Bloody Nose?

Illustration of Bloody Nose?
Illustration: Bloody Nose?

Assalamu’alaykum, last Monday I went to the clinic, because from my nose there were blood stains, at first I cleaned the dirt in my nose, until a few days I felt bad in my nose, every time I sneeze or throw fluids (snot) likes to have blood spots. After going to the clinic, I was given a topical cream by the doctor, I smeared it thinly, until I felt good, but the discharge in my nose had dried blood, but no blood spots. and after 3-4 days, I sneeze, and the blood comes out like a nosebleed, quite a lot. 2 days after the nosebleed, I went to the clinic again, was treated by a different doctor, the doctor said the nose was fine, there were no polyps. then continued examining my tongue. I was given tablets for inflammation, to reduce blood loss, and for fever, the doctor said if the bleeding continued to continue, check the tht. and just now I sneezed, came out a liquid like snot with blood spots, and sneeze again the second, that’s the blood that comes out, a little blood, the nasal discharge came out with dried blood. do I have to go to tht tomorrow? or is there another way? what causes my nose to be like this? Thank you very much

1 Answer:

Hi Novitaasaari,

Thank you for asking

There are several conditions that can cause blood spots to come out of the nose. Apart from polyps (benign tumors originating from the nasal mucosa), here are some other possibilities:

Injuries to the nasal mucosa, for example due to excessive cleaning or scraping Exposure to heat or dry air for too long History of injuries to the nose Deviation of the nasal septum (skewed nasal lining) Sinusitis (inflammation of the sinus cavities) Side effects of drugs, eg aspirin, NSAIDs Hypertension (high blood pressure) Cancer of the nasal cavity or throat Blood clotting disorders, for example due to vitamin K deficiency, spinal cord disorders, blood cancer, etc. The habit that you did before, namely cleaning the nose can be one of the triggers for nose bleeds. However, if you do not find other complications, this condition should not happen repeatedly as you are currently experiencing.

Therefore, as suggested by your previous doctor, you should check your complaint directly with an ENT specialist if the complaints still recur after treatment. Because, there are some of the conditions above that can only be detected through further examination, for example X-rays, laboratory, rhinoscopy, and so on. So, it's not enough with regular physical examinations and interviews. Depending on the originator of your complaint, treatment can be done through administering drugs, surgery, or other therapeutic modalities.

Currently, it is highly recommended not to poke the nose too often or insert any foreign object into the nasal cavity. If your activities are mostly done in the hot sun, you should use a protective hat and umbrella. Or, if your activities are mostly done in a dry or air-conditioned environment, inhale lots of warm steam (for example, when drinking warm water), or use a humidifier whenever possible. Eat a healthy diet, especially high in vitamin K and iron. If there are repeated nosebleeds, squeeze your nostrils, breathe through your mouth, sit upright, then plug the nosebleeds with a cotton swab.

Hope this helps ..

dr. Nadia Nurotul Fuadah

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