes of nosebleeds include: Acute sinusitis Allergies Aspirin use Bleeding disorders, such as hemophilia Blood thinners (anticoagulants), such as warfarin and heparin They include: Nosebleeds have many causes. "Use saline spray, then some ointment before going to bed," says Dr. Appachi. Although seeing blood coming out of your noise can be alarming, most nosebleeds are not serious and can be managed at home. Your nosebleed has followed a blow to your head or serious injury (fall, car accident, smash to your face or nose). Nasal moisturizers can soften mucus and make it easier to clear with gentle blowing., To use nasal spray correctly, place the nozzle in the nostril and direct it toward your ear. You are taking blood thinning drugs (such as aspirin or warfarin) or have a blood clotting disorder and the bleeding wont stop. And there are plenty of reasons that's the case from a sinus infection to a deviated septum to a common cold. The air is thinner (lack of oxygen) and drier as the altitude increases. Treatments depend on the cause and could include: If you have any questions or concerns, do not hesitate to call your physician. And occasionally these can turn into life-threatening emergencies.. Avoid putting anything solid into your nose, including fingers. Gudis tells patients that if the nosebleed could fill a cup with blood, thats a severe nosebleed that needs attention. At Columbia's HHT Center, patients have a "home" wherephysicians with expertise in the diagnosis and treatment of this disorderwork closely together to offer the best possible care for our patients. Kiesselbachs plexus also happens to be where the fingers of little kids have easy access. But the FDA has not authorized any at-home self tests with throat swabs and has warned of the potential dangers of sticking a swab near the throat. Get useful, helpful and relevant health + wellness information. The BBC is not responsible for the content of external sites. You can learn more about how we ensure our content is accurate and current by reading our. But under certain circumstances, such as if you're taking blood thinners like aspirin or warfarin, nosebleeds can be quite concerning and require medical care. In such cases, your healthcare provider may need to adjust the dose of blood-thinning medication, he says. The vessels keep the area well supplied with blood, which is critical for the health of the sinuses. Although most nosebleeds can be treated at home, some are severe and require medical attention. For instance, if you have frequent nosebleeds, see your doctor. This is most common among small children, who explore their world by putting objects in their mouth, nose, or ears. This can be unpleasant but is not painful. One condition, called hereditary hemorrhagic telangiectasia, or HHT, is a genetic condition that causes abnormal blood vessel formation. Getting Too Many Nosebleeds? Trump says US tested more than S Korea - is he right? Repeat. You may need medical attention right away for this type of nosebleed. Doctors call it epistaxis; the rest of us call it a nosebleed. If your nose is still bleeding, continue squeezing the nose for another 10 minutes. The best way to stop a nosebleed is to pinch the soft part of the nose. You get nosebleeds as well as notice unusual bruising all over your body. You have vomited because youve swallowed a large amount of blood. Nosebleeds are common, and while the cause may be unclear at first, most cases are minor and can be managed from home. Als u uw keuzes wilt aanpassen, klik dan op 'Privacyinstellingen beheren'. A health care worker will gently insert what looks like a long Q-tip as far as itll go into a persons nose, twirl the swab to get a good sample, then remove it and place it in a vial, which is then sent to a lab for testing. Especially in the case of a deviated nasal septum, the inner part of the nose can be a place of turbulent airflow. All rights reserved. If it doesnt come out on its own, consider gently blowing it out as it might prevent a better clot from forming. An injury to the nose and high blood pressure are the most common causes of posterior nosebleeds. The most common are: In rare cases, repeated nosebleeds could be a sign of a bleeding disorder or other more serious conditions. She writes on books, culRead More, Decoding Long Covid: A Haematologist Tells Us Why Gum and Nose Bleeds Post Covid Need Attention. Dont point nasal spray toward the middle of your nose, Dr. Appachi advises. There are a number of ways that a clot following a bloody nose will exit the nostril including: Once your nose has stopped bleeding, there are some steps you can take to prevent it from starting to bleed again, including: To stop a nosebleed, your body will form a blood clot. There are many non-serious reasons why you may be getting frequent nosebleeds. Case presentation: A man in his seventies was transferred to our hospital for coronary angiography. Heres What Experts Say. But. The short answer is: Researchers debate this question. Frustrated and even more ill, Dr Bahorik calls the Department of Health. Some anecdotal reports and case studies also describe people with COVID-19. At the hospital, she has to do another flu test and RSV test, this time, however, the new chest X-ray shows she has now developed pneumonia in her left lung. The reasons for nosebleeds during sleep are the same as the reasons why they occur during the daytime dried nasal membrane caused by dry air, allergies and colds and other upper respiratory infections that damage the delicate nasal membrane lining your nose. Early in the pandemic, the deep nose swab was administered widely and aggressively to adults because the method worked when testing for influenza and SARS. Nosebleeds usually come from the area of the front of the nasal septum known as the Kiesselbach's plexus, where a number of arterial branches converge. Pence and DeSantis remain positive as Florida hits new daily record. It is an hour's drive and she is feeling weak but goes to the test centre in Macungie, Pennsylvania. Felt like I was being stabbed in the brain, she wrote in the caption. Usually it's five or 10 minutes of discomfort and by the time the patient's out the door, it doesn't hurt anymore. If your nose bleeds frequently, make an appointment to discuss the situation with your doctor. As more Americans get tested for the new coronavirus and the disease it causes, COVID-19, they're discovering the test involves a deep nasal swab that can be uncomfortable . To put you at ease in case you have one, we've assembled a list of common culprits, as well as tips on how to treat a bleeding nose and when to seek medical care. There is no evidence to suggest that COVID-19 tests could be "implanting something.". New York state, which borders Pennsylvania, has become the epicentre of the US outbreak with more than 30,000 confirmed cases. For double defense against nighttime nosebleeds, pair your humidifier with a nasal moisturizer. Keep the inside of the nose moist, and you wont have as much desire to pick, says Dr. Appachi. As more Americans get tested for the new coronavirus and the disease it causes, COVID-19, theyre discovering the test involves a deep nasal swab that can be uncomfortable. If bleeding starts again, use a nasal decongestant spray (such as Afrin. A few nosebleeds start in the back of the nose. A posterior nosebleed occurs deep inside the nose. If it's like a leaky faucet dripping from the nose, nothing is stopping it, medical attention is required, he says. The virus can lead to pneumonia, respiratory failure, heart problems, liver problems, septic shock, and death. But you really need to get (the swab) back into the pharynx part of the nose, not the very front part, in order to get a good sample and have it be reliable, Kuritzkes told TODAY. They will also ask if there is a family history of blood disorders and ask about your use of alcohol or any illegal drug use in which the drug was sniffed up your nose. How Singapore stayed one step ahead of the virus, Harry: I always felt different to rest of family, US-made cheese can be called 'gruyere' - court, AOC under investigation for Met Gala dress, The children left behind in Cuba's exodus, Mbappe breaks PSG goal record in win over Nantes, Alex Murdaugh's legal troubles are far from over, Walkie Talkie architect Rafael Violy dies aged 78, Saving Private Ryan actor Tom Sizemore dies at 61. Biochemistry Seminar: Signal transduction across biological membranes by Cys-loop receptor channels Claudio Grosman, Ph.D. University at Buffalo Academic Health Center, Jacobs School of Medicine and Biomedical Sciences, Is a Nosebleed a Sign of COVID-19? She calls the office of Senator Bob Casey, where she is advised to contact the Department of Health. Dry air from indoor heating or outdoor cold can dry out the lining of . Not everybody makes the same antibodies to a virus. This could be an early sign of other medical problems that needs to be investigated. The fifth type an oropharyngeal specimen is not recommended by the CDC, but is acceptable, and swabs the throat and tonsils. And if you've had a heart attack, your doctor may have recommended a daily aspirin to help prevent a recurrence. These are the patients who will require treatment," the doctor said. Nosebleeds can also occur if a foreign object is placed in the nose. People who take blood-thinning drugs, such as aspirin or warfarin. There are two main types and one is more serious than the other. Having more than one nosebleed a week is also a sign that you should talk to your doctor. And some nosebleeds involve such a significant amount of blood loss that they can result in airway obstruction or a life-threatening emergency. In contrast, the COVID-19 test is a search for the virus and its genetic material, which could be disbursed anywhere in the nose or throat. Symptoms, Causes, Diagnosis, Treatment, and Prevention, The Consumers Guide to Biologics for Atopic Dermatitis, 7 Things You Didnt Know About Keeping Your Sinuses Healthy. Seeing blood coming out of your nose is a scary sight for many people. Its not anybodys pleasantest experience, but then getting a deep throat swab of the tonsils often makes some people gag. If you feel the need to blow your nose, sometimes the clot comes out of your nostril into the tissue. Many people with the heart condition atrial fibrillation (afib), an irregular heartbeat, take anticoagulant medication to prevent blood clots from forming. Some common nosebleed causes are: trauma breathing very. Even though it's essentially unnoticeable to the average person, over time it can cause trauma to the mucous membrane that covers Kiesselbachs plexus and cause recurrent nosebleeds, Gudis says. "There were between 50 and 75 people, a lot of them around my age at the funeral and I hugged a bunch of them," she says, clearly distressed. Lean forward and pinch the nostrils for at least five minutes without stopping, says Dr. Appachi. Heres What Experts Say [Health], Jacobs School Will Benefit From UBs Hiring Initiative, Commencement Keynote Speakers Had Key Roles During COVID, National Study Seeks Patients With ATP1A3 Mutations, WC4BL Chapter Kicks Off With Arts Workshop, Study Focuses on Brain Lesions, MS Progression, 2022 Retrospective: Commitment to Excellence. They will use a small speculum to hold the nostril open and use various light sources or an endoscope (lighted scope) to see inside your nasal passages. See your doctor if youre always congested so you can find out the cause and explore other treatment options. Overusing them can cause nosebleeds. If you use heat or air conditioning or live in a dry climate, your home might have a low humidity level. Your nose appears to have an odd shape following an injury and you think it could be. COVID-19 can cause nasal symptoms similar to upper respiratory infections, such as a stuffy or runny nose. Children between ages two and 10. An occasional nosebleed is usually nothing to worry about. Most people will have at least one in their lifetime. The. Loss of smell or taste. It's definitely plausible.". Decongestant sprays can cause a rebound effect, making you feel more congested, says Dr. Appachi. For most respiratory viruses, the best place to sample is the back of the nose, said Dr. Daniel Kuritzkes, chief of the division of infectious diseases at Brigham and Women's Hospital in Boston. Video, Russian minister laughed at for Ukraine war claims. The bleeding is rapid or the blood loss is large (more than a cup). I tell patients it's going to sting. Dry air can be caused by hot, low-humidity climates or heated indoor air. IE 11 is not supported. Street fighting in Bakhmut but Russia not in control, Russian minister laughed at for Ukraine war claims. When the mucus membranes in the nose dry out, the blood vessels are exposed. The doctor informs Claudia that while tests ruled out the other causes, Pennsylvania Department of Health did not give approval for her to get a coronavirus test. In a July 7 post on Facebook, David D. Smith questioned why COVID-19 tests do not swab the mouth noting that the virus is spread in microscopic saliva particles and that that cheek swabs. In an interview with News18, Dr Bansal said that the COVID-19 pandemic that has affected billions around the world could not only cause life-threatening complications during the active infection but also has distressing after effects, some of which could be related to the blood. Cleveland Clinic is a non-profit academic medical center. Sudden and inexplicable nosebleeds may seem scary, but typically they're not. This is the most common type of nosebleed and is usually not serious. It shouldnt be painful. But it is testing that has been such a crucial element of controlling the spread of the virus in countries that are seen as having been successful in doing so. Unlike saline sprays, decongestant sprays contain medication or active ingredients. Back in March, researchers first said losing your sense of smell and taste could be a symptom of the coronavirus, according to The New York Times. Though it is possible to test for COVID-19 in saliva, and it may be more comfortable, there are few tests of this type available at the moment, per the FDA. The feeling may be mild and go away when the infection clears or the . resting with your head higher than your heart. Most nosebleeds, also known as epistaxis, come from the small blood vessels in the mucous membrane that lines the inside of your nose. Frequent use of nasal sprays for treatment of allergy symptoms or colds/congestion. This maneuver puts pressure on the bleeding point on the nasal septum and often stops the flow of blood. Called a nasopharyngeal swab or culture, it allows doctors to collect a sample of secretions from the uppermost part of the throat, behind the nose. If your nose starts to bleed again, sometimes the clot from the original nosebleed will come out with new blood. Anyone who develops the infection's tell-tale fever, new and continuous cough, or a loss of taste or smell. Its not necessary to hold your breath during the test. However, see your doctor or get emergency medical attention if you are losing a heavy amount of blood, if you cannot stop your nosebleed after 20 minutes of trying or have had an immediate injury to your head, face or nose. Though the science is evolving, experts. Resist the urge to let go too soon.. By subscribing you agree to the Terms of Use and Privacy Policy. Colds, allergies, and frequent nose-blowing can also irritate the lining of your nose, resulting in a nosebleed. Talk with your doctor if you use these products. Liver disease, kidney disease, chronic alcohol consumption, or another underlying health condition can lower your bloods ability to clot and therefore cause your nose to bleed. Since theres room for blood to collect in your nose, the blood clot could be large. For a good specimen, nasal swabs have to go pretty far back and collect cells and fluids from the base of the nose to the back of the throat, Dr. Micah Bhatti told the MD Anderson Cancer Center. When nosebleeds are frequent, they can really get in the way of daily activities and be a significant hindrance to having a normal and healthy quality of life.. Any of these conditions can cause the surface blood vessels in the nose to bleed. Patients with severe thrombocytopenia and bleeding need specific treatment, as a most common cause of low platelet is immune destruction of platelets, most used treatment is intravenous immunoglobulins as it is non-immunosuppressive," she added. This type of nosebleed is more common in adults. "I feel like I've done as much as I can, but that the system has beaten me down," she says. Frequent use of nasal sprays and medications to treat itchy, runny or stuffy nose. But it can result in frequent nosebleeds. Whats Causing That Salty Taste in Your Mouth? Have bleeding that lasts longer than 30 minutes. Is it too late for a 'trace, test, treat' strategy? Lees ons privacybeleid en cookiebeleid voor meer informatie over hoe we uw persoonsgegevens gebruiken. These devices are filled with water and moisturize the air. We refer to that medically as digital trauma," Gudis says. If the bleeding doesn't stop, repeat these steps for up to a total of 15 minutes. These medications - antihistamines and decongestants - can dry out the nasal membranes. There are five different blood vessels that meet in the septum, and theyre very sensitive, says Dr. Appachi. But sometimes cold things on the nose can constrict the blood vessels, so there is a little bit of truth to the concept.. It was not until May 8 that the FDA authorized the first at-home diagnostic test using saliva samples, and the authorization was exclusive to one lab. Two days in particular play on her mind; the day in early March on which she shared a room with dozens of prospective jurors, and the funeral the following day. But innumerable cases around the country show it is a model the United States has failed to recreate. Posterior nosebleeds, on the other hand, are much less common. Allergies . Use your thumb and index finger to pinch together the soft part of your nose. Here's what may be causing your nose bleed and how to stop it. Columbia Vagelos College of Physicians and Surgeons is dedicated to developing the next generation of leaders in medicine. When Is a Sore Throat Considered Chronic? Abstract. Search for a provider by specialty, expertise, location and insurance. If nosebleeds are troublesome for the patient, upsetting, or interfering with daily activities, it's worth seeing a specialist.. At conservative gathering, Trump is still the favourite. Because hereditary hemorrhagic telangiectasia (HHT) is rare, it is often misdiagnosed and is not well understood by many physicians. Your blood pressure and pulse will likely be taken. She carried on as planned, performing jury duty, attending the funeral of a friend and travelling to Washington DC for a medical appointment. Picking your nose or rubbing it too hard. But viruses have lots of different proteins and the antibody response can be very individualized. VideoRussian minister laughed at for Ukraine war claims, The children left behind in Cuba's mass exodus, Xi Jinping's power grab - and why it matters, Snow, Fire and Lights: Photos of the Week. Eight complication-related visits (7 females, 1 male; age range, 14.0-78.6 years; mean [SD] age, 39.5 [20.9] years) were identified in 2899 otorhinolaryngology ED patients4 nasal bleeds and 4 broken swabs, all occurring immediately after sampling ().None of these 8 patients tested positive for COVID-19. They can crack, causing bleeding. A deviated septum. The good news is that most nosebleeds are not serious and can be managed at home. Some 60% of people will have at least one nosebleed in their lifetime. This combination may indicate a more serious condition such as a blood clotting disorder (hemophilia or von Willebrand disease), leukemia or nasal tumor and will need to be checked by your doctor.). 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.enthealth.org/conditions/nosebleeds/), (https://accessemergencymedicine.mhmedical.com/content.aspx?sectionid=55139195&bookid=991&jumpsectionID=55142214&Resultclick=2#1101228338), (https://www.merckmanuals.com/home/ear,-nose,-and-throat-disorders/symptoms-of-nose-and-throat-disorders/nosebleeds#v28572888), (https://www.sciencedirect.com/science/article/pii/S027823910501815X?via%3Dihub), (http://ovidsp.dc2.ovid.com/sp-4.02.1a/ovidweb.cgi?WebLinkFrameset=1&S=MHCEFPAFODEBDGIGIPCKPEPEFCBOAA00&returnUrl=ovidweb.cgi%3f%26Full%2bText%3dL%257cS.sh.43.51%257c0%257c00152193-201210000-00012%26S%3dMHCEFPAFODEBDGIGIPCKPEPEFCBOAA00&fromjumpstart=0&directlink=http%3a%2f%2fovidsp.dc2.ovid.com%2fovftpdfs%2fFPEBIPPEPEIGOD00%2ffs047%2fovft%2flive%2fgv024%2f00152193%2f00152193-201210000-00012.pdf&filename=Nosebleeds.&link_from=S.sh.43%7c46&pdf_key=FPEBIPPEPEIGOD00&pdf_index=/fs047/ovft/live/gv024/00152193/00152193-201210000-00012&D=yrovft), Visitation, mask requirements and COVID-19 information. I often see patients who are taking some kind of antiplatelet or anticoagulant medication, Gudis says. Despite exhibiting symptoms, and given her age and previous spells of pneumonia, they were inflexible. Many infectious disease experts believe swabbing both your nose and throat will increase the sensitivity of at-home COVID rapid tests. The swab is quick but can be "moderately uncomfortable," doctors say. Ideal humidity levels are 30% to 50%. Mild decrease in platelet count or thrombocytopenia has been seen not only during active infection but also may occur or continue up to six months. What's the least amount of exercise we can get away with? Many people stop applying pressure after a minute or two, before the blood has clotted. What about decongestant nasal sprays? Bleeding disorders, such as hemophilia or von Willebrand disease or leukemia. But nothing has yet been done to trace where she might have got her infection or to isolate those she came into contact with.