What causes nose bleeding in hypertensive patients?

Question

Hello doctor,

My mother is 63 years old and has diabetes and hypertension. Her blood pressure is usually around 130/70, and her blood sugar levels range from 120 to 150 in the morning and 180 to 250 after meals. She has also been suffering from chronic constipation for the last five to six months and is taking Freelex tablets every day.

Today, while passing stool, she applied pressure and had a nosebleed. With pressure and an ice pack, the bleeding stopped after 15 to 20 minutes. After the incident, her blood pressure was 150/90, but when she checked it again later, it was below 130/80 three times, even without taking her blood pressure medication. I am wondering what caused the nosebleed and which doctor she should consult for this issue.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

The nasal bleeding your mother experienced was likely caused by high blood pressure, which can cause a blood vessel in the nose to burst. From the information you provided, she has diabetes, poorly controlled chronic hypertension, and sinus tachycardia. She could be at risk of developing atrial fibrillation.

It is important to take her to the emergency room for immediate evaluation and treatment. In the meantime, she can take the following medications:

One tablet of Vasoprin 75 milligrams once daily for one week
One tablet of Bisoprolol 5 milligrams once daily for one week
One tablet of Metformin 1000 milligrams once daily for one month
One tablet of Losartan is 80 milligrams once daily for one week to help prevent kidney damage from diabetes.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.