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Q. What is the reason for frequent nose bleeds and patches of blood spots?

Answered by
Dr. Sadaf Mustafa
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 04, 2016 and last reviewed on: Feb 19, 2020

Hello doctor,

I have a few things and I am worried about that. I feel it could be connected. Firstly, I keep getting patches of blood spots on my body. They are not of huge in size, but still noticeable. I am also getting frequent nose bleeds for no apparent reason. I hardly ever got them before. Also severe night sweats. I have lost lot of weight in a short span of time. I am not exercising more than usual, but always feel tired. I am suffering with these symptoms for more than four to five months now. Please help.

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Hi,

Welcome to icliniq.com.

  • The constellation of symptoms that you shared with us today are concerning for multiple conditions.
  • The fact that you are having easy bruising and nose bleeding indicates that there might be deficiency of coagulation factors and or low platelet counts.
  • The fatigue can be either due to anemia or weak immune status.
  • The night sweats are also concerning for either chronic infectious process or blood disorders like leukemia and lymphoma.
  • Please be seen by a primary care physician at the earliest. If you do not have access to one; then I would highly suggest that you be seen in an urgent care center or ER (emergency room).

The Probable causes:

Leukemia, lymphoma, mycobacterial infections, myelodysplastic syndrome, chronic viral hepatitis and HIV (human immunodeficiency virus) infection.

Investigations to be done:

Little stock from basic laboratories; CBC (complete blood count), BMP (basic metabolic panel test), blood cultures and chest x-ray.

Treatment plan:

It would depend upon the laboratory results and imaging.

Regarding follow up:

For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician


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