ibuprofen induced nosebleeds (BAD ones)

xtremerunnerars

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I guess this starts last summer. I started lifting more weights (including forearm workouts), landscaping as a part-time job (throwing mulch usually), and playing some more tennis.

My wrist got pretty tight, and i went to see a doctor. They diagnosed it as tendinitis, and put me on therapy. PT was okay, and my arm certainly got stronger. I was feeling about 85% in my arm and then went off to a tennis camp for a week. As part of my therapy, I was told by doctor+therapist to have a constant amount of ibuprofen in my system to aid the therapy.

Pain went away a little, and i was probably back around 95%. Pain every now and then, but nothing major. I ran cross country that fall (last fall) and kept doing therapy on my own and only taking ibuprofen when i was really really sore from a tough workout.

Now it's mid-winter, and for around a month i have not been able to take ibuprofen. If i take an ibuprofen, a nosebleed is guarenteed. I took one today because I played badminton in gym class and was playing tennis tonight.

It had been roughly two weeks since i last took any ibuprofen and figured i would be okay if i took just one. NOPE. I got the worst nosebleed i've ever had, and i was at the tennis club. It didn't bleed badly until i got into the bathroom thankfully! I did the right thing and put pressure on it, tilted slightly forward, but it didn't stop. After 3 minutes of pressure, i went to change cloths. Put a piece of paper towel up my nose, and it didn't really work.

The blood must have just piled up a-la water balloon, because i pulled the towel out and ~5oz of blood FELL out of my nose. What is wrong with me? Do i have like a low platelet count, or is something worse?

My mom and i agree that i should have bloodwork done.




BTW, turns out i don't have tendinitis. After a bonescan and mri last week, there's a new diagnosis. My pinky pulls on my wrist tendon in a weird way, and bruises it. That's why it has been hurting all along. :-/ There's a pretty good chance that it's going to be operated on...which is what i'm hoping for.
 
sorry to hear about your reaction to ibuprofen (hope they solve the problem)... good luck with the operation...

also, i noticed this while reading your post:
Join Date: Sep 2005
Posts: 666
 
Try using a cool mist humidifier in your house or apartment. I'd bet that the dry winter air is exascerbating the problem, and this may give you some relief. You might also try Aleve for a while instead of Advil, just to see if it makes any difference. But I think getting a blood test is also a good idea. I wish you luck.
 
Try using a cool mist humidifier in your house or apartment. I'd bet that the dry winter air is exascerbating the problem, and this may give you some relief. You might also try Aleve for a while instead of Advil, just to see if it makes any difference. But I think getting a blood test is also a good idea. I wish you luck.

I've had nosebleeds in the past as a result of dry air, but we got a new furnace. They cleaned the airducts and the air is now much more moist than before.

the 666 is weird! Didn't even notice that...
 
If i was going to cauterize my nose, i would rather have a doctor do it!

Apparently this runs in my mom's side of the family, as her and her brothers all had them as kids. Both brothers had their noses cauterized, and my mom almost had to. What's weird is that they were half-siblings, with the common parent being the mom. She must have carried the gene.
 
Ever since i was grade 4 till i was gr 10, and especially during gr 8+9 I had an average of *minimum* of 5 nosebleeds per week (thats a conservative estimate)... beat THAt. I dont get nosebleeds, much anymore, now *maybe* like once a month or 2.
 
Ever since i was grade 4 till i was gr 10, and especially during gr 8+9 I had an average of *minimum* of 5 nosebleeds per week (thats a conservative estimate)... beat THAt. I dont get nosebleeds, much anymore, now *maybe* like once a month or 2.

how much was coming out during the period when you had 4 or 5 a week
 
I am 32 years old and I still have nose bleeds occasionally. They were really bad from age 5 to about 16 and they got better but I still get them. I get them more now during the winter but still prone to the summer also. I know this is not much help and I hope you find the cause but after many doctors and specialists tried top diagnose the problem none could find the cure all. I just think some people are more prone to them.
 
aspirins thin the blood, if you read the pack it says that excessive bleeding is a side-effect of taking too much.

that doctor is ******** for not knowing that.
 
aspirin is different. NSAIDs and aspirin are both blockers of prostaglandins, but I'm pretty sure that there is a difference.


I didn't take the ibuprofen for the pain, i took it for the swelling. Popping aspirins at my age is fairly dangerous, as is any NSAID.
 
aspirin is different. NSAIDs and aspirin are both blockers of prostaglandins, but I'm pretty sure that there is a difference.


I didn't take the ibuprofen for the pain, i took it for the swelling. Popping aspirins at my age is fairly dangerous, as is any NSAID.


Ibuprofen is an NSAID which is believed to work through inhibition of cyclooxygenase (COX), thus inhibiting prostaglandin synthesis. There are at least 2 variants of cyclooxygenase (COX-1 and COX-2). Ibuprofen inhibits both COX-1 and COX-2. It appears that its analgesic, antipyretic, and anti-inflammatory activity are achieved principally through COX-2 inhibition; whereas COX-1 inhibition is responsible for its unwanted effects on platelet aggregation and the GI mucosa.

[edit]




from wikipedia.
 
Use of NSAIDs within normal (non-excessive) dosage for non excessive periods of time shoulde not cause a normal young healthy individual to have significant nosebleeds.

If is use is prolonged eg over 3months, that increases the likelyhood of nosebleeds.

Without getting all the info from you first, my diagnosis is likely to be wrong but I'd give it a shot anyways

The most likely cause of your problem is a bleeding nasal polyp which is compounded by the fact that your blood is thinned by using NSAIDs

Bloodwork would exclude a clotting problem - which is compounded by NSAIDS - in which case, you're likely to bleed elsewhere as well eg gut or tkae a long time to stop bleeding from cuts etc. You shoulde get the bloodwork done anyway

With your wrist sounds like you've got extensor carpi ulnaris tendonitis and subluxation dut to reubbing of the tendon over the ulna styloid

Good luck
 
I'm sorry to hear about your condition.

There are a few MD's in this board. One of them has given a reply (you cannot be serious), hopefully other MD's in this board like Ollinger & El Diablo will also give their opinions. After all, we all have one thing in common : We all love to play tennis. ;)


I wish you a fast recovery, pal.!!
 
Agree with some of the above analysis.

ibuprofen "poisons" the platelet. It is irreversible. Half life of platelet is about 14 days. Platelet aggregation dysfunction will last that long.

Do you have any other easy bruisibility problem? Paper cut stop bleeding quickly? Knee/ elbow bruised easily?

Your nose bleed with ibuprofen might not be truely correlated.
 
Agree with some of the above analysis.

ibuprofen "poisons" the platelet. It is irreversible. Half life of platelet is about 14 days. Platelet aggregation dysfunction will last that long.

Do you have any other easy bruisibility problem? Paper cut stop bleeding quickly? Knee/ elbow bruised easily?

Your nose bleed with ibuprofen might not be truely correlated.

1.No other easily bruised areas
2.Papercuts don't usually bleed, and if so they stop quickly.
3.Knees+elbows are fine.


appointment with a hand specialist next wednesday, wish it was sooner though. :-(
 
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