[20M] Experiencing dry cough and daily nosebleeds

Patient Description

A 20-year-old male has been experiencing a mild dry cough mostly at night and daily nosebleeds lasting about 5 minutes each for the past two weeks. The patient notes a sore and dry throat following the nosebleeds and reports feeling tired afterward. There is nasal congestion associated with the nosebleeds. The patient smokes marijuana weekly and has no known allergies, pre-existing conditions, or other medications that could contribute to the symptoms. No recent injuries, unusual bruising, or bleeding from other parts of the body have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Dry Air: Dry air, especially during winter, can cause dryness in the nasal passages leading to nosebleeds. It can also cause a dry cough and sore throat.

    • Treatment: Using a humidifier in your home can help add moisture to the air and alleviate these symptoms.
  • Nasal Irritation: Frequent nose blowing, picking, or irritation from smoking can cause nosebleeds.

    • Treatment: Try to avoid these activities if possible. Saline nasal sprays can help keep your nasal passages moist and reduce irritation.
  • Marijuana Use: Smoking marijuana can cause a dry cough and sore throat. It can also cause nosebleeds by drying out the nasal passages.

    • Treatment: Consider reducing your use of marijuana or exploring other methods of consumption that might be less irritating to your throat and nasal passages.

What you can do

Here are some things you can do to manage your symptoms:

  1. Use a humidifier in your home to add moisture to the air.
  2. Avoid blowing your nose too hard and try not to pick your nose.
  3. Use a saline nasal spray to keep your nasal passages moist.
  4. Consider reducing your use of marijuana or exploring other methods of consumption.
  5. Stay hydrated and use lozenges to soothe your sore throat.

What you should look out for

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

  • Nosebleeds that last longer than 20 minutes.
  • Nosebleeds that are accompanied by a headache, dizziness, ringing in the ears, or vision problems.
  • Coughing up blood or bloody phlegm.
  • Difficulty breathing or chest pain.

Remember, while this advice is intended to be helpful, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


Can dry air really cause nosebleeds and a dry cough?

Yes, dry air can lead to dryness in the nasal passages, which can cause nosebleeds. It can also irritate the throat, leading to a dry cough. Using a humidifier can help add moisture to the air and alleviate these symptoms.


How does smoking marijuana contribute to nosebleeds and a sore throat?

Smoking marijuana can dry out the nasal passages and throat, leading to irritation and potentially causing nosebleeds and a sore throat. Reducing marijuana use or exploring less irritating methods of consumption can help mitigate these effects.


What are some effective ways to prevent nosebleeds?

To prevent nosebleeds, keep your nasal passages moist with saline sprays, avoid picking or blowing your nose too hard, and use a humidifier to maintain moisture in the air. Staying hydrated is also important.


When should I be concerned about frequent nosebleeds?

You should be concerned if nosebleeds last longer than 20 minutes, are accompanied by symptoms like headache, dizziness, or vision problems, or if you experience coughing up blood or difficulty breathing. In such cases, seek immediate medical attention.

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