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Suggest Treatment For Severe Nasal Bleeding
Question: hello my sister was rushed to the hospital with a severe nose bleed... she was at a family gathering and was laughing really hard then her nose started bleeding to the point of soaking a towel... she was rushed to er... her blood pressure was really high... still trying to stop the nose from bleeding... this has never happened before age 56
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I understand your concern and would like to explain that a careful ENT exam is necessary for localizing the exact site of bleeding.
Sometimes an increased fragility of Kiesselbach plexus is the reason for recurrent nose bleeding.
Also, impaired coagulation function may explain bleeding that occurs in other parts as well.
That's why a complete profiling of clinical and lab tests (including coagulation tests) is necessary.
Hypertension is considered an important triggering factor in the above mentioned susceptible individuals.
Coming to this point, it is necessary to properly control high blood pressure values in order to effectively stop nose bleeding.
In addition, a close monitoring of BP values for a couple of days (several times daily) is necessary to conclude on the opportunity of starting an anti-hypertensive treatment if a diagnosis of hypertension is concluded thereafter.
Coming to this point several medical tests would be recommended for ruling out a secondary hypertension an reviewing the clinical conditions:
- complete blood count,
- fasting blood glucose,
- thyroid hormones level,
- renal and liver function tests,
- blood electrolytes level,
- resting ECG,
- cardiac ultrasound
You need to discuss with her attending doctor on the above mentioned issues.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I understand your concern and would like to explain that a careful ENT exam is necessary for localizing the exact site of bleeding.
Sometimes an increased fragility of Kiesselbach plexus is the reason for recurrent nose bleeding.
Also, impaired coagulation function may explain bleeding that occurs in other parts as well.
That's why a complete profiling of clinical and lab tests (including coagulation tests) is necessary.
Hypertension is considered an important triggering factor in the above mentioned susceptible individuals.
Coming to this point, it is necessary to properly control high blood pressure values in order to effectively stop nose bleeding.
In addition, a close monitoring of BP values for a couple of days (several times daily) is necessary to conclude on the opportunity of starting an anti-hypertensive treatment if a diagnosis of hypertension is concluded thereafter.
Coming to this point several medical tests would be recommended for ruling out a secondary hypertension an reviewing the clinical conditions:
- complete blood count,
- fasting blood glucose,
- thyroid hormones level,
- renal and liver function tests,
- blood electrolytes level,
- resting ECG,
- cardiac ultrasound
You need to discuss with her attending doctor on the above mentioned issues.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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