[18F] Experiencing hearing loss, nosebleeds, and coughing up blood

Question

what do you think this is, should o be concerned?

Patient Description

An 18-year-old female has been experiencing a range of symptoms over the past year and a half, with the most concerning being gradual hearing loss, described as muffled sounds akin to wearing noise-canceling headphones, worse in the right ear. Additionally, she reports frequent presence of dried blood in her nose for the past couple of months, occasional actual nosebleeds with only a few drops of blood, and coughing up blood twice in the past 6 months to a year. Ear bleeding has also occurred a few times over the last year. The patient suffers from severe headaches, particularly in the lower back part of the head or at the temples, sometimes right above the ears, accompanied by dizziness, lightheadedness, nausea, and a worsening vision. Her medical history includes surgeries for an enlarged kidney at birth and a diagnosis of iron deficiency anemia approximately three years ago. Currently, she is not on any medications.

Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

Chronic Sinusitis: This condition can cause mucus buildup that leads to nosebleeds and coughing up blood. It can also cause headaches and dizziness. However, it doesn't typically cause hearing loss.
- Treatment typically involves a course of antibiotics, nasal corticosteroids, and saline nasal irrigation.
Ear Infections: These can cause hearing loss, ear bleeding, and dizziness. However, they don't typically cause nosebleeds or coughing up blood.
- Treatment typically involves a course of antibiotics.
Blood Disorders: Certain blood disorders can cause frequent nosebleeds, coughing up blood, and bleeding from the ear. However, these don't typically cause hearing loss.
- Treatment depends on the specific disorder and can range from medication to blood transfusions.
Tumors: Certain types of tumors in the head and neck can cause hearing loss, nosebleeds, coughing up blood, and bleeding from the ear. These would also likely cause other symptoms, such as unexplained weight loss, difficulty swallowing, or changes in your voice.
- Treatment typically involves surgery, radiation therapy, and/or chemotherapy.

Please note that these are just possibilities and not a definitive diagnosis. It's important to see a healthcare provider for a formal evaluation.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. Please schedule an appointment with a healthcare provider. They may refer you to an Ear, Nose, and Throat (ENT) specialist for further evaluation.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

Sudden, severe headache
Sudden worsening of your symptoms
Difficulty breathing or swallowing
Sudden, severe dizziness or loss of balance
Sudden, severe vision changes

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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9 mo ago

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