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I am meth smoker. Having back and shoulder pain, started nose bleeding. What is causing this?

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General & Family Physician
Practicing since : 2003
Answered : 115 Questions
i have severe pain in my back,,mostly upper middle right side near or under shoulder blade,,where i have too apply MASS pressure too feel any kind refief,,,for many years,,worst for couple years now,,then goes down too my back,,hips too had. I also am a meth smoker for a few years,,and last 2 days have had sudden 20-30 second heavy nose bleeds...but i dont snort?? Ive looked online,,self diagnosing,,from back issue,,,and ive been linked too liver,,galbladder,,arthritis,,lupus on and on,,,BUT WHY THE SUDDEN NOSE BLEEDS last 2 days ive had one each day
Posted Wed, 8 Aug 2012 in Back Pain
Answered by Dr. Mihail Iepure 57 minutes later

Thank you for your query,

Taking in consideration you family history and back pain since few years, you need more complex investigations.

Suddenly nasal bleeding can be from local cases - nose blowing, polyps or general - high blood pressure. Coagulations and blood disorders - that is very unlikely in your case as you stated this bleeding only recently and just since two days.

Regarding you back pain that lasts few years and migrate from shoulder to hip; definitely you need X-ray or Computed Tomography (CT) scan and neurological exam, additionally blood work – Complete Blood Count, coagulation profile, Liver function test and Biochemistry. I cannot relate any organic medical cause to be causing the back ache without these investigations. Above mentioned set of investigations will help you understand your condition and rule out any hidden disorder.

Hope this answers your query. If you have additionally queries, please don’t hesitate to ask.

Take care and good luck.
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Follow-up: I am meth smoker. Having back and shoulder pain, started nose bleeding. What is causing this? 1 hour later
OK so your unsure why sudden nose bleeds? Also I have headache mostly behind eye and tingling numb like feeling around nose...what bout HYPERTENTION issues
Also...this may help. I had a baby last Thanksgiving that was born 21 half weeks. And absolutely normal no birth defects today. Apparently they said prelabor wad because of a possible infection blood count was 2?,000 HIGH
Answered by Dr. Mihail Iepure 2 hours later
Hello and thanks again,

It is difficult to predict the true cause of nasal bleeding without a clinical examination and proper investigations. I had suggested a few close possibilities in my earlier reply.

If I were to be your treating physician, I wouldn't be concerned with a single episode of nasal bleed. I would however monitor your nasal secretions for a few days. Avoid blowing nose and don’t use any cotton swab. If the episodes recur, we can proceed evaluating you for causes.

Hypertension is one of the common causes of nasal bleed and headache. It needs to be ruled out. When you get to XXXXXXX your physician, you can ask him to check the pressure and confirm about it. Normal blood pressure range is 120/80 mmHg.

It is possible that the headache, numbness around nose is correlated with your chronicle migrating pain, and in this case neurological assessment will be best choice.

I noted that your last lab work was five years ago, so I believe you need repeat above mentioned tests.

The raised total count during the child birth on the last thanks giving is not related to the present nasal bleeding.

Hope I was able to address all your concern. If you have additionally queries, please don’t hesitate to ask.

Take care and good luck
Above answer was peer-reviewed by
Follow-up: I am meth smoker. Having back and shoulder pain, started nose bleeding. What is causing this? 2 hours later
OK..pretty much what I thought ..I need stays..bloodwork etc too get any accurate resulted.however II don't have a doctor I'm wondering when do I go into. Er ..where thered be my only hope of GETTING any one time lab n XXXXXXX work done? Too be honest the sudden nose bleeds w pain behind eyes ..muscles n back n hips now only getting worse..I wondering when or even if..I should go in
Answered by Dr. Mihail Iepure 8 hours later
Hello again,

Yes, you right. Those tests will clarify many things and will help you understand your condition.

If the pain and bleeding are getting worse it would be better if you will go early for consultation.

I wish you good luck and take care. I will be able assist you in case you need more help on this forum.

Best regards
Above answer was peer-reviewed by
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