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Query about nose bleed due to blood pressure - 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 : 2005
Answered : 2408 Questions
Doctor :   hi
User :   Hi
Doctor :   how can i help you?
User :   my age is 32
Doctor :   OK.
User :   offlate
User :   i am having problem
User :   my nose is drying up
Doctor :   Please proceed with your query.
Doctor :   Ok.
User :   followed by
User :   thirst
User :   mainly at night
Doctor :   Ok.
User :   it happening from last 15 days
Doctor :   Could you let me know your age?
User :   32
Doctor :   How about any other chronic problems like diabetes,high blood pressure?
User :   not diabetes
User :   but blood pressure yes
Doctor :   Ok.
Doctor :   Ok.
User :   whn I dig out from the nose
User :   it has a tinch of blood
Doctor :   Ok.
User :   i sweat a lot
Doctor :   When did you last check your blood pressure and how much was it?
User :   2 months back
Doctor :   Are you taking any medication?
User :   but dint ask him that
User :   no
User :   its not very often
User :   infact i went to the doc for cold and cough
User :   then he checked
Doctor :   Ok, so did he give you the value or did he ask you to come again?
User :   no
Doctor :   What was his advise?
User :   he gave me medicine for cold n cough
User :   he said that i have gained weight
User :   so to work out
User :   n not have non veg
Doctor :   But did he confirmed that you have high blood pressure?
User :   no
Doctor :   What is your weight and height?
User :   but high pressure is not always
User :   but sometime
Doctor :   Ok.
User :   5"8
User :   weight is arnd 84
Doctor :   So please follow the following steps that I advise you right now.
User :   ok
Doctor :   1. Epistaxis ( Bleeding nose ) is most probably caused by high Blood Pressure and or also by Dry nose which is common in winter.
User :   ok
User :   but i nevr had a problem of such is winter
Doctor :   Do you have alcohol anytime ?
User :   at lowest temp of 10 C
User :   no
Doctor :   Ok.
Doctor :   Are you on any other medication?
User :   no
Doctor :   Most common factors are : Allergies, Drug reaction, Alcoholism,
Infectious diseases (e.g. common cold)
Hypertension & also allergic to aspirin
Doctor :   So, what I would suggest you is Step No. 2
User :   common cold
User :   due to allergies
Doctor :   2.You have to first get your Blood Pressure Checked.
User :   ok
Doctor :   Yes.
Doctor :   If in two weeks, the three consecutive values are above 150/90 then you are a hypertensive or ahaving high blood pressure.
User :   ok
Doctor :   So, you can visit the same physician or any General Physician or an MD.
User :   ok
Doctor :   3.As the climate is very dry in winters, you need to take in more water to keep your nasal cavity moist.
User :   i am doing that
Doctor :   4. You can take a cotton or fresh washed cloth , dip it in saline & make your nose moist.
Doctor :   Good.
User :   whr do i get saline
User :   medical shop
User :   ??
Doctor :   5.You must decrease your salt intake, oily & fatty diet & increase intake of fruits,fresh vegetables & juices.
Doctor :   Yes , very much.
User :   ok
Doctor :   When you ahve them try to avoid cold foods as you may catch a cold again which would again cause a problem.
User :   ok
Doctor :   If the nasal bleeding does not come down after all the measures then you have to visit an ENT Specialist.
User :   nose is not bleeding really
Doctor :   You can try these measures for 4-5 days and then let me know.
User :   ok
Doctor :   Ok, and please do not do nose picking.
User :   ok
Doctor :   Many people have blood coming out in winters, so in brief, the best thing would be to make it moist with saline,apply pressure on the root of the nose if there is too much coming out & the most important thing is B.P. check thrice in two weeks.
User :   ok
Doctor :   Is there anything you want to ask?
User :   yes
Doctor :   Please proceed.
User :   due to this do I feel very thirsty too
User :   infact i drank twice a litre in the night
Doctor :   How about your hunger and how about your toileting, how many times do you have to urinate per day?
Doctor :   What food did you have yesterday ?
User :   three parathas
Doctor :   Ok.
User :   4
User :   i urinate 2 or thrice a day
User :   offlate
Doctor :   So please get your blood sugar checked, it is called HbA1c which would give the blood sugar picture of the last three months.
User :   i have started drinking water than started urinating much more
User :   ok
Doctor :   Ok, But not to worry much as this is common in winter, but to be on the safer side, you can get the blood sugar test done.
User :   ok thanks
Doctor :   And hence when you go to your physician, please do let him know what I have suggested and get both done.
User :   i will do that
User :   sure
Doctor :   Thank you for consulting me.
Doctor :   Take care , Bye for now.
User :   thanks a ton
User :   for the suggestion
User :   bye
Doctor :   Last thing, do not forget to ask the values this time, ask him to note them on your prescription.
Doctor :   bye.
User :   ok bye
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