‘Severe’ nosebleeds could be sign of high blood pressure, experts say

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It is estimated around one in four adults in the UK has high blood pressure.

If you have high blood pressure – or hypertension – it means your heart has to work harder than usual to pump blood around the body.

Initially this might not cause any issues but over time it can put extra strain on certain organs leading to damage.

It is also a leading factor in a number of medical emergencies such as heart attacks and strokes.

In most cases, high blood pressure does not cause symptoms meaning it can go by undetected.

The British Heart Foundation (BHF) says: “High blood pressure rarely has noticeable symptoms.”

However, in some cases there can be some tell-tale signs.

The BHF lists nosebleeds as one indicator of high blood pressure.

This is a symptom that is hotly debated by health bodies, as research has been unable to prove how they are linked.

The Medical Associates of North Texas explains: “You’re not alone if you’ve heard that high blood pressure can cause nosebleeds.

“It’s a common assumption — but the topic is still debatable.

“While most experts believe that hypertension alone doesn’t cause nosebleeds unless your blood pressure is extremely high, it can damage the blood vessels inside your nose, making bleeding more likely.

“Some recent research has found that hypertension may increase your risk of more severe nosebleeds.”

What does research say?

One study, published in JAMA Otolaryngology Head and Neck Surgery in 2020, found that patients with high blood pressure had a 47 percent increased risk for nosebleeds.

As part of the research, 35,749 people with an average age 52 and high blood pressure were studied and compared to a group of the same amount of people without high blood pressure.

The team tracked spontaneous nosebleeds in each group which included nosebleeds not caused by trauma, surgery or disease and followed them over a period of 14 years.

As well as having a 47 percent increased risk for nosebleed, hypertensive participants experienced more “severe” bleeding..

They were also 2.7 times as likely to be treated in an emergency room.

According to the BHF, other signs of high blood pressure can include:

  • Blurred vision
  • Shortness of breath
  • Chest pain
  • Dizziness
  • Headaches.

If you think you have high blood pressure you should speak to your GP.

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