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Information about Epistaxis,nose bleeding - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi
Doctor :   How may I help you today?
User :   I want to know more about Epistaxis, my spouse had a bout of Epistaxis around 24Sep
Doctor :   OK
Doctor :   How many times she had nose blleding?
User :   Three days in a row, early mornings only
Doctor :   How old is she?
User :   Actually it is my husband, he is 39 years old
Doctor :   OK
Doctor :   Does he had high Blood Pressure
Doctor :   and any medical problems?
Doctor :   Nose blleding very complex
User :   none
Doctor :   it happens usuuly bcoz of dtyness in the nose
Doctor :   *dryness
User :   at the time of going to hospital his, BP was high around 160/100, but no bp problems as such
Doctor :   What u said really high blood pressure
Doctor :   and that could be the reason for bleding
Doctor :   Most of the time no reason is found
User :   that was after about an hour of bleeding, when we were not aware of how to control the bleeding.
Doctor :   But make sure he has no high BP
User :   ok
Doctor :   You should not rely on single BP reading to diagnose high BP
Doctor :   You need minimum 2 readings 2 weeks apart
Doctor :   So check minimum 2-3 reading especially during morning hours
Doctor :   If the BP is high then it jneeds to treated
User :   sure, it seems to be around 120/70 or 130/80 when last monitored
Doctor :   That is is noraml range'
Doctor :   We can rule out BP as a cause for nose bleeding
Doctor :   As I tild u most of the time there are no reasons
Doctor :   But I will recommend a physical (speculum examination of nose ) by ENT to make sure there is nothing wrong inside the nose
User :   ok, we had visited an ENT surgeon, who suggested that there was a sort of dent in the inside of his nose, which was causing the bleeding. Then he gave few medicines and then yesterday when we visited him, he mentioned that a lining seemed to have come over the dent (sort of dimples inside the nose)
Doctor :   So what does he wanted to do?
Doctor :   Does he said any DNS
Doctor :   Does he ofer any surgey?
Doctor :   *offer\
User :   no, he mentioned next time there is a nose bleeding, he will do an endoscopy
Doctor :   That is appropriate.
Doctor :   Till that time just follow conservative measures
Doctor :   Exposure to high heat such as summer sun or fire could also cause the bleeding nose.
Doctor :   injury of the nose cause bleeding
User :   Thank you doctor
Doctor :   Ok
Doctor :   Thank you for consulting us
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