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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Epistaxis With Bleeding From The Nose?

I am 44 years old, female. Family history of NPC from my father’s sister, she died 30 years ago. I am healthy, only with nephritis at 9, recovered well. One and a half months ago, I have suddenly got right epistaxis. The blood suddenly dripped from my right nose and dropped on the ground. I clipped the nose wing for 5 minutes and the bleeding stopped. The other episodes (totally up to now 6 times) came suddenly and irregularly. Each time it can be stopped within 3 minutes. The most frequent were last morning and this very early morning (around 5 am). I got my blood test for EBV DNA immediately on the 1st time of my epistaxis. The result is negative.
I got royal jelly 3 months ago and stopped after the 1st bleeding. I am wondering if my bleeding is related to the royal jelly I toke, because after a few days of the epistaxis, my busts enlarged in size and feel very painful. The pain decrease now while the size still larger than before. Do you think my epistaxis related to the royal jelly which may add some extra medicine like female hormone and antihistamine etc? The negative of EBV DNA means I am totally free from NPC?
Thanks for yr urgent reply.
Tue, 3 Oct 2017
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ENT Specialist 's  Response
Considering family history of npc You have to undergo endoscopy of nose to rule out any pathology inside nose
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What Causes Epistaxis With Bleeding From The Nose?

Considering family history of npc You have to undergo endoscopy of nose to rule out any pathology inside nose