The chronic nose bleeds are likely related to your inadequate control of the blood pressure. All those people who have high blood pressure have a risk of nose bleeding, if the blood pressure is not properly controlled, so you need to get it checked periodically and get the medicine changed. The other reason of getting the medicine instead of Ramipril is your cough, which is very well known side effect of it. Once the medicine is changed, your cough would stop. A good control of BP is likely to stop the nose bleeds also.
Please feel free for your follow up questions.
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If your blood pressure is controlled, you doctor need to look for the other causes like following (especially with your other symptoms);
1) nose and sinus infections due to virus, bacterial and allergy.
2) nose septal deformity
3) Mucosal irritation; irritation of the internal lining of the nose due to dry, hot weather and topical nasal sprays.
4) Growth in the nose and sinus
5) Bleeding disorders
6) Hereditary hemorrhagic telangiectasia; associated with recurrent bleeding from vascular anomalies.
7) Recurrent injury due to picking the nose
If an ENT (ear, nose and throat) specialist has not been consulted, that would be helpful in ascertaining the cause and instituting the management.
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