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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bloody Nose After Falling From Stairs. Have VonWillebrands Disease Type IIB. Internal Bleeding?

I fell down the stairs last night and ever since then I ve had a really bad bloody nose . I Mainly took the brunt of my fall on my hip and my back but may have hit the back of my head after. I have VonWillebrands Disease type IIB. Should I be concerned with my accident and is the nosebleed an indication of internal bleeding?
Fri, 26 Jul 2013
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ENT Specialist,  's  Response
thanks for query.

I think there might be a nasal contusion and as you are a known case of VonWillebrand disease, bleeding might be due to local cause like mucosal tear or fracture nasal bones.

Anterior cranial fossa injury is another cause for nasal bleed, but as you have no other feature of it, it is less likely.

Better to have consultation with Neuro And ENT specialist.

Mean while take anti inflammatory like Chymoral plus and normal saline nasal spray like nazone spray.

Many thanks, take care.
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Bloody Nose After Falling From Stairs. Have VonWillebrands Disease Type IIB. Internal Bleeding?

thanks for query. I think there might be a nasal contusion and as you are a known case of VonWillebrand disease, bleeding might be due to local cause like mucosal tear or fracture nasal bones. Anterior cranial fossa injury is another cause for nasal bleed, but as you have no other feature of it, it is less likely. Better to have consultation with Neuro And ENT specialist. Mean while take anti inflammatory like Chymoral plus and normal saline nasal spray like nazone spray. Many thanks, take care.