Can Nicorette Gums Cause Nose Bleeds?

Hello, Nicorette gum itself does not normally cause nosebleeds. It releases nicotine into the mouth, and thus it cannot irritate the nasal lining directly. If a person with it receives nose bleeds from it, it s usually due to the nicotine making blood vessels a bit more reactive, but that is quite uncommon and generally not the main reason. From what you ve described-itching in the nose, blowing the nose, and bleeding from one nostril-this pattern is far more typical of dryness and irritation of the nasal lining or a small fragile blood vessel, often on the front part of the septum. When this lining becomes dry or inflamed, even mild rubbing or blowing can cause a small bleed. What does stand out in your story, however, is that the frequency has recently increased; this usually means that the nasal lining has become even more sensitive or dry. Weather changes, indoor heating, allergies, or even habitual nose blowing can worsen it. That fits your symptoms much more than the Nicorette gum. My frank medical opinion is that the gum is unlikely to be the cause, not least because you have used it for years without this problem. The timing and the symptoms suggest a local nose problem, rather than a nicotine effect. Still, as this has become more frequent and is one-sided, it s worth having an Ear, Nose and Throat doctor take a quick look. Many times they can spot a tiny vessel that keeps breaking and can seal it right there in the clinic. Meanwhile, keeping the inside of the nose moisturised and avoiding vigorous blowing usually settles this sort of thing. Take care. Hope I have answered your question. If you have any further query I will be happy to help. Wish you good health. Regards, Dr. Usaid Yousuf, General and Family Physician