4th nosebleed in 24hrs....what to do?

[Mosinguy]

Legs don't go numb from anemia.

You have 80ml/kg of blood volume. A healthy person could lose probably 25% without many symptoms. Does he think you lost THAT much blood?

Hope you feel better.

Don't know but he wanted a blood count done and I bled A LOT in the last day so anything is possible I suppose.

 

[hoosierdoc]

Don't know but he wanted a blood count done and I bled A LOT in the last day so anything is possible I suppose.

If HR and BP normal you are probably fine. We over order tests without using physical exam skills

 

[Ted]

......We over order tests without using physical exam skills

Nice to know that "Do no harm", doesn't apply to the pocketbook.

 

[Mr Evilwrench]

Not saying legs go numb from anemia as such, but if the legs go numb there's something bad going on, and if the blood isn't working right, anemia is likely hanging around in the shadows causing mischief as well. Sorry for any confusion, but I've had nosebleeds, numb legs, anemia, etc. I've had blood tests where I asked if they were leaving me any. Been there and back more than a couple of times. Just trying to help.

 

[hoosierdoc]

Nice to know that "Do no harm", doesn't apply to the pocketbook.

Heh, no kidding.

If HR and BP were fine and OP wasn't passing out or light headed, even if he was anemic I would 't run the risks of a blood transfusion for minor symptoms of a bleeding event that has stopped. Iron alone should be good enough.

We do tests because we like numbers, and we like to treat numbers. I can tell that many patients are fine and need no testing when they are in the ER but they would be ticked that they came in and we "did nothing". Instead we often do testing to prove normal instead of trying to diagnose abnormal.

 

[Double T]

Maybe checking for clotting factor

 

[ditto]

Maybe he's checking your electrolytes as well. You say numbness/tingling and yeah they're gonna look at things like K, Ca, Mag, Na just to make sure.

Buy a small humidifier and run it in your room when you sleep.

Some people are just prone to nose bleeds. Especially when there isn't a lot of humidity in the air.

 

[Ted]

Heh, no kidding.

If HR and BP were fine and OP wasn't passing out or light headed, even if he was anemic I would 't run the risks of a blood transfusion for minor symptoms of a bleeding event that has stopped. Iron alone should be good enough.

We do tests because we like numbers, and we like to treat numbers. I can tell that many patients are fine and need no testing when they are in the ER but they would be ticked that they came in and we "did nothing". Instead we often do testing to prove normal instead of trying to diagnose abnormal.

I'm sure that practicing defensive medicine is part of it as well.