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Corticosteroid Nasal Spray Caused Nosebleeds

When I read the article, I was really glad that I didn't feel alone. There isn't much information about this on the internet. There is not even a directly written article. A few weeks ago I had an upper respiratory infection and it lasted exactly 1 month. It may have contributed to the fact that I blew my nose a lot during this time, but after I recovered, intense bleeding started in the part of my nose where I had a curvature. The doctor burned both sides of my nose with silver nitrate (a chemical used for cauterization) and said that this was excessive bleeding. Blood is flowing from my nose like a kickboxer who has been in the ring 4-5 times during the day. After the burn, he told me I should stop using steroid spray, that it was the number one cause of my nosebleeds. However, I have been using this spray regularly for 3 years and I have never experienced such a situation until now! He sent me montelukast and antihistamine pills, but I stopped using these drugs a long time ago because my body could not tolerate them. It doesn't work anyway because I have asthma and vasomotor rhinitis. I was diagnosed with non-allergic asthma 3 years ago. After my nose healed from the cauterization, I started using the spray again and my nosebleeds returned to normal. Unfortunately, I have no other options to prevent my runny nose and I have to use fluticasone propionate. However, after reading your article, I will try using beclametasone. In conclusion: Although it is not known exactly whether I cracked my capillaries due to the infection I had or due to the spray, if there is a known fact, it is that my fluticasone propionate spray greatly increases/causes epistaxis.

  1. I hear you. I don't use steroid spray but am actually dealing with many nosebleeds as well. The blood vessels in there are so fragile on a good day, and medications like steroids do have an impact on that. Are you considering another cauterization? I have been looking into it for the first time and probably should have gone a long time ago. Also, do you use saline spray or gel, and a humidifier to help keep your sinuses moist? All the best to you. -Melissa, team member

    1. Hello Melissa. My medical history during this process is quite complicated and long. I wish I could explain it in more detail, but I tried to keep it as short as possible. I will be seeing another ENT specialist in the next few days and a few things have changed since my last post. (unfortunately in a negative sense) I do not dare to use anything without getting an expert opinion because of my complex nasal wounds that are currently spreading due to cauterization. I will write here to update again after my doctor's appointment. Best regards

      1. That definitely sounds like a complicated situation. I hope you are in the best care possible ... please don't feel like you have to update us if you're just not feeling like unpacking it all. Medical stuff is exhausting. Just know that you have support here from us if you want it! Be well. -Melissa, team member

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