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I wake up with blood on my pillows a lot and it is because I get nose bleeds at night. Why do I get nose bleeds only at night? Answer. It is actually fairly common to have nose bleeds occur at night. Most of the time, this is because the dry air in the bedroom while you are sleeping (which is made worse in the winter, due to heating of the room). The dry air leads to drying out of the nasal lining, which leads to cracking and bleeding.
There are several other possible causes for nose bleeds, such as a wound or injury that is not apparent, as from a snake bite, or it may be from a disease, like cancer in an organ, leukemia, or a number of other diseases.