Hi,
As a vWD type 3 patient, bleeding from your nostrils and blood spots under your skin are indeed typical symptoms.
Seek medical help right away. In the meantime, you can apply pressure to your nostrils to help stop the bleeding. Lean forward slightly and pinch the soft part of your nose for 10-15 minutes. You can also apply ice to the bridge of your nose to help reduce swelling.
If the bleeding is severe or does not stop, seek emergency medical attention. As for the blood spots under your skin, these are likely small bruises called
petechiae. Avoid any activities that could cause further bruising or bleeding, such as contact sports or taking blood-thinning medications like
aspirin.
The pain in your ankle may or may not be related to your vWD, but it is important to have it evaluated by a medical professional. They can help determine the cause of the pain and recommend the appropriate treatment.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician