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blood/mucus drainage back throat
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CeCeishere posted:
I'm a 55 year old female who never had a nosebleed in my life!! Normal BP. Two weeks ago, I had bloody mucus with clots running down my throat but nothing out my nose. I can breathe fine, no headaches, congestion etc. Went to my GP and he did blood work, CBC etc.. all came back normal. He set me up with an ENT who had a CT scan of my sinuses, All came back normal. The ENT told me just a broken blood vessel and not to worry.He told me to use Afrin (the Afrin burned way up deep inside my right nostril so bad for over 3 hours..then it bled quite a bit with stringy clots so I didn't use it again) and also saline spray and get a humidifier. He told me to get rid of the flashlight (I look in my throat every 2 minutes!!) and relax. I called him 5 days ago and told him there was still blood. He said to relax, he said vessels take time to heal. I had quite a bit of blood 2 nights ago when my gr'daughter had me laughing really hard. So I ran to the ER. The Dr. there told me I probably dislodged a clot which caused the bleeding and then she told me to go to another ENT for a 2nd opinion because vessels shouldn't take over 2 weeks to heal and told me to use humidifier. (had already been using it for a week) Of course it didn't bleed while I was at the ER. It hasn't bled since that night, except for a little streak of blood when I had to spit out throat drainage this morning, but I keep expecting it to. I won't laugh, I won't take a hot shower or bath, I won't lean down to pick anything off the floor, I can't sleep only an hour at a time. I can't eat. I'm constantly checking for blood. I can't relax! I don't have the money to go to another ENT. What could have caused a blood vessel to bleed? It has never happened before! Can you please give me your opinion from e'thing I have told you? Thank you so much for any help you can give. I need peace of mind so I can get some sleep.
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Rod_Moser_PA_PhD responded:
Relax and go to sleep. Stop worrying about it. Did this help? I didnt' think so...

Put "nosebleeds" or "epistaxis" in your WebMD or Google search engine and you will find a tremendous amount of information. This is not necessarily an ominous sign that you are fearing. Nose bleeds are common, even if you, personally, have never had one before.

If I was seeing you in my clinic....after three prior medical encounters for the same problem (bleeding from just one nostril, I assume), I would look for the source and chemically cauterize that pesky blood vessel. Assuming your blood work was fine and you had no underlying medical issues contributing to this problem, I suspect this would solve it. It may not solve your terrible anxiety response to these reccurent nosebleeds, however, so you may need to work on this too. Your ENT really told you the bottom line. I don't know any of the details of your case or anything about your medical history, but I suspect he was right on.

So, if you are still having blood....worried....then you are going to need one more visit -- this time to a medical provider who can locate and cauterize the blood vessel that is bleeding. And, make sure that you learn how to properly stop a nose bleed -- many people do it incorrectly. Your web research will likely provide you with the right technique.
 
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CeCeishere responded:
Thank you for your reply..BUT, I didn't have ANY blood coming from my nostril. The blood and clots, were only in the back of my throat (right side) with a lot of mucus. I'm happy to say I haven't had any blood during the day or night for the past couple of days, but I have had it when I brush my teeth in the mornings when I wake up and need to spit out the post nasal drip. It contains quite a bit of blood. After that I have nothing more for the day. The past 2 weeks I had it all day and night. Everytime mucus would drain down my throat it was VERY bloody. This all started after I had caught a flu virus from my 4 sick gr'kids. Two days after I thought I was better is when the bloody mucus all started. I don't know if it is related to the virus or not though. I still keep thinking it is going to start bleeding bad again with the mucus in throat. Any new thoughts? Thanks
 
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Rod_Moser_PA_PhD responded:
Sinusitis would be another diagnostic possibility....
 
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feelinfroggy62 responded:
I know this is a old post but I have been doing the same thing for te past 6 years. Did you ever find out what was wrong? It scares me when I do this.
 
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Rod Moser, PA, PhD replied to feelinfroggy62's response:
Don't be afraid....have it checked out by your medical provider when it occurs, or ask to be referred to an ENT specialist.
 
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frickinchickin replied to feelinfroggy62's response:
I have just started having the same symptoms! I have just had flu and i thought i was getting better then i started bringing up blood clots, even the doctors are baffled! They've just given me antibiotics! I'm bloody worried, i'll probably go back to Doctors on Monday for a second opinion, its just not normal!
 
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Rod Moser, PA, PhD responded:
The ENT needs to examine your nose and posterior pharynx with a fiberoptic scope to see if the source of the bleeding can be found, and perhaps, cauterized. Unfortunately, as much as I would like to help or reassure you, I cannot do so blindly over the Internet based on the information that you have shared. It does appear that you have been medically-evaluated three times, so I am not sure what it will take to get you to relax. This anatomical area is rich in blood supply and bleeding...especially bleeding that has now stopped....is not uncommon and usually is not an ominous sign of a serious medical problem. This is why your ENT was not too excited.
 
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xgopher replied to frickinchickin's response:
My Chinese wife started having nose bleeds-a few a day-two weeks ago. After a few days, we went to the local clinic near our summer home in northern MN. The young female Dr. didn't get very concerned about it. Needless to say, they continued. I took her to another clinic; wound up with an Otolaryngologist. Wouldn't you know, he couldn't even get her nose to bleed though he attempted to do so. He did cauterize a likely looking
spot; said he wasn't sure that would resolve the problem. It didn't. After a few days, the blood in her nostril clotted enough
to send the blood down her throat. She is continuously spitting
nasty looking clots. Managed to get another appointment for Tuesday; really don't what the result will be! I have to hope that someone will come up with a solution to the problem.
 
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An_252789 responded:
I know you posted 4 years ago, but are you doing better? I have exactly the same symptoms and it's been going on since 2007. Doctors find nothing wrong. I have bleeding atleast 1x a month. It is VERY nerve racking.


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