3 doctors weighed in:

Woke up with blood on my pillow. How did i get a bloody nose in my sleep?

3 doctors weighed in
Dr. Heidi Fowler
Psychiatry
2 doctors agree

In brief: Bloody nose

Here are some possible reasons.
Do any of them apply? Nose bleed reasons: nasal congestion or nasal dryness, ^ blood pressure, excessive use of decongestants, being at ^ altitude, trauma to nose, nose picking, or blowing the nose hard. Bacterial & viral infections can ^ risk as well as bleeding disorders. Recurrent nose bleeds may be due to broken vessel in the nose.

In brief: Bloody nose

Here are some possible reasons.
Do any of them apply? Nose bleed reasons: nasal congestion or nasal dryness, ^ blood pressure, excessive use of decongestants, being at ^ altitude, trauma to nose, nose picking, or blowing the nose hard. Bacterial & viral infections can ^ risk as well as bleeding disorders. Recurrent nose bleeds may be due to broken vessel in the nose.
Dr. Heidi Fowler
Dr. Heidi Fowler
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