Xin Yanjun, who was waiting for the results of the emergency blood test, frowned. It was not an external injury, and she wanted to ask the ENT doctor to come down, but the clinical evidence was not strong enough. If it was an intranasal disease such as nasal tumor nasopharyngeal carcinoma, it would be unlikely that a sudden nosebleed would cause a person to rush to the emergency room, but a person would go to the outpatient clinic for a period of time with bloody nasal discharge.
"Do you have any ideas?"
Hearing Teacher Xin's question, Xie Wanying lowered her head and asked the patient a question: "When does your period come? Is it coming now?"
Hearing the student's suspicion, Xin Yanjun immediately reacted and asked the patient's friend: "Is her menstruation normal?"
"She mentioned before that her menstruation has been less frequent recently, probably because she's been busy with work, and she wants to take some medicine to regulate her period." The patient's friend remembered what the patient mentioned herself and said.
"So, she had nose bleeding during her menstrual period, right?"
"She occasionally has nosebleeds, but she said it's normal because the climate here is relatively dry." The patient's friend said that they felt puzzled by the questions the doctor asked.
A group of medical staff wanted to glare at these people: They had asked before whether the patients had any symptoms of illness, but they insisted that there were none.
If I have had nose bleeding before, isn’t that considered an illness?
...
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In the perception of ordinary people, they may not think that occasional nosebleed is a disease.
Nosebleeds are very common among the population. Some cities have a bad climate and are relatively dry, which leads to dry nasal cavity. In addition, it is autumn, which is a dry season. If the patient has bad habits such as picking his nose, it can often cause a small amount of nosebleed. This small amount of nosebleed is not a problem and can stop by itself without medication or other measures.
There is nothing to be afraid of a little nosebleed, but the problem is that more than one part of your body is sending out distress signals, so it cannot be called just a little nosebleed.
It can only be said that ordinary people, after all, have not learned systematic medical knowledge like doctors. When considering the patient's physical abnormalities, they must combine all the symptoms of the patient's body to make a judgment. The human body is a whole, and the judgment of the disease cannot be divided. For some diseases, the symptoms they cause often seem 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.
This is unheard of. What is the connection between a girl's menstruation and nose bleeding?
It really does matter. It’s a very big matter.
There is a term in medicine called compensatory menstruation, 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 bleeding is synchronized with menstruation, and it may occur before menstruation or during menstruation.
Secondly, the bleeding site is not in the uterus, so it is called non-uterine bleeding. So where does it happen? It happens in the nasal mucosa, external auditory canal, breast, gastrointestinal tract, etc.
So strange? Why is the bleeding not in the uterus, but in these places? A disease has multiple causes and needs to be analyzed in detail.
First of all, the most common symptom of this type of patient is nose bleeding, which can account for one-third of the cases.
How does compensatory menstrual nosebleed come about? Let's talk about the relevant anatomical knowledge first. The main site of nosebleed is the front and lower part of the nasal septum, where there is a rich network of capillaries. The small blood vessels are fragile and easy to bleed. It happens that the epithelial cells here are very sensitive to estrogen and can be affected and stimulated by estrogen, causing them to become periodically congested and swollen like the endometrium. Once the estrogen level drops sharply, periodic bleeding may occur like the uterus.
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