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Nosebleeds Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Nosebleeds. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. When did the nose bleeds begin?

    Why: to determine if acute or chronic.

  2. How often do you get nose bleeds?
  3. How much blood is lost on each occasion?
  4. Is the bleeding from one or both nostrils?
  5. Is there a simple reason for the nose bleeds?

    Why: e.g. nose picking.

  6. History of trauma to the nose?

    Why: may indicate the cause of the nose bleeds e.g. broken nose.

  7. What has been the response to previous coagulation stresses?

    Why: e.g. tooth extraction, circumcision, pregnancy - if normal response, may suggest an acquired (not inherited) bleeding problem.

  8. Did you notice a viral illness or sore throat beforehand?

    Why: may suggest acute Immune thrombocytopenic purpura (ITP) especially in children.

  9. Past medical history?

    Why: e.g. high blood pressure, hemophilia, leukemia, idiopathic thrombocytopenic purpura, Wegener's granulomatosis, liver failure, hereditary hemorrhagic telangiectasia, diabetes.

  10. Medication?

    Why: medications that may reduce platelets include chloramphenicol, cytotoxic drugs, gold, heparin, phenylbutazone, sulphonamides, quinine, quinidine, thiazide diuretics; medications that cause platelet function abnormalities include aspirin, non-steroidal anti-inflammatories; medications that cause coagulation factor deficiency include warfarin.

  11. Family history?

    Why: of easy bruising or bleeding; high blood pressure; hereditary hemorrhagic telangiectasia.

  12. Alcohol history? can reduce platelets
  13. Illicit drug use?

    Why: e.g. cocaine use may cause nose bleeds.

  14. Pain with a blood stained discharge?

    Why: must consider nasopharyngeal cancer or acute sinusitis.

  15. Has there bleeding from multiple sites?

    Why: e.g. bleeding gums, heavy periods, easy bruising of the skin, rectal bleeding, painful swelling of the joints - may suggest the presence of a systemic bleeding defect.

  16. Widespread itchiness of skin?

    Why: may suggest myeloproliferative cancers that can cause an acquired bleeding disorder or iron deficiency secondary to blood loss.

  17. Tiredness, weight loss, fever, night sweats?

    Why: may suggest malignancy such as leukemia.

  18. Dry nose?

    Why: dry nasal passages increase the risk of nose bleeds. Dry nasal passages may be due to Sjogren's syndrome, air conditioning, aging, menopause and cocaine use.

  19. Symptoms of a nasal fracture?

    Why: e.g. bleeding nose, swelling around the eyes, bruising over the nose and around eyes, deformity of the nose. May be complicated by nasal septal deviation, blood clot and abscess formation within the septum or perforation of the septum. If a blood clot and abscess form within the septum, the septum can die and collapse and cause a "saddle nose deformity".

  20. Symptoms of maxillary sinusitis?

    Why: e.g. facial pain and tenderness, toothache, post-nasal drip, nasal obstruction, runny nose, cough, fever, bleeding nose Symptoms of nasopharyngeal cancer? - e.g. facial pain, bloody nasal discharge, cranial nerve palsies.

  21. Symptoms of Wegener's granulomatosis?

    Why: e.g. fever, malaise, aching muscles, weight loss, cough, shortness of breath, pus-like nasal discharge, bleeding nose, sinus facial pain and aching joints.

  22. Symptoms of Primary Sjogren's syndrome?

    Why: e.g. dry eyes, dryness of the mouth, dryness of the nasal passages (and consequently increased risk of bleeding nose), skin or vagina. This syndrome may be associated with many systemic conditions such as Raynaud's phenomenon, difficulty in swallowing (as seen in systemic sclerosis), painful joints (like that seen with systemic lupus erythematosus), thyroid disease, myasthenia gravis, primary biliary cirrhosis, chronic active hepatitis, renal diabetes insipidus, renal tubular acidosis and vasculitis.

  23. Symptoms of allergic rhinitis?

    Why: e.g. sneezing; nasal obstruction and congestion; watery nasal discharge; reduced sense of smell; itchy nose, throat and eyes. May also have bleeding noses if condition is chronic.

  24. Symptoms of nasopharyngeal cancer?

    Why: e.g. facial pain, bloody nasal discharge, cranial nerve palsies.

Conditions listing medical symptoms: Nosebleeds:

The following list of conditions have 'Nosebleeds' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Nosebleeds or choose View All.

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Conditions listing medical complications: Nosebleeds:

The following list of medical conditions have 'Nosebleeds' or similar listed as a medical complication in our database.

 

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