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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Blood Pressure Medication Be The Cause Of Severe Nose Bleeds?

I just experienced a sudden nose bleed. I have never had a nose bleed. The blood was steady and stopped after about five minutes. I held my head back and the flow was so steady that it choked me and caused \me to gag. What could cause an onset such as this. I am blood pressure medicine, and just now I spit out a large blood clot. What s up with this?
Wed, 26 Feb 2014
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General & Family Physician 's  Response
Hi and welcome to HCM. Nosebleeds (epistaxis) are common due to the location of the nose on the face, and the large amount of blood vessels in the nose. Epistaxis can be divided into 2 categories, anterior bleeds and posterior bleeds, on the basis of the site where the bleeding originates. The most common causes of nosebleeds are drying of the nasal membranes and nose picking (digital trauma) and this can be prevented with proper lubrication of the nasal passages and not picking the nose. The following factors predispose people to nosebleeds:

Infection
Trauma, including self-induced by nose picking, especially in children
Allergic and non-allergic rhinitis
Hypertension (high blood pressure)
Use of blood thinning medications
Antihypertensives will not cause nose bleeds, whereas uncontrolled hypertension may cause.
Here are few steps to do in home when your nose bleeds
1.Pinch all the soft parts of the nose together between the thumb and index finger.
2.Press firmly toward the face - compressing the pinched parts of the nose against the bones of the face.
3.Lean forward slightly with the head tilted forward. Leaning back or tilting the head back allows the blood to run back into the sinuses and throat and can cause gagging or inhaling the blood.
4.Hold the nose for at least five minutes. Repeat as necessary until the nose has stopped bleeding.
5.Sit quietly, keeping the head higher than the level of the heart. Do not lay flat or put your head between your legs.
6.Apply ice (wrapped in a towel) to nose and cheeks.

Proper evaluation is necessary to diagnose the cause, for this you have to consult doctor (preferably ENT specialist) and then follow his advice. All the best

Regards
Dr Santosh
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Could Blood Pressure Medication Be The Cause Of Severe Nose Bleeds?

Hi and welcome to HCM. Nosebleeds (epistaxis) are common due to the location of the nose on the face, and the large amount of blood vessels in the nose. Epistaxis can be divided into 2 categories, anterior bleeds and posterior bleeds, on the basis of the site where the bleeding originates. The most common causes of nosebleeds are drying of the nasal membranes and nose picking (digital trauma) and this can be prevented with proper lubrication of the nasal passages and not picking the nose. The following factors predispose people to nosebleeds: Infection Trauma, including self-induced by nose picking, especially in children Allergic and non-allergic rhinitis Hypertension (high blood pressure) Use of blood thinning medications Antihypertensives will not cause nose bleeds, whereas uncontrolled hypertension may cause. Here are few steps to do in home when your nose bleeds 1.Pinch all the soft parts of the nose together between the thumb and index finger. 2.Press firmly toward the face - compressing the pinched parts of the nose against the bones of the face. 3.Lean forward slightly with the head tilted forward. Leaning back or tilting the head back allows the blood to run back into the sinuses and throat and can cause gagging or inhaling the blood. 4.Hold the nose for at least five minutes. Repeat as necessary until the nose has stopped bleeding. 5.Sit quietly, keeping the head higher than the level of the heart. Do not lay flat or put your head between your legs. 6.Apply ice (wrapped in a towel) to nose and cheeks. Proper evaluation is necessary to diagnose the cause, for this you have to consult doctor (preferably ENT specialist) and then follow his advice. All the best Regards Dr Santosh