A nose bleed out of the blue, anyone experienced the same?

Posted by: Southweststokie on 17 October 2015

I woke at 01:30 on Thursday morning feeling like I needed to blow my nose, as I sat up to do so my nose started to bleed from the left nostril. The bleeding continued and got worse (I guess as my blood pressure increased with the stress). After an hour and a half with my head over the toilet and an ice pack on the bridge of my nose my wife and I decided we had best call the ambulance service. After a 10-minute discussion of the situation with the nice lady on the phone she dispatched a paramedic to our house, as my wife doesn't drive. The paramedic then spent the next 15 minutes pinching my nose and trying to stem the flow, this resulted in the blood backing up behind my nostrils and flooding my eye sockets, via the tear ducts that drain into the nose, I was now weeping blood and spitting blood out of my mouth as it ran down the back of my nose and into my throat.

 

The paramedic loaded me into his car and by the time we reached A & E my vision was completely blurred and everything was red in colour. They proceeded to plug my nose with 'rapid rhino packs' to pressurise the blood vessels and stem the flow of blood to help it clot. Nothing like this has happened to me before and don't understand why my nose should suddenly start bleeding whilst I was resting and fast asleep, when ones blood pressure is at it’s lowest. I do take aspirin (75mg) as advised by my doctor but no one at the hospital could advise me why this suddenly happened. I was kept in hospital for observation on Thursday and the rhino packs removed Thursday afternoon and Friday morning. The medical discharge letter from the hospital stated I had a bleed from the posterior floor of the left nostril.

 

I just wondered, how common is such an unexplained event and whether the great and the good of this forum can shed any light on the situation or have experience something similar that they are happy to share?

Posted on: 17 October 2015 by Romi
Originally Posted by Southweststokie:

I woke at 01:30 on Thursday morning feeling like I needed to blow my nose, as I sat up to do so my nose started to bleed from the left nostril. The bleeding continued and got worse (I guess as my blood pressure increased with the stress). After an hour and a half with my head over the toilet and an ice pack on the bridge of my nose my wife and I decided we had best call the ambulance service. After a 10-minute discussion of the situation with the nice lady on the phone she dispatched a paramedic to our house, as my wife doesn't drive. The paramedic then spent the next 15 minutes pinching my nose and trying to stem the flow, this resulted in the blood backing up behind my nostrils and flooding my eye sockets, via the tear ducts that drain into the nose, I was now weeping blood and spitting blood out of my mouth as it ran down the back of my nose and into my throat.

 

The paramedic loaded me into his car and by the time we reached A & E my vision was completely blurred and everything was red in colour. They proceeded to plug my nose with 'rapid rhino packs' to pressurise the blood vessels and stem the flow of blood to help it clot. Nothing like this has happened to me before and don't understand why my nose should suddenly start bleeding whilst I was resting and fast asleep, when ones blood pressure is at it’s lowest. I do take aspirin (75mg) as advised by my doctor but no one at the hospital could advise me why this suddenly happened. I was kept in hospital for observation on Thursday and the rhino packs removed Thursday afternoon and Friday morning. The medical discharge letter from the hospital stated I had a bleed from the posterior floor of the left nostril.

 

I just wondered, how common is such an unexplained event and whether the great and the good of this forum can shed any light on the situation or have experience something similar that they are happy to share?

I cannot give you answer to your experience and I hope all is well with you.  I also had unexplained medical condition, went to hospital, had tests (all was clear) and seen by consultant.  No name of medical condition has been given to my experience.  However the my severe pains which I was experiencing ceased and I am grateful.

Posted on: 17 October 2015 by George F

When I was young, I used to get completely spontaneous nose bleeds, and they were profuse. 

 

Went on and on, and just as fast as they started they stopped. My GP said that there was nothing to worry about, and by the age of about twenty they more or less stopped.

 

In very hot weather I can still have a sudden little bleed even in my fifties. 

 

I never made any effort to staunch the bleed as clotting eventually will take place. The blood has to go somewhere and down the nostril is the best place according to my then GP. 

 

I had just such a bleed in my History O-level exam, and my essays were covered in blots, not of ink but blood. I got a B for it all the same. 

 

Probably worth seeking the advice of your GP though. Every case is different, and I suppose my GP saw no obvious serious risk from my case, but it is worth seeking expert counsel on this, I would think.

 

ATB from George

Posted on: 17 October 2015 by Lionel
Originally Posted by Southweststokie:

 

I just wondered, how common is such an unexplained event and whether the great and the good of this forum can shed any light on the situation or have experience something similar that they are happy to share?

I assume they checked your blood pressure - not that it is likely that blood pressure would be a cause.

 

 

 

Posted on: 17 October 2015 by Sneaky SNAIC

Happened to me one time when I smelled a sample of some very strong perfume...pretty weird. My mother commonly had nosebleeds like this, its just a trait some people have I think.

 

Growing up in Texas, it was always said you need more iron in your blood--to eat liver and onions when you get nosebleeds.  Check your diet, stay away from strong perfumes and volatile substances.  Also be careful how you handle your nose...I've got them before by rubbing my nose vigorously when it itched.

 

Of course if it continues to happen, you'd probably want to see a specialist...more than likely a random event.  However, they can happen again until the inside of the nose heals where the break happened...which can make you think its re-occurring.

 

Also, no snuff or cocaine for a few weeks...

Posted on: 17 October 2015 by Steve J

Like George I used to suffer spontaneous nosebleeds as a kid. It was a pain when blood would suddenly drip onto my school books as I was working ay my desk. They seemed to stop in my twenties.

 

Spontaneous nosebleeds are very common and the fact that the OP is on aspirin can be a contributory factor and make the bleed harder to control.

Posted on: 17 October 2015 by Pev

It happened to me after a day gloss painting several intricate window frames and then having a very hot bath - probably a combination of dodgy fumes and excessive heat. I went to A&E where they tried to cauterise it - basically stuck a soldering iron up my nose. This stemmed it for a while but then it restarted so I was admitted to the ENT ward. The cure was absolute bed rest, with no getting up at all, even for the loo, for 3 days which sorted it.

There were a few guys in the ward with the same thing and the nurses said they get about 3 cases a week in Bristol so it's not that uncommon. Best thing is that my worries about it being a recurring weakness were unfounded - that happened about 20 years ago and it has never recurred.... hope I haven't spoken too soon...

Posted on: 17 October 2015 by hafler3o

I've had about a dozen arteries cauterised in my nose, using the hot iron approach. At Salisbury District Hospital they have some real eggheads with a special laser that can cauterise without burning the top skin layer, this was the next stage if the basic cautery did not work (tired of being woken up in the night by the taste of hot blood in my throat!) After some months putting Naseptin (contains peanut oil I think) up my nose everything has now settled.

 

Good luck!

Posted on: 17 October 2015 by hafler3o
Originally Posted by Sneaky SNAIC:

Also, no snuff or cocaine for a few weeks...

Things can get a bit crusty 

Posted on: 17 October 2015 by Sneaky SNAIC
Originally Posted by hafler3o:

 After some months putting Naseptin (contains peanut oil I think) up my nose everything has now settled.

'cept everything smells like burned peanut butter now right?

Posted on: 17 October 2015 by Christopher_M

Sorry to read of this, Ken.

 

I've no experience of it, but have just googled 'aspirin anticoagulant' and hoped there might be something there to help you.

 

Chris

Posted on: 17 October 2015 by Kiwi cat

Most nosebleed are from the front of the nose and can be stopped by leaning forward and pinching the nostrils, not the bridge of the nose, for 5 minutes.

Posterior nose bleeds are rarer and tend to occur in the 50+ age group. They can be very serious and frightening, as the OP describes, because they are arterial. They usually require packing in A+E, although on rare occasions they require emergency surgery to tie off the bleeder.  Hypertension and aspirin and other blood thinners can be risk factors and more rarely tumours in the nose or a bleeding tendency eg low blood platelets.

Fortunately most posterior bleeds are a one off phenomenon, but if they are recurrent no doubt you will be followed up by the ENT department. Don't stop or fiddle with any of your medications without having a natter with your doctor.

Posted on: 17 October 2015 by Southweststokie
Originally Posted by Lionel:
Originally Posted by Southweststokie:

 

I just wondered, how common is such an unexplained event and whether the great and the good of this forum can shed any light on the situation or have experience something similar that they are happy to share?

I assume they checked your blood pressure - not that it is likely that blood pressure would be a cause.

 

 

 

BP was checked and normal

Posted on: 17 October 2015 by Lionel

Then don't worry unless it happens several times.

Posted on: 17 October 2015 by MangoMonkey

we are webmd now?

Posted on: 17 October 2015 by Southweststokie
Originally Posted by MangoMonkey:

we are webmd now?

No we are not but having no previous experience or knowledge of the issue myself, hearing that others have experienced similar or the same helps to put the issue into perspective of whether it is serious or not. It definitely concerned me when it was happening.

Posted on: 17 October 2015 by MangoMonkey

Fair enough - this is where a lot of your friends are. :-)

Posted on: 17 October 2015 by Kiwi cat

Cheeky Monkey!

Posted on: 18 October 2015 by Southweststokie
Originally Posted by MangoMonkey:

Fair enough - this is where a lot of your friends are. :-)

There is certainly a lot more overall life experience and an immense variety of subject knowledge than just one's personal friends on this forum 

Posted on: 18 October 2015 by Southweststokie
Originally Posted by Kiwi cat:

Most nosebleed are from the front of the nose and can be stopped by leaning forward and pinching the nostrils, not the bridge of the nose, for 5 minutes.

Posterior nose bleeds are rarer and tend to occur in the 50+ age group. They can be very serious and frightening, as the OP describes, because they are arterial. They usually require packing in A+E, although on rare occasions they require emergency surgery to tie off the bleeder.  Hypertension and aspirin and other blood thinners can be risk factors and more rarely tumours in the nose or a bleeding tendency eg low blood platelets.

Fortunately most posterior bleeds are a one off phenomenon, but if they are recurrent no doubt you will be followed up by the ENT department. Don't stop or fiddle with any of your medications without having a natter with your doctor.

Useful comments.

 

Thanks,

 

Ken

Posted on: 18 October 2015 by Hook

Hi Ken -

 

A few years back, I was taking Ibuprofen to relieve back pain, and nosebleeds were common - about one every week or two. Started avoiding NSAIDs as much as possible, and haven't had a nosebleed since.

 

Hope you figure this out soon!

 

Hook