What does it mean when there is blood in a pregnant woman's nasal discharge?

Apr 10, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Blood in nasal discharge during pregnancy may result from dry air, prolonged lack of hydration, or nasal mucosal damage caused by blowing the nose, which requires no treatment and can be improved by drinking more water. It could also be due to allergic inflammatory reactions of the nasal mucosa triggered by inhaling allergens, which can be alleviated by rinsing the nasal cavity with physiological seawater saline. Additionally, it might be caused by capillary compression from nasal polyps, which can be improved with triamcinolone acetonide nasal spray.

In general, blood in a pregnant woman's nasal mucus may result from physiological factors or pathological conditions such as allergic rhinitis or nasal polyps. The details are as follows:

1. Physiological Factors

If a pregnant woman stays in a dry environment or fails to drink enough water for an extended period, the nasal mucosa may become excessively dry. This can lead to mucosal damage and bleeding when blowing the nose forcefully. Usually, no special treatment is required; symptoms can be improved by increasing fluid intake.

2. Pathological Factors

1) Allergic Rhinitis

When a pregnant woman inhales allergens such as dust or pollen, the nasal mucosa may develop an allergic inflammatory reaction. Symptoms can be controlled by rinsing the nasal cavity with physiological saline solution to remove retained allergens.

2) Nasal Polyps

If a pregnant woman has nasal polyps, the polyps may compress capillaries, leading to rupture of nasal capillaries and bleeding. Under medical guidance, topical treatments such as triamcinolone acetonide nasal spray, fluticasone nasal spray, or budesonide nasal spray may be used to alleviate symptoms. If the polyp is large, surgical removal should be delayed until after delivery.

In addition, a deviated nasal septum could also be a cause. If symptoms persist without improvement, prompt medical evaluation is recommended.


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