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Recurring nasal bleeding, rise in BP, body tremors. Taking medicines for BP, cholesterol, also using humidifier. Further treatment?

I am 59 yo female and I had /second time since last friday/severe left nostril bleeding at night /.I woke up from swollowing blood and it was coming like a gaiser for abt.15 minutes from my left nostril while bending over the sink.Obviously there was a lot of blood collected somewhere in my nazal cavities..I think I lost abt two cups of blood in total and feel very week today...My blood pressure was high last night-/168/102 p.80/ after I started bleeding and I was shaking, as I was scared. I take Lisinopril 20 mg tab for blood pressure,as well as Atorvastatin 10 mg tab for high Cholesterol .Stopped the Chydrochlorotoaside last year in July,as my blood pressure was low.I also take some supplemental drugs,as multivitamins etc.. I use humidifier , as there is a hot air heeting system at home.Please,if possible,advise for further actions. I
Asked On : Thu, 10 Jan 2013
Answers:  1 Views:  31
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ENT Specialist 's  Response
Aug 2013
hello and welcome to HCM,

A nose bleed is like a headache; which means that there can be many causes of the same. In your case it may be a straight forward cause of increased pressure causing bleed. So if you control the blood pressure and maintain a good control then in all probability your nose bleed may just stop!!
However if this does not help then you need to do the following and rule out different causes of nose bleed one by one:
1. Get a complete examination of the nose to rule out a condition called the deviated nasal septum which can cause the bleed.
2. Get a full blood check up including coagulation profile which can rule out any bleeding disorders
3. Get an CT PNS and endoscopy of the nose to rule out other different cause of nose bleed such as polyp or tumour
4. Get a proper medical assessment for blood pressure

the treatment will be based on the reports of the above test. Meanwhile you can do the following to minimize the bleeding:
1. Do not blow very hard and do not meddle or pick your nose.
2. Take steam inhalation '
3. Avoid exposure to extremes of temperatures such as heat or cold
4. Keep a good control of your blood pressure

take care and get well soon

Dr Sriram Nathan
Answered: Thu, 29 Aug 2013
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