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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Sleep Apnea Along With Nasal Bleeding Be Treated?

I am in afib weekly warfarin of 6,5,6,5,6,5,6 mg - also have sleep apnea and I just started on a bi-pap machine almost 6 weeks ago - had nasal bleeding problems so went to a ENT specialist last Tues Oct 30 had my left nostril cauterized and it has seeped blood since few instances of fairly major/minor bleeding while on bi-pap machine - nose cap became filled with blood once, around 2.5T was dumped in the sink other time about half that amount - was told to use afrin spray to dry-out and shrink the swelling in my nose but that is speed for afib - will not do that - bipap humidity is set at 5 of 5, the humidity in the house is around 60% and 70% in the bedroom. I breath great for 2-3 hours after a shower - then all down hill, drying blood, seepage etc. The Mupirocin ointment - I was prescribed - makes for more blood and seems like less healing what should I try next?
Mon, 23 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

* As per my clinical experience, the current presentation suggests the nasal bleed is induced by the Warfarin.
* You must get fresh coagulation profile with your doctor and discuss about the dosage and continuation of Warfarin. Wish this information will help you. Do feel free to ask further doubts.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Sleep Apnea Along With Nasal Bleeding Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As per my clinical experience, the current presentation suggests the nasal bleed is induced by the Warfarin. * You must get fresh coagulation profile with your doctor and discuss about the dosage and continuation of Warfarin. Wish this information will help you. Do feel free to ask further doubts. Hope I have answered your query. Let me know if I can assist you further.