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Have chest pain following, nose bleeding, heavy periods. Have varicose veins, swollen knee, ankles. Parent hypertensive. Symptoms of?

chest pain following frequent nose bleeding, heavy periods, and occasional migraines. what are these symptoms of? her father has had a life long battle w high blood pressure....she also has varicose veins, swelling of knee joints and ankles, shoulder and back pains. the nosebleeds are alarming; they happen a couple of times a month. this morning she awoke w heavy menstrual bleeding and cramping, her nose bled, then follows sever chest pain and difficulty breathing.
Asked On : Mon, 22 Apr 2013
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Cardiologist 's  Response
The main thing that would come to mind is making sure that the bleeding is not so severe that profound anemia, meaning low blood counts, have ensued; this could be a cause of real chest pain since hemoglobin carries the blood to the heart. We see it with some frequency in hospitalized patients with fractures or orthopedic procedures who eventually get chest pain and shortness of breath, and a hemoglobin value comes back at 6...

Hope that helps,

Dr Brenes-Salazar
Mayo Clinic Rochester
Answered: Tue, 23 Apr 2013
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