[46F] With sudden onset nosebleeds and chronic runny nose

What might be happening

Based on your symptoms, here are some possible explanations:

• Nasal Irritation or Dryness: Frequent use of nasal sprays like Afrin can sometimes lead to irritation or dryness, which might cause nosebleeds. Overuse can also lead to rebound congestion, worsening your runny nose.

  • Treatment typically involves reducing or stopping the use of nasal sprays and using saline sprays or humidifiers to keep your nasal passages moist.

• Allergic Rhinitis: Your history of allergies could be contributing to a runny nose and possibly making your nasal passages more susceptible to bleeding.

  • Treatment often includes antihistamines or nasal corticosteroids to manage symptoms.

• Hypertension: Although less common, high blood pressure can sometimes contribute to nosebleeds.

  • Ensuring your blood pressure is well-controlled with your medications is important.

What you can do

1. Limit Afrin Use: Try to avoid using Afrin spray frequently, as it can cause rebound congestion. Consider using saline nasal sprays instead.

2. Moisturize Your Nasal Passages: Use a humidifier in your home and apply a small amount of petroleum jelly inside your nostrils to keep them moist.

3. Monitor Your Blood Pressure: Keep track of your blood pressure regularly to ensure it's well-managed.

4. Consult a Doctor: It's important to see a healthcare provider to evaluate your symptoms and possibly adjust your treatment plan.

5. Use MDandMe: Consider using MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

• Seek Immediate Care: If you experience heavy or persistent nosebleeds that don't stop after 20-30 minutes, seek medical attention.

• Watch for Other Symptoms: If you notice any new symptoms like dizziness, severe headaches, or changes in vision, contact a healthcare provider.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.