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Getting frequent nosebleeds and irregular periods. Having sharp pain in nostril shoots up to eye. Done with CBC test. What could it be?

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Practicing since : 2006
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My daughter has been getting frequent nosebleeds and has had irregular periods(every two weeks) for the last couple of years now. Her doctors suspected a clotting disorder(von Willebrands) but she tested negative for that. The doctor did say that her cbc showed an elevated hemoglobin at 17. She is 16 years old. Today she had a gushing nosebleed and soaked 6 tissues before it stopped after about 5 minutes. She said that she had a sharp pain that shot up through her nostril to behind the right eye. I'm very concerned that this is not normal. I would assume with all the blood loss that she would be anemic but her cbc does not reflect that. Any ideas as to what this might be.?
Posted Tue, 3 Sep 2013 in Ear, Nose and Throat Problems
Answered by Dr. Hariom Sharma 1 hour later
Thanks for your query
From the information provided by you, your daughter have elevated hemoglobin inspite of bleeding.
Higher than normal hemoglobin may indicate-
Congenital heart disease
Cor pulmonale
Pulmonary fibrosis
Polycythemia Vera
For exact diagnosis complete health check up is required.
If you have any doubt, I will be available for your query.
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