All paid DoctorBase customers will be migrated to Kareo Marketing on December 15, 2016. Read how to get your practice ready for the transition.
×

4 Reasons Why Ask DoctorBase is the Most Efficient Way to SEO and Establish Your Brand Online

  1. Ask DoctorBase is a free service for patients on the DoctorBase platform - currently servicing over 6 million American patients of record.
  2. All answers submitted by healthcare professionals (you) are for entertainment purposes only and do not constitute doctor-patient relationships. All patients must agree to this before using Ask DoctorBase.
  3. Our software and our Marketing Engineering staff review each answer and optimize your answers for keywords valuable to your specialty. It is a well kept secret that doctors (you) - not SEO consultants - are the ones who have the most valuable content prized by search engines. Ask DoctorBase "unlocks and optimizes" your content in the most efficient manner possible with today's technology.
  4. Finally, the doctor who provides the most popular answer - "the Featured Answer," gets an added benefit by allowing patients to write rave reviews about your expertise - reviews that are submitted to both Google and Google Local through our Preferred Data Provider relationship.

Ask Dr. Molly if you have questions or want a personal session on how to best use Ask DoctorBase for maximum marketing impact.

...

Molly Maloof, MD

Director of Clinical Content
@DoctorBase

Sudden, regular nosebleeds in adulthood?

I am female, 37 years old, no children. I'm in good health besides migraines, which I usually get once or twice a month. I take imitrex for these, and propranolol as a preventative.

My question is this: at age 33, I suddenly began to get nosebleeds several times a month. I had never had a single one prior to this. I haven't had any injuries to my nose, and I don't pick it, nor blow it too often. I use nasal sprays very rarely. What would cause me to suddenly get nosebleeds regularly?
Poster
  • Female | 37 years old
  • Complaint duration: 90 days
  • Ethnicity: Other / Decline to State
  • Height: 62
  • Weight: 115lbs
  • Medications: imitrex (as needed for migraines, so several times a month), propranolol (daily, migraine preventative)
  • Conditions: migraines (usually between one and three a month. very rarely I get one several days in a row)polycystic ovarian syndrome
  • Hospitalizations: none

Find low drug prices at local & online pharmacies

Find low drug prices at local & online pharmacies

Featured Answer

1 UpVoted this answer
Assuming your blood pressure is normal, and given that your health appears stable on your current medications, I would change your current medications to other types in the same categories.

Imitrex is known to have adverse reactions including severe hypertension, cerebral hemorrhage and subarachnoid hemorrhage. The nose bleeds could be an alternative to cerebral hemorrhage during medication induced hypertensive crisis. So, you should see your doctor as soon as possible to avoid having a hemorrhagic stroke. If he or she is reluctant to change the medications, you should get a second medical opinion. I wish you the best possible outcome.
you definitely have a blood vessel that is easily rupturing and not repairing . This is a reason to see an Ears nose and throat doctor who can have a good look and stop the bleeding for you. Sometimes a chronic sinus infection can cause ongoing bleeding but usually there are other signs like the mucus is green , you have pain in the front of your face, a bad taste in the mouth with the blood. Don't guess, get it looked at , and let your family doctor check your blood count a hemoglobin to make sure you don't; have a bleeding disorder, Best wishes!!
Heather Dawson
FREQUENT NOSE BLEEDS? We call it epistaxis.

You can't imagine how many tiny blood vessles there are in your nose alone and most of them are super close to the surface making it really easy to rupture. The blood vessles are in clusters or, more scientifically, a plexus, Kesslebach's Plexus to be exact, which means that bleeding from them can get pretty copious. It's easy to freak out when you see a lot of blood coming from your nose, but try not to panic. The most common reasons for sudden nose bleeds are:

1. Dry air -- especially in the winter when we tend to run the heat more often. The mucus membranes in your nose dries up and the vessles can rupture easily and bleed.

2. Picking your nose -- for obvious reasons.

If your bleeding is recurrent or heavy, you may need a blood vessle cauterized. Only a doc can do that with a special tool. If you're making a mess, try a tampon in your nose until you can get to the doctor. Yup! You heard me...a tampon!

But, there are other reasons that may cause nose bleeds. Check out the list below:

Acute or chronic sinusitis

Allergies -- with or without the use of inhalants and nose sprays

Aspirin use -- it cripples your platelets and makes it harder for you to clot a small bleed

Hypertension (high blood pressure)

Hemophilia (and other bleeding disorders)

Blood thinners (anticoagulants), such as warfarin and heparin

Chemical irritants, such as ammonia or bleach

Cocaine use

Common cold

Deviated septum

Foreign body in the nose

Nasal sprays, such as those used to treat allergies, if used frequently

Nonallergic rhinitis -- Don't underestimate the force which with we blow our nose. And doing it over and over is traumatic to the nasal mucosa

Trauma to the nose

There are still other reasons for nose bleeds, but these are less common. In other words, they're not the first reasons I'd think of if all you have is nose bleed as a complaint. You should have other complaints or a history of something that would make having frequent recurrent nosebleeds a logical explanation:

Alcohol use

Hereditary hemorrhagic telangiectasia

Idiopathic thrombocytopenic purpura (ITP)

Leukemia

Nasal polyps

Nasal surgery

Nasal tumor

Second trimester pregnancy

In general, nosebleeds are not a symptom or result of high blood pressure. It is possible, but rare, that severe high blood pressure may worsen or prolong bleeding if you have a nosebleed.

There's a really nice article from the American Academy of Otolaryngology - Head and Neck Surgery that explains the difference between common (anterior) and less common (posterior) nose bleeds. You can find it on my facebook page: facebook.com/monroviahealth.

Hope this helps

Be Well

--Dr. Sarge www.mimpc.com; (877)254-4496
Perhaps the mucous membranes that line the inside of your nose are chapped and dry, cracking and bleeding at minimal provocation. Suggest to try polysporin ointment to the inside of your nose 2x/day for a couple of weeks to see if this is correct.

Also, migraines do not come from your head, but the muscles and fascia of your jaw, neck, upper shoulders, and upper back. And polycystic ovary problem is related in many women to low iodine. www.blatmanhealthandwellness.com

Dr.B
Hal Blatman
check your blood , a test called CBC, you may also have an area in the nose Kesslback, needs to be cauterized with silver nitate twice a month, also check your blood pressure
Ousama Ghaibeh