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Does High Blood Pressure Cause Nose Bleeds

When To See A Doctor

does high blood pressure cause nosebleeds

Only 10% of nosebleeds need medical attention most of the time, the bleeding stops on its own or with minimal home care. See a doctor for nosebleeds if:

  • You had a severe injury to your face or head
  • Theres an object stuck in your nose
  • The nosebleed doesnt stop after applying direct pressure for 20 minutes
  • You have trouble breathing
  • Youre vomiting and gagging
  • You have frequent nosebleeds

What Is Portal Hypertension

The portal venous system contains veins coming from the stomach, intestine, spleen, and pancreas. These veins merge into the portal vein, which branches into smaller vessels and travel through the liver. Portal hypertension occurs when there is an increase in the blood pressure within the portal venous system. When the vessels in the liver are blocked due to liver damage, blood cannot flow properly through the liver. This causes high blood pressure in the portal system.

Portal Hypertension Causes

Cirrhosis of the liver is the most common cause of portal hypertension. In cirrhosis, the scar tissue blocks the flow of blood through the liver. Blood clots in the portal vein, blockages of the veins that carry blood from the liver to the heart, parasitic infection , and focal nodular hyperplasia are also causes of portal hypertension.

Portal Hypertension Symptoms

Symptoms of portal hypertension include the following:

  • Gastrointestinal bleeding, which can cause black, tarry stools or blood in stools, or vomiting of blood

Portal Hypertension Treatment

What Really Happens When Powerlifters Get A Nosebleed

During powerlifting, athletes usually tense their abdominal muscles in a process known as Valsalva maneuver. This is where you put force against a closed airway which ultimately builds up body pressure.

This maneuver combined with the force being exerted on the lower legs drives a lot of blood from the lower legs. All of this leads to an increase in blood pressure in the upper body, the neck, and the head.

In the nose, there is an area, quite close to the skin where blood vessels pass called the Littles Area or Kiesselbachs Plexus located on the front part of the nasal septum. As a result of increased blood pressure, bleeding can occur especially if there is an aggravating factor contributing to that increase in blood pressure.

These aggravating factors may include allergies, change in humidity, prior history of nosebleeds, decreased clotting factors, diet or use of a steroid-based nasal decongestant.

They are also less extreme activities other than lifting huge weights that could lead to nosebleeds. Its also possible that the nasal blood vessels of people who experience these nosebleeds are very little channels rather than thick, robust pipes which are unable to handle the rush of blood prompted by the lift.

Other than this, maybe the blood pressure induced by the near-superhuman effort required to lift very heavy weights is much higher than any part of their human body is built to handle.

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Nose Bleeds And High Blood Pressure

To determine if spontaneous nosebleeds could be a sign of high blood pressure, ENT surgeons analysed 10 good quality studies that involving over 8,600 people. This confirmed that the risk of nose bleeding was 53% to 86% greater in people with hypertension than in those whose blood pressure was classed as normal. However, nose bleeding can be a sign of masked hypertension, in which blood pressure readings are normal during the day, and in the doctors office, but are significantly higher during the night.

One study reviewed the blood pressure charts of 60 people admitted to hospital with a nosebleed, and compared these to 60 similar patients without a nose bleed. They found that a third of those with nose bleeds had masked hypertension, compared with one in eight of those without nose bleeds. There was no significant difference in daytime systolic blood pressure between the two groups, but night-time readings were significantly higher.

In one study, 43% of people admitted to hospital with a serious spontaneous nose bloods were found to have undiagnosed high blood pressure. There was no link between the severity of a nose blood and the severity of hypertension, however.

If you are already on antihypertensive medication, your treatment may need adjustment to achieve better blood pressure control.

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Does High Blood Pressure Cause Nosebleeds

High Blood pressure & Nose Bleed

Whether high blood pressure causes an increased risk of nosebleeds remains a topic of debate.

Although high blood pressure isnt known to directly cause nosebleeds, its probable that it may cause the blood vessels in your nose to be

Medical Emergency

If you have a blood pressure reading over 180/120 mm Hg and youre experiencing other symptoms of a hypertensive crisis such as a headache or shortness of breath, call 911 for immediate medical attention.

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What Should I Expect When I Go To My Doctor With A Nosebleed

The doctor will ask you questions about your nosebleed including:

  • Length of your nosebleed.
  • Approximate amount of blood that was lost.
  • How often you get nosebleeds.
  • Did the nosebleed involve one or both nostrils.

Your doctor will also ask about medications you are taking including over-the-counter blood thinning drugs, such as aspirin, and drugs for colds and allergies. They will also ask if there is a family history of blood disorders and ask about your use of alcohol or any illegal drug use in which the drug was sniffed up your nose.

Next, your doctor will examine your nose to determine the source of the bleed and what may have caused it. They will use a small speculum to hold the nostril open and use various light sources or an endoscope to see inside your nasal passages. Your doctor may use topical medications to anesthetize the lining of the nose and to constrict blood vessels. The doctor is also likely to remove clots and crusts from inside your nose. This can be unpleasant but is not painful. Your blood pressure and pulse will likely be taken. Occasionally, x-rays or CT scan or blood tests may be ordered to check for bleeding disorders, blood vessel abnormalities or nasal tumors.

Talking To Your Doctor About Your Blood Pressure Headaches

If you suspect you have high blood pressure, you need to talk to your doctor to get a formal diagnosis so that you can begin treatment. This is particularly important if you have blood pressure headaches because that can signify a more serious problem. If you are having migraines that also warrants a conversation with your physician because they can help you find a treatment plan.

Some questions to ask your doctor include:

  • What can I do when I get a blood pressure headache? When should I seek emergency medical treatment?
  • Should I get a home blood pressure monitor? What kind should I get?
  • How often should I check my blood pressure?
  • How high is too high? Too low?
  • What changes should I make to my lifestyle to get better control of my hypertension or migraine?
  • What foods can I eat? What should I avoid?
  • Can I exercise? How much? What are signs that I should stop?
  • What kind of medication are you prescribing to me?
  • Will this medication help my headache or make it worse?

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When To Seek Epistaxis Treatment Los Angeles

When you get a nose bleed, it can be very troubling. This holds especially true if you dont know what caused it. Most of the time, nosebleeds can be simply caused by trauma to the nose or picking of the nose. However, there are signs that can indicate that there is a more severe cause.

The most common is a very heavy nosebleed. Most nosebleeds will trickle. If you experience a large amount of blood or a very heavy flow for an extended period of time, then you should make a call to your Los Angeles nosebleed doctor. Also, if you experience frequent nosebleeds, it can be a sign of a more serious health condition. Heavy flows and frequent nosebleeds tend to develop deeper within the nose than common nosebleeds.

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