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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for low blood count and nosebleeds in a 90 years old lady

My mother is 90 and generally good health, but lately has found through blood tests that her blood count is low and she has over the last few years suffered from nosebleeds. Other information: had hip replacement 2010, had 9 children, cataract has almost taken the complete use of her left eye (she was told it was congenital and that she should have something done when she was 16) she had laser surgery to the other eye. Nodules have formed in a part of her liver, but have not been found to cause any serious setbacks for the number of years she has had them.
Tue, 4 Aug 2015
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Internal Medicine Specialist 's  Response
Thank you for your question.
A little clarification regarding your mothers blood counts would be appreciated. Does she have a low hemoglobin level or other counts also reduced. If she has a low hemoglobin level she probably has anemia which in this age maybe nutritional. Other causes may also need to be ruled out in old age. A peripheral smear examination may help with pointing us to the cause. For the anemia you may give her iron supplements in the form of tablets or syrup. And an improved diet including green leafy vegetables.
As for the bleeding from nose I would advise you to get an ENT consultation to rule out any sttuctural problems in the nose and a condition called atrophic rhinitis. Does she have hypertension or increased blood pressure. Uncontrolled blood pressure may also cause epistaxis and bleeding from the nose.
Also is she taking any blood thinning medications or aspirin? They too may cause epistaxis in elderly.
I hope this helps you. Please do let me know if you need more clarifications.
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