Hello dear user of HCM! Thank you for sharing your concerns with us on HCM! I understand the situation in which your mother is going through and i m sorry for that. High blood pressure is one of the cases for epistaxis (nose bleeding) in hypertensive patients. First of all your mother should keep the blood pressure under control with the therapy that her cardiologist has adjusted. She also have to maintain a diet with low salt and fats. If she has a normal blood pressure and the bleeding occurs again, then another reason must be found. I would recommend to do a Complete blood count and biochemical balance analysis (lipids, sugar, liver and kidney indicators) to see her actual health status. A low count of platelets may lead to spontaneous hemorrhage and nose bleeding as your mother has undergoing. I hope she will be fine soon. I wish you and your mother a good health! DR ERIOL.