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I Have Been Having Reoccurring Nose Bleeds For The Past
Question: I have been having reoccurring nose bleeds for the past year (I’ve never had nose bleeds prior) that have been getting worse.. I will experience a nose bleed 2-3 times a week and it take anywhere from 5-40 minutes for it to stop/clot.. I went to my primary Care doctor and was referred to internal medicine for further evaluation but, due to covid appointments are very limited .. however, my blood results came back abnormal. My protime considered higher than normal at 12.6 seconds. My MPV was lower than normal at 9.2 fL. My RDW CV was lower than normal at 11.8% and my ABS eosinophils was higher than normal at 0.43 X 10(3) /mcL. My question is, what could my blood results be telling me?
Brief Answer:
please read the full answer
Detailed Answer:
Hello,
recurring nose bleeds require an ENT specialist assessment. In most cases, the problem lies within the nostrils where an abnormal blood vessel bleeds every so often. This is very common and can be easily treated by the ENT specialist. There are other potential causes as well, like hematological problems, etc.
In patients like you I usually order the following tests:
bleeding time, prothrombin time (or INR, which is better), activated partial thromboplastin time (aPTT) and a complete blood count.
Please upload the test reports. I can't reach any useful conclusion with only parts of the report.
Important questions to answer include the following:
- have you noticed prolonged bleeding after being cut (when shaving for example) ?
- do you have any skin lesions like little red dots or anything else?
- have you ever had a hemarthrosis (blood within the joint cavity) ?
please read the full answer
Detailed Answer:
Hello,
recurring nose bleeds require an ENT specialist assessment. In most cases, the problem lies within the nostrils where an abnormal blood vessel bleeds every so often. This is very common and can be easily treated by the ENT specialist. There are other potential causes as well, like hematological problems, etc.
In patients like you I usually order the following tests:
bleeding time, prothrombin time (or INR, which is better), activated partial thromboplastin time (aPTT) and a complete blood count.
Please upload the test reports. I can't reach any useful conclusion with only parts of the report.
Important questions to answer include the following:
- have you noticed prolonged bleeding after being cut (when shaving for example) ?
- do you have any skin lesions like little red dots or anything else?
- have you ever had a hemarthrosis (blood within the joint cavity) ?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr Zografakis,
To answer your questions, the only prolonged bleeding I can think of is when I have a bloody nose.. other than that I don’t recall the last time I bled. I don’t believe I have any skin lesions. And for the past three years since I was diagnosed with arthritis I was only ever diagnosed with bursitis in both of my shoulders. I’m unaware of any hemarthrosis.
I will try to upload my labs Reports.
To answer your questions, the only prolonged bleeding I can think of is when I have a bloody nose.. other than that I don’t recall the last time I bled. I don’t believe I have any skin lesions. And for the past three years since I was diagnosed with arthritis I was only ever diagnosed with bursitis in both of my shoulders. I’m unaware of any hemarthrosis.
I will try to upload my labs Reports.
I believe I just uploaded two lab images. Please let me know if you receive them.
Thank you
Thank you
Brief Answer:
most of the labs are OK
Detailed Answer:
Thanks for uploading your test reports.
Most of them are perfectly normal. I'll comment on the prothrombin time only. The rest of them are not important.
The prothrombin time (PT) is only slightly elevated. I don't know what's the normal range in this particular lab. In many labs this PT is normal, so even if the lab has a somewhat lower normal range, it's not very high or high enough to raise concerns.
I would recommend visiting the ENT specialist first and then checking again the tests I've mentioned in my previous answer except the aPTT (which is normal) and full blood count (which is normal as well). The slight PT elevation is probably unimportant but I would recommend repeating it. Sometimes it's value may fluctuate between measurements even in normal individuals. Since the elevation is minimal, there is no way it can be related to the bleeding.
most of the labs are OK
Detailed Answer:
Thanks for uploading your test reports.
Most of them are perfectly normal. I'll comment on the prothrombin time only. The rest of them are not important.
The prothrombin time (PT) is only slightly elevated. I don't know what's the normal range in this particular lab. In many labs this PT is normal, so even if the lab has a somewhat lower normal range, it's not very high or high enough to raise concerns.
I would recommend visiting the ENT specialist first and then checking again the tests I've mentioned in my previous answer except the aPTT (which is normal) and full blood count (which is normal as well). The slight PT elevation is probably unimportant but I would recommend repeating it. Sometimes it's value may fluctuate between measurements even in normal individuals. Since the elevation is minimal, there is no way it can be related to the bleeding.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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