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What to do for severe allergy symptoms and ear bleeding in a 19-year-old female?
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Ear, Nose & Throat Conditions
Question #30005
33 days ago
84

What to do for severe allergy symptoms and ear bleeding in a 19-year-old female? - #30005

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اسم المريضة: أنثى – العمر 19 سنة الأعراض: - حساسية شديدة عند التعرض للغبار. - عطاس قوي ومتكرر. - تهيج في الأنف والعينين والأذنين. - صداع بالرأس حصل مؤخرًا. - خروج كمية قليلة من الدم من الأذن. - يوجد شك من أحد الأطباء بوجود لحمية/لحميات في الأنف. الفحوصات: تم عمل CBC وكانت النتائج تشير إلى: - فقر دم خفيف إلى متوسط غالبًا بسبب نقص الحديد. - Hemoglobin Hb = 10.6 - انخفاض MCV و MCH مما يدعم احتمال نقص الحديد. ملاحظات: - الحساسية تزداد مع الغبار. - لا يوجد تأكيد نهائي للحميات الأنفية حتى الآن. - مطلوب تقييم تخصص أنف وأذن وحنجرة (ENT) وربما حساسية. الرجاء من الطبيب: - فحص الأنف والأذن والجيوب الأنفية. - التأكد من وجود لحمية أو حساسية مزمنة. - فحص سبب خروج الدم من الأذن. - تحديد العلاج المناسب للحساسية والاحتقان.

How long have you been experiencing these allergy symptoms?:

- More than 6 months

How often do you experience the nosebleeds?:

- Rarely

Have you noticed any specific triggers for your symptoms?:

- No clear triggers

How would you describe the severity of your headache?:

- Severe — debilitating

Have you experienced any other symptoms like fever or fatigue?:

- Yes, both

How is your appetite and energy level lately?:

- Very low energy

Have you had any previous treatments for allergies or nasal issues?:

- Prescription medications
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
33 days ago
5

Hello dear See as per clinical history it seems combination of chronic allergic sinusitis rhinitis Anemia iron deficiency predominantly There is presence of allergy due to Dust Pollen grains Blood allergy

I am suggesting some tests for confirmation Please share the result with ent surgeon in person for better clarity and for safety please donot take any medication without consulting the concerned physician Esr CBC Audiometry Otoscopy Microscopy Intradermal skin test RBS Ct scan of sinuses Patch test Immunoglobulin ratio test Blood allergy test Serum ferritin Hb Hemogram complete In addition Kindly avoid exposure to Dust Pollen Cold food Hopefully you recover soon Regards

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Looking at the symptoms and given medical history, it seems like there are multiple issues that need addressing. The severe allergy symptoms, including sneezing and nasal irritation, suggest an allergic rhinitis possibly exacerbated by environmental triggers like dust. Since there is suspicion of nasal polyps, visiting an ENT specialist is crucial. They can perform a thorough examination of your nasal passages and sinuses. Nasal polyps, if present, can exacerbate congestion and allergies, and an ENT can determine whether you need medical management or surgical intervention for them. The ear bleeding is more concerning and requires immediate attention. It might be unrelated to the allergies, particularly if it’s not linked to ear trauma. Bleeding can be a sign of middle ear infection or possibly something more serious; hence, an ENT should evaluate this as soon as possible. They will possibly perform an otoscopic exam and recommend imaging if necessary. In terms of managing allergies, antihistamines like loratadine or cetirizine can help reduce the symptoms. Intranasal corticosteroids (e.g., fluticasone) might be beneficial if there is significant nasal obstruction or inflammation. Addressing the anemia is also important. Since it appears to be iron deficiency anemia, increasing dietary iron intake and possibly starting an iron supplement can be helpful, but this should be done under healthcare supervision, especially to avoid complications or unnecessary supplementation. Follow-up with a healthcare provider to address both the ENT issues and allergy management plan will be critical for recovery and symptom relief.

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