I am a 25-year old male who just underwent endoscopic sinus surgery and before this I was really healthy. I weigh 110 pounds and regularly participated in physical fitness activities. After this surgery, I had several bleeding episodes within a three-week period. All of them seemed to stop after a few minutes, but the one I experienced last week did not.

Instead, this nosebleed continued on and off for about three hours, bleeding profusely at times. My fiancee and I could not get it to stop, so we called an ambulance to go to the emergency room.

Once we were at the emergency room, the nurses took a blood pressure reading and it was 47/53 for at least an hour and a half. Then, after a bolus (large amount of fluids) were delivered intravenously, my blood pressure rose to about 92/60.

My fiancee thinks the earlier blood pressure of 47/53 was quite dangerous and almost life-threatening, however, I think she is overreacting. What do you think? Please give feedback and if possible provide support for your response. This is just for my own information.

Thank you.
Aaron

blood pressure that low cwrtainly is life threatening and your girlfriend is right to be worried.......go get that checked out it could hav ebeen due to the heavy nose blled ...now as to the nose bleed there are tw otypes of those::: one is lower end nose bleeds which are more common ..and upper septum nose bleeds, Bleeding begins high within the nose and blood flows down the back of the mouth and throat even when the person is sitting up or standing. These nose bleeds can be very serious and do require urgent medical attention.
Causes of upper septum nose bleeds


High blood pressure

Disease of the arteries such as atherosclerosis

Side effects of medications and drugs such as aspirin, cocaine

Bleeding disorders

Nasal tumors, cancerous and non-cancerous

Serious trauma such as a displaced broken nose from car crashes, falls etc

Leukemia

Osler-Weber-Rendu syndrome, a hereditary disease where a growth like a birth mark is located in the nose.

Infection

Nose bleeds can occur for no apparent reason....go to your doctor andf ind out if this has to do w/the surgery you had ... as for the lbp.....monitor regularly and make sure it doesn't go that low again....the numbers you gave are really low and most definetely req imm attention however , this could have been a once in a ....deal ....once my sisters bp went really low ans it never ever happened again ..so good luck and take care ..lorena

Aaron (Is that a girl's name:confused: ),

There are few medical emergencies as dire as an extremely low blood pressure accompanied by severe bleeding. The indication is that you are close to losing a potentially fatal amount of blood.

After they staunched the bleeding, did they find an anemia from the blood loss?

What did they do with your nose at the E/R? Cauterize the bleeding artery?

No, Aaron is a guy's name...but I was using my fiancee's account. She's into this health stuff and already had a log-in. Anyway, yes, they found that I was anemic with a hematocrit of 26 and, according to the normal reference ranges, it should be at least 40.

Yes, the ENT Physician did cauterize the vessel and I was hospitalized for two days with packing inside my nose. He said the only explanation for the bleeding was a combination of the fact that earlier that week I had been given permission to take Advil and to blow my nose. Both of these things could have caused or lead to the bleeding.

I was arguing with my fiancee about whether this blood pressure was really serious. She said it was and I did not think I was in that serious of a condition. Maybe I did not take this seriously enough. What are your thoughts on this?

If that BP was something you only experienced in the ER due to massive blood loss, why worry? Massive blood loss is always a bad thing.

My boyfriend cut off a few fingers and pegged an 60/80 and they did the same things, stop the blood loss and give lots of fluids (note that they sewed the fingers back on and all works fine).

BP's registered in the ER while you are going through some other trauma shouldn't be viewed as "normal". After all, that's why you're in the ER.

So if the query is a bet between you and the girlfriend on how bad off you were, say "yes, I nearly died". Might get some pity perks from the girlfriend. :-)

If you're worried, check your BP regularly to see if you stay normal.