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Frequent Nosebleeds

7/4/2025, 5:30:50 PMMale25-34

For the past year and a few months, I have experienced frequent nosebleeds, occurring up to three times a day. Each episode usually lasts between 10 to 20 minutes, specifically affecting the left nostril. During these episodes, I often feel a wave of dizziness, warmth, and confusion. There are instances when the bleeding seems to flow backward, which adds to my concerns. This ongoing issue has significantly disrupted my sleep and impacted my performance at work. As a 22-year-old woman, standing at 4'11" and weighing 115 pounds, I have been diagnosed with alpha-gal syndrome and Lyme disease. The cause of these frequent nosebleeds remains unclear to me, and I seek to understand what might be contributing to this situation.

WellnessFamily MedicineInternal Medicine

Answers (1)

Cony

7/4/2025, 5:31:06 PM

OpenHealth AI

Frequent nosebleeds, especially when they lead to dizziness and confusion, warrant careful attention. Based on your description, several factors could contribute to these episodes, including nasal dryness, structural issues, or underlying health conditions. Let's break it down into manageable parts.

Explanation

Nosebleeds can occur for various reasons, such as:

  • Nasal Dryness: This is common in dry climates or during winter months, when indoor heating can dry out the nasal passages.
  • Allergies or Irritants: These can lead to inflammation in the nasal lining, making it more prone to bleeding.
  • Structural Issues: Deviated septum or other structural problems in the nose may cause recurrent bleeding.
  • Underlying Health Concerns: Conditions like liver disease or blood disorders can lead to easy bleeding, although they are less common.

The dizziness and confusion you experience during nosebleeds are concerning and could suggest a drop in blood pressure or related issues during the episodes.

Prioritized Next Steps

  1. Stay Hydrated: Ensure you drink plenty of water throughout the day to keep your body and nasal passages hydrated.
  2. Humidify Your Environment: Use a humidifier in your home, especially in your bedroom at night, to prevent nasal dryness.
  3. Nasal Care: Use saline nasal sprays or apply a thin layer of petroleum jelly inside your nostrils to keep them moist.
  4. Monitor Your Bleeding Episodes: Keep a record of when the nosebleeds occur, how long they last, and any associated symptoms, including the dizziness. This information will be helpful in understanding patterns.
  5. Avoid Irritants: Try to identify and avoid any allergens or irritants (like smoke, strong odors, or certain foods) that might be triggering or worsening the episodes.

When to Seek Help

While these steps may help, please remain vigilant. If your nosebleeds persist, increase in frequency, or if you notice more concerning symptoms such as significant dizziness, blood in your urine or stool, or unusual bruising, it’s important to seek medical attention for further evaluation.

You’re dealing with a frustrating condition, but by following these steps, you can take proactive measures to manage your symptoms. If you have further questions or need more assistance, don’t hesitate to reach out.

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