Can frequent nosebleeds be a sign of iron deficiency?

Doctor's Answers 1

The most common causes of nosebleeds are dryness of the nasal mucosa and nose picking. Interestingly, what doctors notice is that people tend to pick their nose more frequently when mucus in the nose is dry and crusty. Frequent nosebleeds may indicate a more serious problem. Patients with leukaemia, for instance, may present with nosebleeds and bruising. Some people may have frequent nosebleeds if they have low blood platelets or a blood clotting disorder. Nosebleeds can also be a sign of a nasal tumour.

Iron is a mineral that is important not only to all the cells in our body, but it is especially important to red blood cells. Red blood cells make haemoglobin, which carries oxygen to the tissues in our bodies. Iron levels are 40-150 ug/dL (female) and 50-160 ug/dL (male). However, it is important to realise that normal values may vary from laboratory to laboratory. Iron deficiency anaemia occurs when there is a lack of iron in the body, causing primarily a low haemoglobin concentration.

The most common cause of iron deficiency is bleeding or blood loss, usually from the gastrointestinal tract. Other causes include a lack of iron in the diet or changes in a woman’s body due to pregnancy.

People who bruise or bleed easily, and develop anaemia, may have problems with how their blood clots. If a person notices that he tends to bruise or bleed easily, it is important to seek medical attention. The person may have an underlying problem with platelets or a blood clotting disorder. Some would notice tiny red dots on the skin, called petechiae (pe-TEEK- ee-ay). These are commonly found on the lower legs. Petechiae is a sign of low platelets and the doctor would need to consider many possible causes.

Similar Questions

Should I be concerned if my 4 year old has a dry cough and frequent nosebleeds?

I see many children who have the same symptoms as your 4 year old! In 90 per cent of the cases, there is an allergic reaction to something in the air that your child is breathing in all night long and in the house. He thus is likely to sneeze, have some nose block or itchy nose at night and in the morning. He may dig or rub his nose more often, or unconsciously at night, thus get the nose bleeds. There is a blood vessel that ends really close to the entry of the nostrils, easily traumatised by tiny fingers or if tissue is stuck up the nose to stop the bleed.

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Is nosebleeds in children a sign of something serious?

Nosebleeds are quite common in children. We see many children at our clinic with this problem and sometimes, it is related to hayfever with recurrent sneezing irritating the delicate lining of the nose, the prolonged use of nasal steroid sprays or simple digging of the nose. The most common source of the nosebleed is usually the tiny blood vessels at the front part of the nose, as they run close to the surface of the skin and are easily injured.

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Dr Annabelle Leong

ENT Doctor

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