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Bleeding From Nose, Headache, High Blood Pressure. Advice?

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Posted on Tue, 26 Jun 2012
Question: Hi. I have some small amount of fresh blood in my nose, slight headache, an elevated blood pressure. 56 years, good health, this condition for about a week
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Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)
Hi

Thanks for the query

Bleeding from the nose is quite common in those individuals who are suffering from hypertension (elevated blood pressure).

In the individuals suffering from long standing hypertension there will be multiple weak points developed in the blood vessels known as aneurysms. Nose is one of the organs in the body which is richly supplied with blood and also presence of multiple microscopic aneurysms.

Whenever the blood pressure shoots up, there is pressure built up central and the peripheral blood vessels. The increase in the pressure in turn will transmit the same on the aneurysms. Aneurysms succumb by stretching and ultimately the weakest of them burst open with the leak of blood. This is also one of the commonest causes of the bleeding in the elderly individuals.

I would suggest you to get the blood pressure controlled as well as consult a good ENT specialist for the visualization of the bleeding points and hence cauterizing the same. Till then, use saline nasal drops and drink plenty of water to keep the nasal mucosa moist. Avoid nose picking if any.

Hope I have answered your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgery
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Naveen Kumar Nanjasetty

Otolaryngologist / ENT Specialist

Practicing since :2001

Answered : 2540 Questions

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Bleeding From Nose, Headache, High Blood Pressure. Advice?

Hi

Thanks for the query

Bleeding from the nose is quite common in those individuals who are suffering from hypertension (elevated blood pressure).

In the individuals suffering from long standing hypertension there will be multiple weak points developed in the blood vessels known as aneurysms. Nose is one of the organs in the body which is richly supplied with blood and also presence of multiple microscopic aneurysms.

Whenever the blood pressure shoots up, there is pressure built up central and the peripheral blood vessels. The increase in the pressure in turn will transmit the same on the aneurysms. Aneurysms succumb by stretching and ultimately the weakest of them burst open with the leak of blood. This is also one of the commonest causes of the bleeding in the elderly individuals.

I would suggest you to get the blood pressure controlled as well as consult a good ENT specialist for the visualization of the bleeding points and hence cauterizing the same. Till then, use saline nasal drops and drink plenty of water to keep the nasal mucosa moist. Avoid nose picking if any.

Hope I have answered your query; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgery