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Elliot Ruff
Elliot Ruff, GP
Category: General
Satisfied Customers: 3863
Experience:  GP at Whitstable Medical Practice
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Pain

Customer Question

Pain
Submitted: 12 days ago.
Category: Medical
Expert:  Elliot Ruff replied 12 days ago.

Good evening, I am Dr Ruff, thank you for contacting us today

Expert:  Elliot Ruff replied 12 days ago.

How can I help?

Customer: replied 12 days ago.
Hi, I have been having frequent headache on my forehead, and sometimes for the last few months when I blow my nose there is blood, I am on medication for high blood pressure. I am 20 years old
Expert:  Elliot Ruff replied 12 days ago.

I am sorry to hear this. Pain in this area with blood on blowing your nose suggests you have a sinus problem.

With blood you should consider antibiotics as this sounds infective, if then this doesn't help you can use a intranasal steroid for a month. If this then doesn't help then I would suggest a sinus MRI and nasendoscopy via ENT to investigate this further and look for polyps.

If you have any form of hayfever/allergies, then I would suggest an antihistamine as well.

Customer: replied 12 days ago.
Hi, I have high blood pressure, I visited A and E a couple weeks ago for chest pain and coughing up blood with slight nose bleed. I had a chest X-ray and the doctor shined a torch up my nose. He did a exam of my face and eyes,”. Does this rule anything seriius out
Expert:  Elliot Ruff replied 12 days ago.

Blood pressure would have no implication on your sinuses. Shining a torch up your nose isn't suitable to exclude pathology. Therefore as I have mentioned about this is what I would do now.

Coughing up blood with a normal chest xray suggests this could also be from a nose bleed, and therefore if you still get regular blood, could also try Naseptin cream in the nostrils for 10 days.

Customer: replied 12 days ago.
it’s only blood when I blow my nose , I don’t get nose bleeds
Expert:  Elliot Ruff replied 12 days ago.

Okay thanks, ***** ***** does suggest it is more likely sinus related. If you are worried then ask your GP for an ENT referral.

Customer: replied 12 days ago.
Ok I have asked many times regarding this issues with multiple different blood tests and physical exams. He concluded it is just anxiety and stress. I am on antibiotics and high blood pressure pills now. He told me to wait 3 months then go back. So I should just follow this?
Customer: replied 12 days ago.
Also I had an enhanced eye test as doctor sent me there
Expert:  Elliot Ruff replied 12 days ago.

If that is what they think, then yes, but if the blood does persist, I would ask to be referred.

Customer: replied 12 days ago.
When you say blood, is a little blood ok, and could picking my nose and high blood pressure cause the small amounts of blood I have when I blow my nose
Expert:  Elliot Ruff replied 12 days ago.

Well yes, picking your nose would make it bleed. But if it is something that regularly happens, it should be investigated. Avoid picking it though otherwise you will not know if you are just not allowing it to heal.

Customer: replied 12 days ago.
Ok thank you