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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Nose Bleed,headache,dizziness And Blurred Vision

Hi, i get at least one nose bleed a day that lasts over30mins and also comes from my throat. I also suffer from strong headaches, dizziness and blurred vision at times. When i go to the gym, after running i get light headed and my chest feels tight. Whats wrong with me?
Wed, 13 Apr 2016
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Neurologist, Surgical 's  Response
Hi, thanks for asking form HCM.


I can understand your concern. If you are getting nasal bleed almost daily, it could be due to
: Chronic rhinitis/sinusitis
: Nasal polyp
: Nasal mass (benign or malignant)
Bleeding from throat is due to leak of blood from nose to throat. You need to consult ENT specialist for evaluation. He will advise

: Nose, sinus and nasopharynx evaluation
: Nasal endoscopy
: CT of nose and paranasal sinuses.

Final treatment can be given after confirmation of diagnosis.
Regarding headache, dizziness and blurred vision, it could be due to nasal pathology or refractive error or stress related headache

It can be managed by
: Avoid stress
: Use glasses if you have refractive error
: Consult ophthalmologist regarding change in number of glasses, visual acuity examination
: You can take tab Paracetamol after prescription. Avoid NSAIDS as these can cause bleeding.
: Take tab Beta-histine after prescription. It will relieve dizziness.

After running, you can develop light headless and chest tightness due to
: rapid breathing which decreases CO2 level in body and leads to decreased blood supply in brain. It is an '"autonomic response".
: Chest tightness is due to fatigue, rapid breathing to clear CO2 and supply O2 to body.
Do not worry about it.

Hope it will help you. Thanks, take care.

Dr Ishu Bishnoi
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Suffering From Nose Bleed,headache,dizziness And Blurred Vision

Hi, thanks for asking form HCM. I can understand your concern. If you are getting nasal bleed almost daily, it could be due to : Chronic rhinitis/sinusitis : Nasal polyp : Nasal mass (benign or malignant) Bleeding from throat is due to leak of blood from nose to throat. You need to consult ENT specialist for evaluation. He will advise : Nose, sinus and nasopharynx evaluation : Nasal endoscopy : CT of nose and paranasal sinuses. Final treatment can be given after confirmation of diagnosis. Regarding headache, dizziness and blurred vision, it could be due to nasal pathology or refractive error or stress related headache It can be managed by : Avoid stress : Use glasses if you have refractive error : Consult ophthalmologist regarding change in number of glasses, visual acuity examination : You can take tab Paracetamol after prescription. Avoid NSAIDS as these can cause bleeding. : Take tab Beta-histine after prescription. It will relieve dizziness. After running, you can develop light headless and chest tightness due to : rapid breathing which decreases CO2 level in body and leads to decreased blood supply in brain. It is an autonomic response . : Chest tightness is due to fatigue, rapid breathing to clear CO2 and supply O2 to body. Do not worry about it. Hope it will help you. Thanks, take care. Dr Ishu Bishnoi