Headache and Nosebleed

Patricia came to me panicked and frightened over a recent event.  She and her family just
came back from a vacation in Canada.  As they were at cruising altitude, she suddenly
developed a bloody nose.  It wasn’t a simple drip-drip.  Her nose was gushing and she was
“throwing clots for about 25 minutes”. She was afraid to fly back home.  Now that she was
home she had a headache for the last 2days.  Did she ever have problems with flying? No.  
Did she ever have nosebleeds? No.  Did she have a cold, where she was blowing her nose
excessively? No.  Did her allergies recently act up (nasal tissue tend to be friable and
delicate, susceptible to nosebleeds in allergic patients)?  No.  What happened recently?  Two
weeks ago, she “caught a table.”  She had immediate back pain and saw a chiropractor.  The
chiropractor “treated” her and she felt better.  On physical exam, her back was still in SPASM.  
She had a throbbing headache, sinus congestion and infection as well.  I started her on
antibiotics, treated her headache and back spasm, and gave her instructions on nasal care.  
She responded and has not been back for this problem.  (I still see her other family members,
and that is how I know she responded).  In this case, the chronic low grade spasm kept her
blood pressure wired, the sympathetic nervous system hyperactive.  When she reached high
altitude, the atmospheric pressure decreased, and the delicate nasal tissue ruptured.  As long
as she stays on land in the next week, she will be fine.  Over time the nasal tissues will heal,
her blood pressure will stabilize and she should be able to fly again without any problems.  
Total visits: 1

The approach to headache treatment is very simple: find the cause and treat the cause.

If it is caused by  -

high blood pressure - treat the high blood pressure; you will want to make sure that the HBP is
not caused by kidney disease, hormone secreting tumor, etc. (so your GP or internist should
do that work-up before calling it familial essential hypertension and putting you on pills).

caffeine withdrawl - put yourself back on a slower wean by using decaffeinated coffee or
regular tea first.

sleep deprivation - get some sleep; this is especially true for new moms.

tumors, aneurysms are other less common causes that need to be ruled out.

"migraines" are a more complicated type of headache; simply labeling a headache "migraine"
does not help in establishing the cause.

any headache associated with clicking jaw, neck pain, back pain are generally long standing
physical strains that are traumatically induced; a simplistic approach of taking pills to prevent
an attack (prophylaxis) or to stop one (abortive) does not address the
cause.  the whole body
needs to be treated in order to get sustained, long term recovery and to be eventually free of
pills, tests, pain, and yes, even us doctors.

Headaches should never, ever, ever, be treated by chiropractic 'cracking' of the neck or
back.  Never.  Never.  Ever.  I've seen too many people pay
dearly for these mistakes.  Never.
Here is another case of headaches from what I call "sympathetic overdrive."   This is one of
my most difficult and most interesting cases.  Very frequently, older women with chronic, out,
they get automatic cardiovascular and neurologic work-up.  The problem happens when all
testing is negative.  Where do they go?  How else would the find someone like me?  If early,
for them, it would have to be pure luck.  I tell Lynn all the time how lucky she was to have
found a doctor who was caring and intellectually honest enough to send her to me.
Dear Reader - since
I launched this page,
the traffic increased
dramatically. I have
to conclude that the
care out there for
nosebleeds is crap,
excuse my language
I suspect that all you
are offered by ENT
is chemical cautery
What I want for you is
for the tissue to

Curing Your Bleeds

Buy Normal Saline in
multiple handy 5ml
dispensers. I used
these little vials for 2
years. Had them in
my purse, car, by my
nightstand, in the
bathroom and at the
office.  Unfortunately,
I just can't tell you to
go out to the store
and buy it in this
form.  It is difficult to
find that even
can't get on
their own.  So I
decided to offer 2
service options.

1.buy directly from
me with generic
instructions for
healing the nasal
mucosa.  $25 send a
check to the office.

2.  write down your
problem and medical
history. you will get a
specific and  
personalized set of
instructions for your
case as well as the
instructions for the
use of the saline and
enough to do the job.
$50 send a check to
the office.
August 10, 2010
Apparently, traffic
continues to increase
which means that you
people are not getting
answers out there.

I don't know how else
to help you guys.