on warfarin).Haemophilia, leukaemia, family history of bleeding disorders.Possible signs of tumour (nasal obstruction, facial pain, rhinorrhoea, cranial neuropathy), allergens or other environmental factors.[2]Consider a topical antiseptic such as Naseptin?? cream if the bleeding settles with first aid measures.[2]Consider possible referral to an ear, nose and throat specialist if nosebleeds are