[37M] With nasal and throat bleeding

Patient Description

A 37-year-old male reports experiencing a significant amount of nasal and throat bleeding, primarily from the right nostril, upon waking this morning. The bleeding has since stopped. The patient describes the sensation as if there was a 'bag of blood' hanging from the right nostril, with blood being spit out from the mouth. There is no recent history of nasal injury, use of nasal sprays, or medications such as blood thinners. The patient has a history of nosebleeds during childhood. He has been staying in a hotel with air conditioning, which may contribute to nasal dryness. The patient also reports recent cold or allergy symptoms. There is no known family history of bleeding disorders.

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Arora's Assessment

What might be happening

Based on your description, here are some possible explanations for your symptoms:

  1. Nasal Bleeding (Epistaxis): It sounds like you might have experienced a nosebleed while sleeping. This can happen if the blood vessels in your nose become irritated or dry, which is common in dry environments or with the use of air conditioning. The blood can sometimes drain into the throat, especially if you're lying down, which might explain the sensation you described.

    • Typical Treatment: Nosebleeds often resolve on their own. Keeping the nasal passages moist with saline sprays and using a humidifier can help prevent future episodes. If nosebleeds are frequent or severe, a healthcare provider might recommend further evaluation.
  2. Postnasal Drip: This occurs when excess mucus from the nose drips down the back of the throat. It can be caused by allergies, colds, or dry air, and might contribute to the sensation of something in your throat.

    • Typical Treatment: Staying hydrated, using saline nasal sprays, and possibly taking antihistamines if allergies are involved can help manage symptoms.
  3. Sinus Infection: Although less likely given the lack of other symptoms, a sinus infection can sometimes cause blood-tinged mucus and a sensation of fullness in the nasal passages.

    • Typical Treatment: Sinus infections may require decongestants, nasal sprays, or antibiotics if bacterial.

What you can do

  1. Stay Hydrated: Drink plenty of fluids to keep your throat and nasal passages moist.
  2. Use a Humidifier: Adding moisture to the air can help prevent dryness that might lead to nosebleeds.
  3. Saline Nasal Spray: This can help keep your nasal passages moist and reduce irritation.
  4. Avoid Irritants: Try to avoid smoke, strong odors, and other irritants that might exacerbate your symptoms.
  5. Monitor Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

  • Seek Medical Attention If:
    • You experience frequent or severe nosebleeds.
    • You notice a significant amount of blood or if bleeding persists.
    • You develop additional symptoms such as fever, facial pain, or difficulty breathing.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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26 d ago


People Also Ask


What causes nosebleeds, especially in dry environments?

Nosebleeds, or epistaxis, can occur when the blood vessels in the nose become irritated or dry. This is common in dry environments or when using air conditioning, as these conditions can dry out the nasal passages.


How can I prevent nosebleeds when staying in air-conditioned places?

To prevent nosebleeds in air-conditioned places, keep your nasal passages moist by using saline nasal sprays, stay hydrated, and consider using a humidifier to add moisture to the air.


What is postnasal drip and how is it related to nosebleeds?

Postnasal drip is the sensation of mucus dripping down the back of the throat, often caused by allergies, colds, or dry air. It can contribute to throat irritation and may be associated with nosebleeds if the nasal passages are dry or irritated.


When should I seek medical attention for a nosebleed?

You should seek medical attention if you experience frequent or severe nosebleeds, if the bleeding is significant or persistent, or if you develop additional symptoms such as fever, facial pain, or difficulty breathing.

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