Xin Yanjun, who was waiting for the results of the urgent blood test, frowned. It was not a trauma. She wanted to call the otolaryngology doctor to come down. It seemed that the clinical evidence was not very tenable. If it is an intranasal disease such as nasal tumors or nasopharyngeal cancer, it is unlikely that you will come to the emergency room for a sudden large amount of nose bleeding. Instead, you will go to the outpatient clinic for a period of time with bloody nose.
"Do you have any ideas?"
Hearing Teacher Xin ask, Xie Wanying lowered her head and asked the patient a question: "When will your period come? Is it here now?"
Hearing the direction of the student¡¯s suspicion, Xin Yanjun immediately reacted and asked the patient¡¯s friend: ¡°Is her menstruation normal?¡±
"She mentioned before that she has had less menstruation recently, maybe because she is busy at work, and she wants to find some medicine to take care of it." The patient's friend remembered what the patient mentioned personally and said.
"So, during her abnormal menstrual period, she had nosebleeds, right?"
"She occasionally gets nosebleeds. She said it's normal. The climate here is relatively dry." The patient's friends said that they felt that the questions asked by the doctor were a bit confusing to them.
A group of medical staff wanted to glare at these people: I asked the patients if they had any symptoms of illness, and they insisted that they didn't.
Is it not a disease if you have had nosebleeds before?
In the common people¡¯s perception, they may not think that an occasional nosebleed is a disease.
Nose bleeding is very common among people. The climate in some cities is not good and relatively dry, which leads to dry nasal cavity. In addition, it is autumn, which is the season of dry weather. If the patient has bad habits such as picking his nose, it can often cause a small amount of nosebleeds. This small amount of nosebleed is not a problem and can stop on its own without medication or other measures.
Don¡¯t be afraid of a little nosebleed. The problem is that more than one place on your body sends out a signal for help. You can¡¯t call it just a little nosebleed.
¡°It can only be said that ordinary people have not learned systematic medical knowledge like doctors. When thinking about a patient¡¯s physical abnormality, they must combine all the symptoms of the patient¡¯s body to make a judgment. The human body is a whole and cannot be divided into parts when judging diseases. Some diseases often cause symptoms that seem to have nothing to do with the cause.
"What? Is her nose bleeding related to her menstruation?" The patient's friend heard what the doctor meant and asked in surprise.
It is unheard of that a girl¡¯s menstruation has anything to do with nosebleeds.
It really does matter, it¡¯s a big deal.
There is a medical term called compensatory menstruation, and some people call it ectopic menstruation, which refers to periodic non-uterine bleeding similar to menstruation.
The medical terms need to be broken down and analyzed. First of all, the periodicity of this kind of bleeding is synchronized with menstruation. It may appear before menstruation or during menstruation.
Secondly, if the site of occurrence is not in the uterus, it is called non-uterine bleeding. So where does it occur? It occurs in the nasal mucosa, external auditory canal, breast, gastrointestinal tract, bladder and other places.
So strange? Why is it not bleeding in the uterus but bleeding in these places? A disease has multiple causes that require detailed analysis.
Let me start by saying that the most common symptom of this kind of patient is nose bleeding, which can account for one-third of the cases.
Where does compensatory menstrual epistaxis come from? Let¡¯s talk about relevant anatomy knowledge first. The main site of epistaxis is the front and lower part of the nasal septum, where there is a rich capillary network. Small blood vessels are fragile and bleed easily. It happens that the epithelial cells here are very sensitive to estrogen and can be affected and stimulated by estrogen, causing it to undergo periodic congestion and swelling like the endometrium. Once estrogen levels plummet, cyclic bleeding may occur like in the uterus. (Remember the website address: www.hlnovel.com