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Suggest Treatment For Severe Nasal Bleeding

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Posted on Tue, 29 Nov 2016
Question: I had a real bad bleed nose on Oct 17 and went to ER for it. Had bleed in sinuses and throat. Question I'm still coughing up a little bleed and I feel like there is a frog in my throat and I feel like my sinuses are draining, during the day, what do you think is going on ?
doctor
Answered by Dr. Scott Rebich (1 hour later)
Brief Answer:
Humidification, avoid nasal spray, get a CT scan

Detailed Answer:
Hi there,

I would recommend getting a CT scan of your sinuses and upper airway. You should also have blood work done for bleeding or clotting disorders as it is very common for them to present with nose bleeds. I would also recommend using ice packs. Ultimately, you should probably see your doctor to get a CT scan to make sure there are no masses. Your doctor can also put some medication in your nose to stop the bleeding.

Most common causes:
- Infection
- Irritant inhalation (smoking)
- Topical steroid or antihistamine use
- Septal deviation (more air movement on one side)
- Low humidity, nasal oxygen use, CPAP
- Tumors: benign, malignant
- Vascular malformations

General prevention:
- Humidification at night
- Cut fingernails to minimize picking.
- avoid topical-nasal medication temporarily
- Petroleum jelly to prevent anterior mucosal dryness

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Scott Rebich

Internal Medicine Specialist

Practicing since :2015

Answered : 283 Questions

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Suggest Treatment For Severe Nasal Bleeding

Brief Answer: Humidification, avoid nasal spray, get a CT scan Detailed Answer: Hi there, I would recommend getting a CT scan of your sinuses and upper airway. You should also have blood work done for bleeding or clotting disorders as it is very common for them to present with nose bleeds. I would also recommend using ice packs. Ultimately, you should probably see your doctor to get a CT scan to make sure there are no masses. Your doctor can also put some medication in your nose to stop the bleeding. Most common causes: - Infection - Irritant inhalation (smoking) - Topical steroid or antihistamine use - Septal deviation (more air movement on one side) - Low humidity, nasal oxygen use, CPAP - Tumors: benign, malignant - Vascular malformations General prevention: - Humidification at night - Cut fingernails to minimize picking. - avoid topical-nasal medication temporarily - Petroleum jelly to prevent anterior mucosal dryness