90-95% of people with hht suffer with nosebleeds also know as epistaxis. 

Telangiectases in the nose, along with the nosebleeds they cause, are the most common features of hht. A very large proportion of people with hht have recurring nosebleeds that the time they reach middle age. They range from mild to severe and can cause an individual to require regular blood transfusions.

If your nosebleeds are severe you will be referred to see an ENT specialist they will offer you some treament options, that may included one of these;


Laser therapy uses an intense pulse of light aimed at the telangiectasia that are bleeding.

Coblation combines high frequency energy with natural salt solution to remove soft tissue and reduce bleeding.

Septodermoplasty removal of nasal mucosa (thin lining of the nose) replacing it with a skin graft.

Young's procedure closure of nasal cavity this offers long term relief for people with the most severe cases of nosebleeds but has disadvantages, loss of smell and complete nasal obstruction.





Advice for nosebleeds

Please if you have a severe nosebleed always seek medical advice.

Avoid vigorous nose blowing. Keeping your nose lubricated can help, but please dont use an oil based lubricate as these can hold bacteria leaving you at risk from infection. Cooling back of neck can sometimes reduce the bleeding. Apply pressure over nose, compressing the area of nasal septum.

Look for things that trigger your bleeds then do your best to avoid them.

Using a humidifier in your home may help. Try keeping a diary of what you eat drink and take for few weeks see if you notice any connections between anything on there and your nosebleeds, each person has individual triggers.