Frequent Nosebleeds: When to Seek Medical Attention? - Otolaryngology

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Frequent nosebleeds can be concerning, especially when they become more frequent or are accompanied by other symptoms such as nasal congestion. Given your history of frequent nosebleeds since childhood and the recent increase in frequency, it is important to consider several factors before deciding whether to seek further medical attention.

Firstly, it is essential to understand that nosebleeds, or epistaxis, can occur for a variety of reasons. Common causes include dry air, nasal trauma (such as picking the nose), allergies, or underlying anatomical issues like a deviated septum. In your case, you mentioned that you have a slight deviation of the nasal septum, which could contribute to your symptoms. The fact that your nosebleeds are predominantly from one side (the right side) and are accompanied by nasal congestion may indicate localized irritation or inflammation.

Since you have a family history of cancer, particularly with your brother having nasopharyngeal cancer, it is understandable that you might be more anxious about your symptoms. While the presence of a deviated septum and dry air can explain many cases of nosebleeds, it is prudent to remain vigilant, especially given your family history.

In general, you should seek medical attention if you experience any of the following:
1. Increased Frequency: If your nosebleeds are occurring more frequently than before, as you mentioned, this warrants further evaluation.


2. Duration: If a nosebleed lasts longer than 20 minutes despite applying pressure, it is advisable to seek medical help.

3. Associated Symptoms: If you experience additional symptoms such as significant pain, swelling, or any changes in your hearing (especially since you mentioned discomfort in your right ear), these could indicate a more serious underlying issue.

4. Blood Thinning Medications: If you are on any medications that affect blood clotting, such as anticoagulants, you should consult a healthcare provider.

5. Family History: Given your family history of cancer, it is reasonable to be more cautious. If you have any concerns about the possibility of a more serious condition, it is always better to err on the side of caution.

In your case, since you have already had an examination with an ENT specialist who ruled out tumors and noted a slight septal deviation, it may be beneficial to follow up with them, especially since your symptoms have changed. You might want to discuss your concerns about the frequency of your nosebleeds and any other symptoms you are experiencing, such as nasal congestion. The ENT specialist may recommend further evaluation, such as imaging studies, or may suggest treatments to manage your symptoms, such as nasal saline sprays or humidifiers to alleviate dryness.

In conclusion, while occasional nosebleeds can be benign, the increase in frequency and your family history suggest that a follow-up appointment would be a prudent step. It’s always better to address your concerns with a healthcare professional who can provide personalized advice based on your medical history and current symptoms.