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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31641
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Last night my husband woke up with what he thought was a

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Last night my husband woke up with what he thought was a nose bleed. I called and talked with him a few minutes ago to see how he was feeling and found out more. His chest hurt when he got up, the stuff that ran out his nose was brownish/blackish and he blew his nose 2-3 times before it cleared up and some had ran down his throat and he spit it out. He said when he went back to bed he had a headache. He sounds fine when he talks but I'm not sure if I should make him go to the ER or to a make in clinic. Our family doctor is out on Fridays.
Submitted: 8 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 8 months ago.

Hello,

I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

He should be seen at ER. A doctor would examine him and if needed can call an ENT specialist who are available on call at ER. He may need:

1) Cauterization of the bleeding point.

2) Nasal packing

Avoid nose picking or blowing the nose, as it can dislodge the clot. If he has high blood pressure, that should be controlled. If he is taking aspirin or any related products, may need to stop them for time being.

If there is a low platelet count or any bleeding disorder developing; this may be responsible for the bleeding. These are called as acquired coagulopathies or blood dyscrasias. Among the more common acquired coagulopathies are thrombocytopenia and liver disease. Following are the other causes;

1) Arteriosclerosis

2) Hereditary hemorrhagic telangiectasia; this is recurrent bleeding from vascular anomalies.

3) Idiopathic causes: About 10% of people with nose bleed (epistaxis) have no identifiable causes.

4) Sarcoidosis

5) bacterial or viral infection

6) Nasal septal abnormality.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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