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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Vertigo, Blood In Tissue After Blowing Nose. Related?

Hello, I ve been in bed since Friday evening with a bit of vertigo like symptoms. They continued on and off throughout the weekend. I ve only had this 3 times in the past. Once about 10 years ago and then two times in the past year and then this weekend. This is the longest it has lasted. The other times only kept me down for a day. When I blew my nose this am, there was blood in the tissue . I have no idea if the two are related but thought I should ask. I am otherwise a healthy 49 y/o woman. Thanks!
Fri, 25 Oct 2013
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ENT Specialist 's  Response
Hello

Welcome in H.C.M.

After thinking about your query and co-relating them with possible phathophysiology it appears as you are having acute upper respiratory tract infection involving nose and throat and possibly infection extending to ear via eustachian tube and thus involving ear also as you are having vertigo.

Blood in tissue indicates that nasal mucosa in inflamed and congested therefore some blood had ooze out during sneezing.

For management of above you have to do-

1- Culture and sensitivity of nasal discharge.

2- X-Ray paranasal sinuses.

3- X-Ray chest.

4- Blood- CBC, ESR, blood sugar (F & PP),

5- Sputum for AFB.

Till the investigations are going on and reports are awaited you may take-

a- Tab Paracetamol.

b- Anti histaminics and decongestant.

c- Steam inhalation.

d- Antibiotic - Though it is decided according to culture report but till the report is awaited you may take antibiotic having broad coverage on gram's positive and negative both.

I hope you got the answer of your query.

Regards.
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Have Vertigo, Blood In Tissue After Blowing Nose. Related?

Hello Welcome in H.C.M. After thinking about your query and co-relating them with possible phathophysiology it appears as you are having acute upper respiratory tract infection involving nose and throat and possibly infection extending to ear via eustachian tube and thus involving ear also as you are having vertigo. Blood in tissue indicates that nasal mucosa in inflamed and congested therefore some blood had ooze out during sneezing. For management of above you have to do- 1- Culture and sensitivity of nasal discharge. 2- X-Ray paranasal sinuses. 3- X-Ray chest. 4- Blood- CBC, ESR, blood sugar (F & PP), 5- Sputum for AFB. Till the investigations are going on and reports are awaited you may take- a- Tab Paracetamol. b- Anti histaminics and decongestant. c- Steam inhalation. d- Antibiotic - Though it is decided according to culture report but till the report is awaited you may take antibiotic having broad coverage on gram s positive and negative both. I hope you got the answer of your query. Regards.