[63M] Experiencing shaking, feeling cold, and nosebleeds

What might be happening

Based on the symptoms you've provided, there are several possible conditions that could be causing your symptoms:

• Cold Agglutinin Disease: This is a rare type of autoimmune hemolytic anemia where the body's immune system mistakenly attacks and destroys its own red blood cells. This can lead to symptoms such as feeling cold and shaking, as well as anemia which can cause symptoms like fatigue and pale skin. Nosebleeds are not a typical symptom of this condition, but any form of anemia can make bleeding more likely.

  • Treatment usually involves avoiding cold temperatures and may include medications to suppress the immune system.

• Viral Infections: Many common viral infections can cause symptoms like shaking and feeling cold, which are often signs of a fever. Some viruses can also cause nosebleeds, either directly or by causing dryness and irritation in the nose.

  • Treatment for viral infections usually involves rest, hydration, and over-the-counter medications to manage symptoms.

• Thrombocytopenia: This is a condition characterized by a low platelet count, which can make bleeding more likely, including nosebleeds. Some people with thrombocytopenia also report feeling cold, although shaking is not a typical symptom.

  • Treatment depends on the cause of the thrombocytopenia and may include medications, blood or platelet transfusions, or procedures to remove the spleen.

What you can do

Given your symptoms, it's important to seek medical attention as soon as possible. In the meantime, here are some things you can do:

1. Try to keep warm by wearing layers of clothing and using blankets. Avoid cold environments if possible.
2. If you have a fever, over-the-counter medications like acetaminophen can help reduce your temperature and make you more comfortable.
3. For nosebleeds, try pinching your nostrils together and leaning forward slightly. This can help stop the bleeding and prevent blood from going down the back of your throat.

What you should look out for

You should seek immediate medical attention if:

• Your symptoms worsen or do not improve within a few days.
• You experience severe or persistent nosebleeds.
• You develop additional symptoms, such as severe fatigue, difficulty breathing, or signs of severe bleeding like blood in your stool or urine.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.