The Doctor's Consultation / / August 12, 2017
Hello, Vera Olegovna!Help me, please advice: I still have to what doctor.I am 55 years old.I'm here for a week the blood flows from the left nostril.I turned to Laura and the therapist.I took blood tests: OAKr, blood platelets, PTI, aPTT, bleeding time, duration svёrtyvaniya.Lor said no its problems.With blood all right.The therapist also said that blood tests horoshie.Skazala that perhaps because of the pressure.I happen sometimes (not often) a little high blood pressure 135 to 95 or 130 to 90. I also linked this with pressure.But I was not satisfied with this uncertainty.I would like to know exactly why it was bleeding and how to resolve this issue.What will you advice me?
Hi, Hope.According to the literature, 85% of nosebleeds is a symptom of a somatic disease and only 15% of it can be caused by diseases of the nasal cavity and the UNP.
Depending on the causes of bleeding, distinguish traumatic (mostly local nature) and symptomatic (both general and local character) nosebleeds.
Traumatic nosebleeds occur after a variety of household injuries.Symptomatic bleeding is a sign of a somatic disease.The most common of these are cardiovascular (hypertension, atherosclerosis), kidney disease (nephrosclerosis, renal hypertension), diseases of the blood system and changes in the vascular wall, hemophilia (Osler-Rendu syndrome), hemorrhagic trombosteniya, thrombocytopenic purpura disease, hemorrhagic vasculitis, a diseaseHenoch-Schönlein purpura, kapillyarotoksikoz, hemorrhagic telangiectasia), hematopoiesis disorders (leukemia, reticulosis, gematsitoblastoz et al.).
To establish the diagnosis of prolonged bleeding with unclear etiology performed additional studies, such as a biopsy of the bleeding area, coagulation, tromboellastogramma etc. For symptomatic bleeding also include hemorrhage caused by tumors and inflammatory processes, most of the nasal cavity and paranasal sinuses:. Benign tumors (angioma, papilloma), malignant tumors (cancer, sarcoma), Youth angiofibroma of the nasopharynx, syphilitic ulcers, tuberculosis, or other nature.In the event of nasal bleeding may play a role, and a variety of other factors: hypo-and beriberi (especially vitamin C), vicar (instead of the absence of menstruation), konkometiruyuschie (accompanying the menstrual period), low blood pressure, high physical activity, body overheating and OE
so I would advise you to go to another ENT doctor to be sure to find out where the bleeding is.If necessary, you need to carry out an endoscopy sinus and other additional studies.When the doctor finds the source of bleeding, you need to take a piece of tissue for microscopic examination - this will help in the diagnosis.After complete elimination of ENT diseases can go to a physician or a hematologist to search for other causes of bleeding.