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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Nasal Bleeding, Blood Clots While Cleaning Nose, Medication For Cold, Tension Related ?

hi,this is XXXXXXXX... from last 2 yrs,m sufferin from nasal bleeding problem,not exactly bleeding,but i usually found blod clots while cleaning my nose ,sometimes they are lesser and seems to appear in the mornings only,while sometimes this continues for the whole day...and last month i suffered from sever nasal bleeding,3 times in 1 and half an hour,but at that time i was taking medications for fever and cold ...is there any effect of tension on this?
Fri, 11 May 2012
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General & Family Physician 's  Response
Hi Zara, welcome to HCM,
nasal bleeds are common as nasal mucosa is richly supplied with blood vessels. The most common reason of nasal bleed is self inflicted trauma to nasal mucosa by constant fingering. Other common reasons are drying of nasal mucosa in winter months when the air is dry and warm from household heaters. The incidence of nosebleeds is higher during the colder winter months when upper respiratory infections are more frequent, and the temperature and humidity fluctuate more dramatically. In addition, changes from a bitter cold outside environment to a warm, dry, heated home results in drying and changes in the nose which will make it more susceptible to bleeding. Nosebleeds also occur in hot dry climates with low humidity, or when there is a change in the seasons.
During viral fevers generally most of us suffer from thrombocytopenia (part of blood which helps in clotting and prevents bleeding) which leads to bleeding,also medication for fever contains NSAID'S, aspirin etc which fall in platelets leading to bleeding fron infected nasal mucosa.
Do visit a ENT physician for nasal examination.
In case of severe bleeding:

a)Pinch all the soft parts of the nose together between your thumb and index finger.
b)Press firmly toward the face - compressing the pinched parts of the nose against the bones of the face.
c)Lean forward slightly with the head tilted forward. Leaning back or tilting the head back allows the blood to run back into your sinuses and throat and can cause gagging or inhaling the blood.
d)Hold the nose for at least five minutes. Repeat as necessary until the nose has stopped bleeding.
e)Sit quietly, keeping the head higher than the level of the heart. Do not lay flat or put your head between your legs.
f)Apply ice (wrapped in a towel) to nose and cheeks.
Hope you get well soon,take care.....
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Chronic Nasal Bleeding, Blood Clots While Cleaning Nose, Medication For Cold, Tension Related ?

Hi Zara, welcome to HCM, nasal bleeds are common as nasal mucosa is richly supplied with blood vessels. The most common reason of nasal bleed is self inflicted trauma to nasal mucosa by constant fingering. Other common reasons are drying of nasal mucosa in winter months when the air is dry and warm from household heaters. The incidence of nosebleeds is higher during the colder winter months when upper respiratory infections are more frequent, and the temperature and humidity fluctuate more dramatically. In addition, changes from a bitter cold outside environment to a warm, dry, heated home results in drying and changes in the nose which will make it more susceptible to bleeding. Nosebleeds also occur in hot dry climates with low humidity, or when there is a change in the seasons. During viral fevers generally most of us suffer from thrombocytopenia (part of blood which helps in clotting and prevents bleeding) which leads to bleeding,also medication for fever contains NSAID S, aspirin etc which fall in platelets leading to bleeding fron infected nasal mucosa. Do visit a ENT physician for nasal examination. In case of severe bleeding: a)Pinch all the soft parts of the nose together between your thumb and index finger. b)Press firmly toward the face - compressing the pinched parts of the nose against the bones of the face. c)Lean forward slightly with the head tilted forward. Leaning back or tilting the head back allows the blood to run back into your sinuses and throat and can cause gagging or inhaling the blood. d)Hold the nose for at least five minutes. Repeat as necessary until the nose has stopped bleeding. e)Sit quietly, keeping the head higher than the level of the heart. Do not lay flat or put your head between your legs. f)Apply ice (wrapped in a towel) to nose and cheeks. Hope you get well soon,take care.....