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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Nose Bleeding?

i have the last 2 days when we have sat down for supper had am massive nose bleed. I am not blowing or in any way agitating my nose, I merely stood up to get the plates out of the cupboard and immediately it was gushing down my face. Do I need to see my Dr. for this?
Tue, 14 Feb 2017
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General & Family Physician,  's  Response
Hello dear
I understand your concern

Trauma, nose pricking, allergic rhinitis, deviated nasal septum are most common cause of nose bleeding.
Other less common causes are:
Thrombocytopenia, hypertension, live disease, side effect of blood thinner drugs, abnormal blood vessels or polyp/cancers in the nose.

I would suggest to consult ENT specialist and undergo nose examination, blood pressure measurement, CBC, ESR, LFT to rule out cause.
Meanwhile you can take following advises to stop bleeding:
1. Sit down, pinch your nose just above nostrils for 15-20 minutes
2. Relive after 15 minutes and again after 5 minutes pinch it again till the bleeding stops
3. Take breath through mouth.
4. Do not blow through nose
5. Apply cold pack on your nose: it constricts your nose blood vessels
6. Do not lie down flat and avoid strenuous activity.
7. If note resolved you should take vitamin K injection.
8. Lastly investigation like X-RAY head, CT scan should be one if bleeding persists

Hope this may help you
Best regards
Dr. Sagar
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What Causes Severe Nose Bleeding?

Hello dear I understand your concern Trauma, nose pricking, allergic rhinitis, deviated nasal septum are most common cause of nose bleeding. Other less common causes are: Thrombocytopenia, hypertension, live disease, side effect of blood thinner drugs, abnormal blood vessels or polyp/cancers in the nose. I would suggest to consult ENT specialist and undergo nose examination, blood pressure measurement, CBC, ESR, LFT to rule out cause. Meanwhile you can take following advises to stop bleeding: 1. Sit down, pinch your nose just above nostrils for 15-20 minutes 2. Relive after 15 minutes and again after 5 minutes pinch it again till the bleeding stops 3. Take breath through mouth. 4. Do not blow through nose 5. Apply cold pack on your nose: it constricts your nose blood vessels 6. Do not lie down flat and avoid strenuous activity. 7. If note resolved you should take vitamin K injection. 8. Lastly investigation like X-RAY head, CT scan should be one if bleeding persists Hope this may help you Best regards Dr. Sagar