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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Is Bone Marrow Aspiration Suggested For Nose Bleeding?

last month i had nose bleeding at least 10 times in 20 days. blood report showed platelet count 1.0 lakhs which is now 1.5 lakhs. my bp is also high 140/92. Physician suggests bone marrow aspiration to be done. Whether i am heading towards blood cancer
Mon, 27 Apr 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Causes for nasal bleeding are
1. Nasal trauma
2. High blood pressure
3. Bleeding diathesis like low platelets, high PT, high APTT, deficiency of protein C, protein S etc
4. Blood malignancy like leukemia
5. Nasal polyps. Etc.
So I will advice you to first consult ENT doctor and get done clinical examination of nose to rule out nasal trauma, polyp etc.
If this is normal then we need to search the cause for low platelets. And leukemia is one of the cause.
To rule out leukemia, bone marrow biopsy is needed.
So your doctor might be suspecting leukemia so he/she wants bone marrow biopsy.
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Why Is Bone Marrow Aspiration Suggested For Nose Bleeding?

Thanks for your question on HCM. I can understand your situation and problem. Causes for nasal bleeding are 1. Nasal trauma 2. High blood pressure 3. Bleeding diathesis like low platelets, high PT, high APTT, deficiency of protein C, protein S etc 4. Blood malignancy like leukemia 5. Nasal polyps. Etc. So I will advice you to first consult ENT doctor and get done clinical examination of nose to rule out nasal trauma, polyp etc. If this is normal then we need to search the cause for low platelets. And leukemia is one of the cause. To rule out leukemia, bone marrow biopsy is needed. So your doctor might be suspecting leukemia so he/she wants bone marrow biopsy.