OpenHealth Q&A

Get answered by medical professionals

Nasal Bleeding and Occasional Head Discomfort

3/20/2025, 7:50:21 PMMale25-34

Greetings, I am a 43-year-old Caucasian man who ceased smoking a few years back. About two years prior, I experienced brief episodes of discomfort confined to the right side of my head. These episodes typically ranged from a mere five minutes to a maximum of 20-30 minutes in duration. The pain radiated from my jaw to my temple and then to the upper part of my head, consistently on the right side. Notably, there were no additional symptoms accompanying these discomforts. This pattern persisted for approximately a month before subsiding. Nearly two years later, similar episodes have resurfaced, but they have been much less frequent, occurring sporadically. Recently, after blowing my nose, I detected some slight blood traces on the tissue, noticed only once or twice. When I probe deeper into my nostril with a tissue, I observe some blood there as well, although I have never experienced a nosebleed of any significant degree throughout my life. This has raised concerns for me about possible underlying issues. Do any of these symptoms resonate with you? I already have an appointment with a laryngologist scheduled but I wanted to gather your insights. Thank you!

HeadacheNeurologyENT

Answers (1)

Cony

3/20/2025, 7:50:39 PM

OpenHealth AI

Thank you for sharing your concerns. Based on the symptoms you've described—episodic head discomfort and nasal bleeding—there are a few key points to consider.

Main Points:

  1. Episodic Head Discomfort: Your previous head discomfort episodes might suggest tension-type headaches or even something similar to cluster headaches. These conditions can cause pain localized to one side of the head.
  2. Nasal Bleeding: Occasional blood when blowing your nose is generally not uncommon and can occur due to nasal dryness, irritation, or minor injuries to the nasal lining.

Explanation:

  • Head Discomfort: The symptoms you describe, especially since they are brief and often recurring, could be benign headaches, but keeping track of their character and frequency is important. If there's no severe pain, aura, or other neurological symptoms, it’s often less concerning.
  • Nasal Bleeding: A small amount of blood from the nose can happen for various reasons, including allergies, dry air, or nasal irritation from blowing your nose. Since you've noticed this only occasionally and not in significant amounts, it’s typically manageable.

Next Steps:

  1. Monitor Symptoms: Keep a diary of your head discomfort episodes, noting when they occur, their duration, and any accompanying factors (like stress or physical activity). This can help clarify any patterns or triggers.
  2. Hydrate and Humidify: Ensure you stay well-hydrated, and consider using a humidifier in your home, especially during dry weather. This may help reduce nasal irritation.
  3. Gentle Nasal Care: When blowing your nose, do so gently to avoid further irritation. If the bleeding persists or worsens, you might want to try saline nasal spray to keep your nasal passages moist.
  4. Prepare for Your Appointment: When visiting the laryngologist, share your recorded symptoms and any triggers or patterns you've noticed, as this will aid in a thorough evaluation.

It's great that you have an appointment scheduled; that's a positive step toward understanding your symptoms better. If you have any worsening symptoms (like persistent headache, vision changes, or increased nasal bleeding), be sure to communicate those immediately. Take care, and let me know if you have more questions!

Related Questions

17-Year-Old Female Experiencing Chronic Acne Scarring on Back and Arms Despite Prescription Remedies

Age: 17 Gender: Female Country of residence: United Kingdom Skin type: Dark / Black Medical background: No significant health issues Medications: Previously utilized azelaic acid and benzoyl peroxide Timeframe: Many months to years following acne resolution Greetings, I am a 17-year-old girl dealing with long-lasting scars on my back and upper arms from acne, which have not improved even after following prescribed treatments. In the past, I experienced acne primarily on my upper back, shoulders, and arms. While the active breakouts have largely ceased, I am left with noticeable dark spots and irregular skin texture. The scars I have include: • Dark brown hyperpigmentation • Certain areas appear slightly sunken • Uneven or coarse surface • No raised or keloid scars present My GP prescribed azelaic acid and benzoyl peroxide, which I applied regularly. Unfortunately, the azelaic acid did not significantly lighten the scars and seemed inadequate for the pigmentation level. Although benzoyl peroxide was effective against my active acne, it did not enhance the appearance of the scarring. The marks have been present for a considerable time and are quite stark against my skin tone. I do my best to avoid picking at my skin and maintain proper hygiene, yet the scars aren’t diminishing on their own, which is negatively impacting my self-esteem—especially when I wear sleeveless or backless outfits. Currently, I'm exploring the possibility of using retinoids like adapalene or tretinoin. However, I’m uncertain if these would be suitable or effective for treating scarring on my back and arms, particularly with my darker skin type. I would like guidance on the following questions: • Does this seem to be primarily post-inflammatory hyperpigmentation, atrophic acne scars, or possibly a combination of both? • Is azelaic acid effective for this type of scarring, or are more potent treatments generally required? • Are topical retinoids such as adapalene or tretinoin advisable for this sort of scarring? • What treatments are typically recommended for acne scars on the back and arms in individuals with darker skin tones? • Should I insist on a referral to a dermatologist, or is it better to attempt specific topical therapies first? Any insights or recommendations you could offer would be greatly appreciated.

HeadacheDizzinessNeurology
Male25-34
1 hour ago

Persistent Itching and Burning Around Neck and Scalp - Should I Keep Using Cephalexin?

Greetings, I’m a 35-year-old female. I recently developed a rash that began on the back of my neck and subsequently spread to my ears. After consulting with my physician, I was prescribed ketoconazole shampoo to address a suspected fungal rash. Despite using it diligently for four days, the condition actually aggravated, affecting my ears, the back of my neck, and my scalp more significantly. Seeking further assistance, I visited an urgent care facility where the medical staff suggested that I might be experiencing bacterial folliculitis. As a result, they prescribed cephalexin, which I am to take at a dosage of 500mg three times daily for a week. I took my first dose yesterday, yet the intense itching and burning sensations persist without improvement. Is it advisable for me to continue the medication? How long does it typically take to see improvement? Is it common to experience these symptoms alongside bacterial folliculitis? I appreciate your time and any guidance you can provide on this matter!

DizzinessNumbnessNeurology
Male25-34
2 hours ago

Concerns About Hearing Loss After Extended Earphone Use

For the past two and a half years, I have primarily relied on in-ear earphones, with the right one typically experiencing less usage—mostly for short videos or brief instances. Recently, during a singing session, I noticed something unusual. I covered one ear to monitor my pitch, and I was surprised to find that my hearing felt unclear and somewhat muffled. This was an experience I hadn’t recognized before. After conducting a few tests by alternately covering each ear, I discovered that my left ear can hear clearly and accurately, while my right ear perceives sounds as muffled, as if there’s a barrier in front of the speaker. I’m seeking advice as a 17-year-old student from Pune, India, with financial constraints that prevent me from adding stress to my parents. I’m deeply concerned whether this issue could be permanent, and if there’s any possibility of recovery. Although I can still hear sounds from my right ear when they are very close, I am unsure of the next steps. I have made the decision to discontinue using earphones starting today, but I’m wondering what additional measures I should take. Would it be advisable to pursue an audiometry test or consult an audiologist for a professional evaluation?

MigraineNeurologyENT
Male25-34
4 hours ago

Experiencing Headaches and Vision Changes on One Side

Hello, I'm an 18-year-old female, and I've been on a 15mg dose of Isotretinoin for my acne treatment for about a month now. Recently, I've been feeling under the weather, dealing with a viral infection that resembles cold or flu symptoms. I've got the usual problems like nasal congestion and a throat that hurts, but I've also noticed some joint discomfort, a sense of mental cloudiness, and an unsettling change in my vision, making it appear distorted as if seen through a low-resolution lens. Additionally, when I change my position from sitting to standing, there's an intense throbbing sensation on the right side of my head, accompanied by a momentary blackout in my right eye. I must admit, my nutritional intake has not been great lately due to feeling fatigued from the cold, and this has been accompanied by headaches and a notable darkening of my vision when I stand, which is something I've never before experienced just on one side until now. I tend to get quite anxious about my health, so I'm reaching out to see if anyone else has encountered similar symptoms with a cold, or if this could be associated with the Isotretinoin I'm taking? Any insights or advice would be greatly appreciated, thank you!

HeadacheMigraineVertigo
Male25-34
4 hours ago

Dealing with Possible Epididymitis

A male, aged 40, standing at 5'9" and weighing 10.5 stone, presents a health concern. He has a history of smoking but refrains from alcohol consumption. For several years, I've grappled with a weakened bladder. However, over the last year or two, I've been experiencing intense discomfort in my right testicle. Initially, I thought I discerned a lump, prompting me to reach out to a physician. Unfortunately, the advice I received was limited; the doctor recommended an STI screening without conducting any examinations. I complied with the test, which returned negative results. Although the pain subsided briefly, it has now returned with greater intensity. I have undergone blood tests focusing on kidney, bladder, and prostate functions, all of which yielded normal results. Now, the medical team is leaning towards a diagnosis of epididymitis. The pain is excruciating and difficult to endure. I’ve scheduled an appointment for a prostate and testicular examination, which may lead to an ultrasound scan or possibly a urethral procedure to eliminate any serious underlying issues. The thought of the forthcoming examination fills me with anxiety, as I'm certain it will be painful. I'm curious if anyone has experienced epididymitis and what outcomes you faced, including any surgical interventions that may have been necessary.

HeadacheNeurologyNeurosurgery
Male25-34
4 hours ago