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My Husband Had A Spontaneous Nose Bleed With Large Clots.

Posted on Thu, 4 Jul 2019

Question: My husband had a spontaneous nose bleed with large clots. I packed it. He has had unexplained fatigue for two or three months, and a dry cough which required a medrol dose pack about a month ago. He has asthma which usually does not bother him much and used Albuteral to open bronchus. He was given Combivent at his last appointment. He has what was diagnosed as a small lipoma to the right of his spine in his neck. It is moveable and soft. It has not changed in size over two months of "watching it". Last night he was sweaty in bed, not profusely. I am a little concerned about the nose bleed today. We live in a dry climate, and he did not "pick" his nose. Just leaned over cleaning out the irrigation ditch and was told by a neighbor, "You are bleeding"! He is a diabetic Type 2, takes Lantis and Metformin. He takes Amlodipine for BP. Should the "lipoma" be biopsied? I don't remember his lab being of with his last blood draw.

Answered by Dr. Naveen Kumar Nanjasetty (27 minutes later)

Brief Answer:
Take your husband to either ER or an ENT Specialist

Detailed Answer:
Hi

Thanks for posting the query

The bleeding from your husband’s nose could be due to the dry weather. If his blood pressure is not controlled, then it also needs to be taken care. Secondly, your husband would require a diagnostic nasal endoscopy at the earliest to look for the sight of the bleeding and to arrest it.

Hence, either rush to ER or consult your ENT specialist at the earliest for the appropriate management. This is because, the bleeding from the nose in the elderly individuals can be really bothersome and seldom fatal.

Excision of the lipoma is not required at present.

Hope this answers your query; revert back to me if you have any follow up queries.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Naveen Kumar Nanjasetty (1 hour later)

What are his chances of having lymphoma?

Answered by Dr. Naveen Kumar Nanjasetty (8 minutes later)

Brief Answer:
Nasal bleed and lipoma of the neck are not the symptoms of lymphoma

Detailed Answer:
Hi,

Thanks for writing back

The chances of your husband having lymphoma are negligible. If you still wish to confirm the same, then, a battery of tests need to be done.

Hope this clarifies your doubts.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Arnab Banerjee