Chronic nosebleeds, weakness.....any ideas?

I have been having frequent nosebleeds (3-4 a week) with bright red blood and clots for about 3 weeks. I have also felt very weak and nearly have passed out, having to sit on the floor to get things back under control.

I thought originally that it was dry air/heat in my home, so I have been using a humidifier and saline mist for the past week. Things have still not improved. I feel awful and my sinuses feel as if they have a lot of pressure in them.

Could this be something serious? I am a RN and cannot stand having to deal with this at work. I went to my EENT in October due to having sinus infections, had a CT scan that came back clear, and the doctor told me I may need to see a neurologist for chronic headache syndrome of some type.  

What to do next? I am just at a loss as what to do :( The symptoms scare me and make me feel awful on a daily basis.

Help!

Heather

[VanillaBeanGonzo]

anyone have any ideas?

[Margot49]

For one, I'd get a second opinion from anther ENT doc.  Do you use nasal sprays other then saline?  Do you  have a deviated septum?  Have you had any blood work done and your clotting factor checked?  I think I would check these things out. Good luck.

[Londres70]

I would reconsult ENT and get a CBC with clotting factor labs done and your nasal passages assessed.  

Any other medical problems?  BP ok?  You mentioned something about headaches, and I am questioning if these headaches and epistaxis are related to elevated blood pressure.  

I am not sure if epistaxis cream will help or if you need cauterization for the epistaxis.

I am not sure if this is something serious or not, but it needs to be further investigated.  

[VanillaBeanGonzo]

I will be making an appointment with my family physician to get this checked out. I use nasal steroid spray Flonase besides the nasal saline. No BP problems...they actually stay pretty low.

My septum is not deviated. I will ask that my bloodwork be done and clotting factors checked.

[Margot49]

It may be that nose spray!!  I had to take my father to ER twice due to severe nose bleeds and he was advised to stop his nose spray and only use Saline.  I can't use the nose sprays either or my nose bleeds.  I will also have a problem if the weather and house are dry.  I use the Saline spray and have noticed an improvement. I do have a deviated septum and was told that can cause nose bleed problems.  

[VanillaBeanGonzo]

I havent used that nosespray in over 6 months.

[OHNS2010]

Hi,

If you had any bleeding disorders it would have been detected in your childhood itself, I do not think so it will be left undiagnosed till this age. Secondly, as you have mentioned your epistaxis is less when you are using saline nasal spray, that means the mucosa of the nose which was getting dry before is now hydrated and so less bleeding. Please get a nasal endoscopy done to look for any haemangiomas or septal spurs. Also, continue saline nasal spray and drink plenty of water.Any more doubts you are welcome.

Regards
OHNS2010