Are blood clots and frequent nosebleeds a platelet problem???

Hello! If the coagulation and platelets are normal, or other diseases that may be related to bleeding: scurvy, first consider coagulation dysfunction or thrombocytopenia, and then check the capillary fragility, which may also be a decrease in platelet function.

If none of the above issues are required, they need to be further eliminated. Secondly, von pseudohemophilia, thrombocytosis and thrombocytosis, etc., capillary fragility and permeability increase, for example, so it is best to check the blood routine and coagulation first.

It only represents a personal opinion, don't spray if you don't like it, thank you.

If there is blue bruising and nosebleeds, coagulation dysfunction or thrombocytopenia should be considered first, so it is best to check the blood routine and coagulation first. Secondly, the increased fragility and permeability of the capillaries can also cause less severe bruising or bleeding, and if the coagulation and platelets are normal, the capillary fragility can be checked again.

If none of the above problems are present, it may also be a case of decreased platelet function or other conditions that may be associated with bleeding, such as scurvy, diabetes, hypertension, von pseudohemophilia, platelet weakness, and thrombocytosis, which need to be ruled out further.

It is best to check the blood routine and coagulation tests, sometimes low platelets and sometimes poor coagulation function, which can cause bleeding and ecchymosis.

Routine blood tests and a full set of coagulation.

Be alert for thrombocytopenia or coagulopathy secondary to certain blood disorders.

Low platelets can manifest as mucosal bleeding spots (look at the palate), ecchymosis, and even abdominal pain (gastrointestinal bleeding).

Coagulopathy is usually a deep hematoma, which can present as painful joint swelling.

**: Causes of nosebleeds.

It can be broadly divided into two categories:

Local causes. Trauma. Barotrauma.

A deviated septum Perforated septum is also a common symptom of epistaxis.

Inflammation: Non-specific inflammation: dry rhinitis, atrophic rhinitis, acute rhinitis, acute maxillary sinusitis, etc. are often the causes of nosebleeds.

Tumor. Other: nasal foreign body Nasal leeches can cause repeated heavy bleeding In plateau areas, dry rhinitis is an important cause of regional epistaxis due to low relative humidity.

Systemic causes. Blood disorders: Abnormalities in the quantity or quality of platelets Abnormalities in coagulation mechanisms.

Acute infectious diseases.

Cardiovascular disease: Excessive arterial pressure: such as hypertension, arteriosclerosis, nephritis, eclampsia with high blood pressure, etc., increased venous pressure: such as aspiral stenosis, large masses in the chest or mediastinum and neck, emphysema, pulmonary edema, and bronchopneumonia.

Vitamin deficiency: Deficiency of vitamin C K P and trace element calcium is prone to nosebleeds.

Chemical and drug poisoning: phosphorus, mercury, arsenic, benzene, etc. poisoning can destroy the function of the hematopoietic system and cause epistaxis.

Endocrine disorders: compensatory menstruation Preepistaxis usually occurs during puberty and is usually caused by decreased estrogen levels in the blood and dilation of blood vessels in the nasal mucosa.

Hereditary hemorrhagic telangiectasia, chronic diseases of the liver and kidneys, and rheumatic fever can also be accompanied by nosebleeds.

** method of nosebleeds.

The principle of nosebleeds should be "treating the symptoms first and then treating the root cause", that is, first stop the bleeding as soon as possible, and then administer **** from the first aspect, nosebleeds can be divided into two categories: small bleeding and sudden severe bleeding.

1 .Small bleeding.

For this type of epistaxis, the bleeding point should be identified first Due to the small amount of bleeding, sufficient time is allowed to carefully search for the bleeding point After the bleeding site is found with a general rhinoscope, the method is as follows:

2 .Cautery method Nasal mucosal surface anesthesia in the bleeding area Spot application of % silver nitrate or chloroacetic acid to the area Use its protein coagulation to close the ruptured small blood vessels Can also be cauterized or applied laser or freezing**.

3 .Submucosal dissection This method can be used in cases of repeated bleeding from the mucosal bleeding point in the anterior part of the nasal septum, and the operation method is the same as that of conventional submucosal resection of the nasal septum.

4.Scarification method Nasal mucosal surface anesthesia Make an incision in the bleeding-prone area of the nasal septum with an ophthalmic angle knife Cut the mucosa long cm Cut off the dilated hair cell blood vessels Make a mm wide submucosal dissection on both sides of the incision Compression hours.