A member asked:

I have a bleeding nose following chemotherapy. whatshould i do?

21 doctors weighed in across 4 answers

Check platelets, NOW: I am not an oncologist but my wife has beat 2 cancers: gbm (brain) and AML (leukemia) and had a stem-cell transplant: she is still going!. A bloody nose could be 'just a bloody nose' due to trauma, 'dry air' etc... But a very low platelet count can be the cause and this needs to be checked very soon. You may need a 'round' of platelet transfusions to restore platelet count to a more safe level.

Answered 10/4/2016

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Dr. Michael Thompson answered

Specializes in Hematology and Oncology

Check plt count: Epistaxis (nose bleeding) after chemotherapy may be from the usual sources (picking, dry air) or from platelet dysfunction (normal number abnormal quality). Howevever, the first thing to check is platelet number. May need a transfusion if too low.

Answered 11/5/2014

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Dr. Sanford Archer answered

Specializes in ENT and Head and Neck Surgery

Hydrate & lubricate: Your nasal membranes are probably very dry & now irritated. Drink lots of decaffeinated beverages and lubricate your nose every 2 - 3 hours with vaseline jelly. You can also use a warm mist vaporizer in the bedroom. If it persists, you may need to visit an ENT doctor for an exam.

Answered 10/23/2017

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Dr. Liawaty Ho answered

Specializes in Hematology and Oncology

R/o low platelet: Check your blood count. If your platelet too low may need platelet transfusion. Cancer treatment like Avastin (bevacizumab) can give you bloody nose, which is one of the most common side effect. Applying pressure to the nose to stop bleeding. Avoid trauma ( nose picking, blowing nose ), get humidifier may help.

Answered 6/24/2014

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