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What Causes Severe Chest Pain, Blocked Nose And Blood In Nose Upon Cleaning?

Posted on Tue, 17 Mar 2015

Question: Im having bad chest pains and also clogging in my nose and upon removal of the clogs it leads to bleeding till it heals. The chest pain is there always during turning and breathing. Im a hookah smoker and also smoke cigarattes sometimes.

Answered by Dr. Pankaj Borade (1 hour later)

Brief Answer:
Needs to be investigated

Detailed Answer:
dear,
Welgome to HCM
As I understand, your major compliant is of chest pain, nose clogging, bleeding of nose on removal of clogs, background of chronic smoking hookah and cigarettes.

Chest pain can have varied etiology, such as respiratory causes of pneumonia, pulmonary infarction, etc cardiac causes of ischemia,etc.
However one needs to consider associated symptoms of breathlessness, cough, edema on legs in these conditions. The nature of pain needs to be evaluated further.
May I have answers to following questions.
1) what is the nature of your chest pain, sharp shooting, radiating to arms, dull?
2) breathlessness, dizziness, swelling over legs?
3) cough, expectoration, fever?

It will help us to differentiate between respiratory and cardiac condition if present.
Kindly describe them interns of duration and its manner of onset.

For your chest pain
1) get an urgent ECG, chest XRay done.
2) do consult local physician soon.
3) tab voveron 75 mg can be taken as and when required XXXXXXX thrice a day, till you consult a physician.

Regarding nose clogging,
I would suggest use of otrivin Nasal drops to clean your nose clogs.
Do not be harsh on nose blowing.
Maintain adequate hydration, overuse of antihistaminic over the counter medication can produce dryness of the nasal mucosa that can lead to frequent bleeds. Proper nasal hygeine can solve this problem.
An indication of antibiotics can be possible in case of respiratory infection, Therfore a physician consultation is required as you can't obtain antibiotics with out prescription.

Hope to have satisfied your query.
Welcome for further suggestions.
regards,
Dr Pankaj Borade

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Pankaj Borade (4 hours later)

Sharp shooting only when i turn around (or) bend down. No breathlessness or dizziness i suspect some swelling in the legs. Duration its there only when im moving around or turninng, bending etc.,

Answered by Dr. Pankaj Borade (1 hour later)

Brief Answer:
Muscle sprain

Detailed Answer:
thanks for the reply.
Chest pain only on movent like turning and bending, is more suggestive of due to muscle sprain or spasms.
one need to evaluate the compliants of swelling through proper palpatory examination, that can be done by physician.
my advice would be,
1) get a chest x Ray chest done.
2) get an ecg done.
these two investigations must rule out any grave pathology.
Considering background of chronic smoking there are very much advisable.
3) continue tab voveron 75 mg as advised before.
4) you can follow my advise for nasal hygeine given before.
5) do consult a local physician

welcome for futher suggestions.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Pankaj Borade (8 minutes later)

This is nothing to account with cancer right?
Ive quit smoking 2 months ago and i only do hookah.

Answered by Dr. Pankaj Borade (4 hours later)

Brief Answer:
Very very unlikely, not suspected currently

Detailed Answer:
Hi,

Cancer at your age is highly unlike due to smoking.
cancer would present as weight loss, blood in cough, loss of appetite, fatigue etc.
an x Ray Chest can help detecting enlarged lymph nodes and mass of cancer.
Cancer is not suspected.

Yes, smoking cigarettes, hookah is a risk factor for malignancy, I it advisable to discontinue hookah or cut down the amount soon.

Stay healthy
regards.

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