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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for dull headache and fatigue with nose bleeding

Well, I m 21, female, in good shape. I don t have a history of major issues/health concerns. The past few years though, I have had frequent migraines that have been intense at times and have caused extensive numbing in my face, mouth, and hands, and nausea for a while afterwards. Lately (the past few months) I haven t had any of these migraines but I have nearly always present dull headaches, just a mental fogginess (haha), extreme fatigue at times, and when I wake up I just feel weak and disoriented. Occasionally I have a small trickle of blood from my nostrils though its never a full blown nosebleed and I didn t blow my nose when it happened and I don t have any sinuses (stuffy nose, runny etc) right now.....
Tue, 1 Sep 2015
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OBGYN, Maternal and Fetal Medicine 's  Response
Hello dear,
I have gone through your question and understand your concerns.
Migraine headache with sensory aura may present with numbness over face arm and hands.
Nausea , vomiting , photophobia, phonophobia are features of migraine.
Nasal bleeding is not a feature of migraine and may be an isolated episode of epistaxis . For this you can consult an ENT specialist.

Dull continuous headache has to be evaluated regarding any other headache or conversion of episodic migraine into chronic migraine.

You need to consult a neurologist for assessment.
Hope you found the answer helpful.
Regards
Dr Deepti verma
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