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Recurring Nosebleeds and Headaches
I’ve been experiencing nosebleeds, and I’m not able to understand what could be causing them. Sometimes, I get a headache first, and then my nose starts bleeding. The strange thing is that it doesn’t happen regularly—it can happen on any random day. Sometimes, I even get a nosebleed without having a headache.
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Get blood.p., cbc, bleeding time, clotting time done and share results.
Apply any lubricant lightly with a clean finger inside the nose, 2 to 3 times daily.
Any time bleed starts, pinch nose tightly with thumb and forefinger, flex the face downwards for few moments with nose pinched. This will help in stopping nose bleed.
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Recurrent nosebleeds at 29 are usually local - a dry, crusted or slightly deviated nasal septum with a fragile vessel in front, often worse with AC, dust or nose picking. The headache and bleed happening together is common; the headache is not causing the bleed. Still, I want your blood pressure, haemoglobin and platelet count checked once, because uncontrolled BP and low platelets can present exactly like this.
Next Steps
During a bleed, sit up, pinch the soft part of the nose for 10 full minutes and do not tilt your head back. Get BP, CBC with platelets and a coagulation profile, plus an ENT look at the septum. Bleeding that will not stop in 20 minutes needs emergency care. Share the reports with me on Practo and I will guide the treatment.
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Your nosebleeds that come with or without a headache are usually a local issue in your nose, not something your headache is causing.
Next Steps
Please get your blood pressure and a basic clotting profile checked once, just to rule out anything systemic. If a bleed doesn't stop after ten minutes of pinching your nose, please get emergency care right away.
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