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Dr. Andrew Rynne

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What can lead to recurrent nasal bleeding?

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Dr. Arnab Banerjee

Critical Care Specialist

Practicing since :2012

Answered : 1250 Questions

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Posted on Fri, 7 Jun 2019 in Internal Doctor Category
Question: Sometimes when I am sitting at my desk, my nose begin to bleed. I am not touching it or anything. It just bleeds. Happens once every 6 weeks or so....then nothing for months.....
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Answered by Dr. Arnab Banerjee 52 minutes later
Brief Answer:
Further evaluation needed...

Detailed Answer:

Hello,

Well, since this is happening only sometimes/once in a while, it can be due to seasonal changes or even some allergic manifestations. But the fact that it happens spontaneously (without any touching/any manipulation like blowing too forcefully) warrants for some further work-up regarding.

It's important to eliminate any medical conditions like Hypertension, prolonged dehydration, some nasal pathologies (particularly involving the nasal turbinates i.e. the humidity and temperature regulator of the nose).

It's good that you're already using the humidifier during sleeping. Additionally, I'd suggest you take steam inhalation three times daily for the time being. Avoid any direct cold air exposure while going outside (perhaps use a scarf).

You may also put plain Saline (0.9%) Nasal Drops 2 drops in both nostrils thrice daily for the next few days and observe how you stay. Vaseline, to some extent, can help in the short term but in long-term, it fails to solve the purpose. The main purpose is to keep the nasal mucosa moisturized. I'd recommend applying plain Parrafin gel in-around additionally and keep a note on the day to day progress.

Dehydration, too much consumption of caffeine, smoking can all worsen this further, please avoid them if at all do. Drink plenty of water throughout the day.

If despite these, it remains persistent, then I'd suggest getting done an ENT check-up to look into it further and management accordingly...

Hope I have answered your query.

Regards,
Dr. Arnab Banerjee, Critical Care Specialist
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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