Nasal cavity with slight bleeding; a flashlight reveals a growth inside the nasal cavity?
Hello, recently I have been experiencing sneezing accompanied by blood streaks.
Initially, I suspected it was due to the cold and thought I might have sneezed too forcefully, so I didn't pay much attention.
Later, when I used a tissue to clean my nose, I noticed blood streaks as well.
On that day, I did not blow my nose or yawn, yet there were still blood streaks, and this has continued for several days.
I would like to ask the doctor if it is possible that this is a polyp, as it is visibly bleeding, although the amount of blood is not significant.
Occasionally, when I observe with a flashlight, I can see that there is bleeding! After a few days, I noticed some bleeding in the other nostril as well.
I searched online for possible causes and found reports suggesting it could be nasopharyngeal carcinoma, which has made me a bit worried.
I would like to consult with you since it will take a few days before I can go to the hospital for an examination.
I have also been hospitalized frequently over the past two years due to pus formation in my tonsils.
Could this be related to my tonsils? Thank you!
33, 20~29 year old female. Ask Date: 2021/01/17
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description: There are many causes of nosebleeds, the most common being thin nasal mucosa, which can occur from forceful nose blowing.
However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhinitis, hypertension, coagulopathy, and nasal trauma can also lead to nosebleeds.
It is advisable to consult an otolaryngologist for examination.
If oral medication is ineffective, consideration can be given to using medication or laser treatment to cauterize the frequently bleeding nasal blood vessels.
Additionally, blood-tinged saliva and inflammation of the tonsils and gums may also be possible causes.
If symptoms persist, it is best to seek evaluation from an otolaryngologist.
Wishing you peace and good health.
Reply Date: 2021/01/17
More Info
Nasal bleeding, or epistaxis, can be a concerning symptom, especially when it occurs frequently or is accompanied by other symptoms. Based on your description, it seems that you have been experiencing intermittent nasal bleeding, which has raised concerns about potential underlying issues. Let's explore the possible causes and considerations regarding your situation.
Common Causes of Nasal Bleeding
1. Nasal Mucosa Injury: One of the most common reasons for nasal bleeding is the injury to the nasal mucosa. This can occur due to several factors, including:
- Dry Air: Dry environments, especially during winter months or in air-conditioned spaces, can dry out the nasal passages, leading to cracks and bleeding.
- Forceful Sneezing or Nose Blowing: As you mentioned, forceful sneezing can cause small blood vessels in the nasal mucosa to rupture, resulting in blood-streaked mucus.
- Nasal Picking: This is another common cause of nasal bleeding, as it can damage the delicate lining of the nose.
2. Nasal Polyps: While less common, nasal polyps can also cause bleeding. These are non-cancerous growths in the nasal passages that can develop due to chronic inflammation, often associated with conditions like allergic rhinitis or chronic sinusitis. If you notice persistent bleeding or if the blood is dark and clotted, it may warrant further investigation.
3. Allergic Rhinitis: Allergies can lead to inflammation of the nasal passages, which may cause bleeding, especially if you are frequently sneezing or blowing your nose.
4. Infections: Sinus infections or upper respiratory infections can also lead to nasal bleeding due to inflammation and irritation of the nasal mucosa.
5. Underlying Conditions: In rare cases, more serious conditions such as tumors (including nasal or nasopharyngeal cancer) can cause nasal bleeding. However, this is less likely, especially if you are otherwise healthy and have no significant risk factors.
Concerns Regarding Nasopharyngeal Cancer
Your concern about nasopharyngeal cancer is understandable, especially given the prevalence of information online. However, it is essential to consider the context:
- Nasopharyngeal cancer typically presents with additional symptoms such as persistent nasal obstruction, ear fullness, hearing loss, or a lump in the neck due to lymph node involvement.
- The presence of blood in nasal mucus alone, particularly if it is intermittent and associated with other benign causes, is not sufficient to suggest cancer.
Relationship with Tonsillitis
Regarding your history of recurrent tonsillitis, while it is not directly related to nasal bleeding, chronic inflammation in the throat and nasal passages can contribute to overall mucosal sensitivity. If you have had frequent infections, it may lead to increased nasal irritation and subsequent bleeding.
Recommendations
1. Observation: Keep track of your symptoms. Note the frequency, duration, and any associated factors (like dry air, allergies, or infections).
2. Hydration: Ensure you stay hydrated and consider using a humidifier to maintain moisture in the air, especially during dry seasons.
3. Gentle Nose Care: Avoid forceful sneezing or blowing your nose. If you need to clear your nose, do so gently.
4. Medical Evaluation: Since you mentioned that you will be visiting a doctor soon, it is crucial to discuss your symptoms in detail. A thorough examination, possibly including nasal endoscopy, can help identify any underlying issues.
In summary, while nasal bleeding can be alarming, many cases are benign and related to minor irritations or injuries. However, persistent or severe symptoms should always be evaluated by a healthcare professional to rule out more serious conditions. Your proactive approach to seeking medical advice is commendable, and it will help ensure that any potential issues are addressed appropriately.
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