Xin Yanjun, who was waiting for the results of the urgent blood test, frowned. It was not a trauma, and she wanted to call an otolaryngologist. It seemed that the clinical evidence was not very valid. If it was an intranasal disease, such as nasal tumors, nasopharyngeal cancer, etc., it was unlikely to occur suddenly.
I came to the emergency department with a lot of nosebleeds, but I went to the outpatient clinic for a period of time when my nose was bloody.
"Do you have any ideas?"
Hearing Teacher Xin ask, Xie Wanying lowered her head and asked the patient a question: "When will your period come? Is it here now?"
Hearing the direction of the student's suspicion, Xin Yanjun immediately reacted and asked the patient's friend: "Is her menstruation normal?"
"She mentioned before that she has had less menstrual periods recently, probably because she is busy at work, and she wanted to find some medicine to take care of it." The patient's friend remembered what the patient mentioned personally and said.
"So, she had nosebleeds during her abnormal menstruation, right?"
"She occasionally gets nosebleeds. She said it's normal. The climate here is relatively dry." The patient's friends said that they felt that the questions asked by the doctor were a bit confusing to them.
A group of medical staff wanted to glare at these people: I asked the patients if they had any symptoms of illness, and they insisted that they didn't.
Is it not a disease if I have had nosebleeds before?
In the common people's perception, they may not think that an occasional nosebleed is a disease.
Nosebleeds are very common among people. The climate in some cities is not good and relatively dry, resulting in dry nasal cavity. In addition, it is autumn, which is the season of dry weather. If the patient himself has bad habits such as picking his nose, it can often cause it.
A small amount of nosebleed. This small amount of nosebleed is not a problem and can be stopped by itself without medication or other measures.
Don't be afraid of a little nosebleed. The problem is that more than one place on your body has sent out a signal for help. You can't call it just a little nosebleed.
It can only be said that ordinary people have not learned systematic medical knowledge like doctors after all. When thinking about a patient's physical abnormality, they must combine all the symptoms of the patient's body to judge. The human body is a whole, and it cannot be divided to judge the disease. Some diseases cause symptoms
It often seems to have nothing to do with the cause of the disease.
"What? Is her nose bleeding related to her menstruation?" The patient's friend heard what the doctor meant and asked in surprise.
It is unheard of that a girl’s menstruation has anything to do with nosebleeds.
It really does matter, it's a big deal.
There is a medical term called compensatory menstruation, and some people call it ectopic menstruation, which refers to periodic non-uterine bleeding similar to menstruation.
Medical terms need to be broken down and analyzed. First of all, the periodicity of this kind of bleeding is synchronized with menstruation. It may appear before menstruation or during menstruation.
Secondly, if the site of occurrence is not in the uterus, it is called non-uterine bleeding. So where does it occur? It occurs in the nasal mucosa, external auditory canal, breast, gastrointestinal tract, bladder, etc.
So strange? Why is it not bleeding in the uterus but bleeding in these places? A disease has multiple causes that require detailed analysis.
Let me start by saying that the most common symptom of this kind of patient is nose bleeding, which can account for one-third of the cases.
Where does compensatory menstrual epistaxis come from? Let’s talk about relevant anatomical knowledge first. The main location of epistaxis is the front and lower part of the nasal septum, where there is a rich capillary network. Small blood vessels are fragile and prone to bleeding. It just so happens that here
Epithelial cells are very sensitive to estrogen and can be affected and stimulated by estrogen, causing them to undergo periodic congestion and swelling like the endometrium. Once estrogen levels drop suddenly, periodic bleeding may occur like the uterus.