Chapter 1227 [1227] The Medical History Is Ambiguous

Xin Yanjun, who was waiting for the results of the urgent blood test, frowned. It was not a traumatic injury, and she wanted to call the ENT doctor down. It seemed that the clinical evidence was not valid. If it is an intranasal disease such as nasal tumor and nasopharyngeal carcinoma, it is unlikely that a large amount of nosebleed will come to the emergency department, but a bloody nose with a period of time will go to the outpatient clinic.

"Do you have any ideas?"

Hearing Teacher Xin's question, Xie Wanying lowered her head and asked the patient a question: "When did your period come? Is it coming now?"

Hearing the student's suspicious direction, Xin Yanjun immediately reacted and asked the patient's friend: "Is her menstruation normal?"

"She mentioned before that she had less menstruation recently, which may be due to her busy work, and she wanted to find some medicine to take care of it." The patient's friend remembered the incident mentioned by the patient himself and said.

"So, during her abnormal menstruation, she had a nosebleed, didn't she?"

"She has occasional nosebleeds. She said it's normal, and the climate here is relatively dry." The patient's friend said that they felt a little puzzled by the questions the doctor asked.

A group of medical staff wanted to stare at these people: I asked if there were any symptoms of the patient's illness, and insisted that there was no.

Have you had nosebleeds before? Isn't it sick?

In the common people's cognition, they may really not think that an occasional nosebleed is a disease.

Nosebleeds are very common in the population. Some cities have a bad climate and are relatively dry, which leads to dry nasal cavity. In addition, it is autumn now, which belongs to the season of dry weather and dry things. If the patient himself has bad habits such as picking his nose, it can often cause a small amount of epistaxis. This kind of small nosebleed is not a problem, and it can be stopped by itself without medication and other measures.

A little nosebleed is nothing to be afraid of. The problem is that more than one place on your body sends out a signal for help. It cannot be called just a little nosebleed at all.

It can only be said that ordinary people are not like doctors who have learned systematic medical knowledge. When thinking about the abnormality of a patient's body, they must combine all the symptoms of the patient's body to judge. The human body is a whole, and the judgment of disease cannot be divided. For some diseases, the symptoms caused often seem to have nothing to do with the cause.

"What? Is her nosebleed related to her menstruation?" The patient's friend heard the doctor's meaning and asked in surprise.

It is unheard of before, what relationship can a girl's menstruation have with nosebleeds?

It really matters, the relationship is quite big.

There is a term in medicine called compensatory menstruation, and some people call it ectopic menstruation, which refers to periodic non-uterine bleeding similar to menstruation.

Medical terms need to be dismembered and analyzed. First of all, the periodicity of this bleeding is synchronized with menstruation. It may appear before menstruation or during menstruation.

Secondly, the site of occurrence is not in the uterus, so it is called non-uterine bleeding. So where did it happen? It happened in the nasal mucosa, external auditory canal, breast, gastrointestinal tract, bladder and other places.

so weird? Why didn't he bleed in the uterus, and he went to these places to bleed? A disease has multiple etiologies that require detailed analysis.

First of all, the most common symptom of this patient is epistaxis, which can account for one-third of the number of cases.

How does compensatory menstrual nosebleed come from? Let me talk about the relevant anatomical knowledge first. The main part of epistaxis is the front and lower part of the nasal septum, where there is a rich network of capillaries. 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 periodic congestion and swelling like the endometrium. Once estrogen levels plummet, it may appear like periodic uterine bleeding.