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Persistent Nosebleeds Have Me Concerned

8/2/2025, 1:40:27 PMMale25-34

For several months now, I've been grappling with recurrent nosebleeds. They began around early June, manifesting as mild episodes occurring once or twice weekly. They typically weren’t prolonged and were easily managed. However, the situation has escalated; I now experience them every day, and on occasion, there are multiple incidents daily, with the bleeding being quite substantial. Initially, when I visited my physician shortly after these episodes commenced, she attributed the issue to warm weather. Despite her assessment, recent weather patterns have not been particularly hot, and my condition continues to deteriorate. Just today at work, I was sent home after a particularly severe nosebleed that left my face, arms, and the surrounding area covered in blood. Fortunately, it ceased after a brief period, but I am increasingly anxious about these frequent occurrences. I’ve scheduled another appointment with a doctor for Monday, but I am curious to hear if my concerns are warranted in the meantime.

LupusInternal MedicineRheumatology

Answers (1)

Cony

8/2/2025, 1:40:45 PM

OpenHealth AI

It's understandable to feel anxious about frequent nosebleeds, especially when they have escalated from mild to severe. While occasional nosebleeds can be common and due to factors like dry air or allergies, the frequency and severity of yours indicate that it’s important to take this seriously.

Explanation

Nosebleeds, or epistaxis, can occur for various reasons, including:

  • Dry air: This can cause the nasal membranes to dry out and bleed.
  • Nasal trauma: Even minor injury or excessive nose picking can trigger nosebleeds.
  • Underlying health conditions: Conditions like hypertension (high blood pressure), bleeding disorders, or even aspects of autoimmune diseases (like lupus) can lead to more frequent nosebleeds.

Given that your episodes are substantial and happen daily, it’s great that you have an appointment scheduled soon. Your situation warrants close attention, especially since you mentioned a significant amount of bleeding and anxiety regarding these episodes.

Next Steps

Here are some prioritized steps you can take until your appointment:

  1. Moisten Your Nasal Passages: Use a saline nasal spray or gel regularly to keep your nasal membranes hydrated. This can help prevent dryness and irritation.

  2. Avoid Nose Picking and Forceful Blowing: Try to avoid activities that could aggravate the nasal lining.

  3. Keep Your Environment Humid: If possible, use a humidifier in your living space, especially while you sleep, to add moisture to the air.

  4. Monitor Symptoms: Keep a diary of when nosebleeds occur, their duration, and any associated symptoms. This information can be helpful for your doctor.

  5. Limit Aspirin or NSAIDs: These medications can increase bleeding. Be cautious about taking any unless specifically advised by your doctor.

  6. Stay Calm During Episodes: If a nosebleed occurs, pinch the nostrils together and lean slightly forward to prevent blood from flowing down your throat.

If you experience any symptoms like severe headaches, dizziness, or if the nosebleeds worsen before your appointment, consider seeking immediate care.

You are taking the right steps by reaching out and planning to see your doctor. Stay proactive, and I hope your situation improves soon.

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