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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lightheadedness, Headache And Nosebleed?

hi I ve have had episodes of lightheadedness, with headaches and overall not feeling well. I recently started getting nosebleeds out of the blue. The first was so bad that I lost almost a half cup of blood. Doctor says my bloodwork is fine, what should I do?
Fri, 1 Apr 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern.
I think Hypertension may be the cause of your problem.
Problem in nose vasculature may be cause nosebleed.

You should consult the doctor and do the following tests:
1. Check your blood pressor
2. ECG
3. CBC, BT, CT, APTT, INR ratio
3. KIdney function test: urea, creatinine
4. Liver function test

You can start following treatment:
Tablet ibuprofen 500 mg 2-3 times per day when headache.
- for nose bleed.
1. Sit down, pinch your nose just above nostrils for 15-20 minutes
2. Relive after 15 minutes and again after 5 minutes pinch it again till the bleeding stops
3. Take breath through mouth.
4. Do not blow through nose
5. Apply cold pack on your nose: it constricts your nose blood vessels
6. Do not lie down flat and avoid strenuous exercise like weight lifting.
7. If note resolved you should take vitamin K injection.
8. Also do investigation like X-RAY head, CT scan if not stop to exclude other injury

Hope this may help you
Best regards
Dr. Sagar

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What Causes Lightheadedness, Headache And Nosebleed?

Hello dear Understand your concern. I think Hypertension may be the cause of your problem. Problem in nose vasculature may be cause nosebleed. You should consult the doctor and do the following tests: 1. Check your blood pressor 2. ECG 3. CBC, BT, CT, APTT, INR ratio 3. KIdney function test: urea, creatinine 4. Liver function test You can start following treatment: Tablet ibuprofen 500 mg 2-3 times per day when headache. - for nose bleed. 1. Sit down, pinch your nose just above nostrils for 15-20 minutes 2. Relive after 15 minutes and again after 5 minutes pinch it again till the bleeding stops 3. Take breath through mouth. 4. Do not blow through nose 5. Apply cold pack on your nose: it constricts your nose blood vessels 6. Do not lie down flat and avoid strenuous exercise like weight lifting. 7. If note resolved you should take vitamin K injection. 8. Also do investigation like X-RAY head, CT scan if not stop to exclude other injury Hope this may help you Best regards Dr. Sagar