Pregnancy - #9794

Patient Name: Harman Age: 25 years Gravida: G2 (Second Pregnancy) Gestational Age: 26 Weeks Date: 12-April-2025 Chronic Illnesses: None reported Chief Concern: Mild nosebleeds during the 26th week of pregnancy. Concerned if this is normal and whether any other changes should be expected in this stage. Clinical Impression: At 26 weeks of pregnancy, several physiological changes occur in the body due to increased blood volume and hormonal influence. Mild nosebleeds (epistaxis) are common and usually harmless in pregnancy, especially in the second and third trimesters. This happens due to: Increased blood flow and vessel sensitivity – Pregnancy hormones like estrogen and progesterone increase blood flow to mucous membranes, making nasal blood vessels more fragile. Dry nasal passages – Often caused by weather changes, air conditioning, or dehydration, which can worsen nosebleeds. Minor trauma – Like nose picking or blowing the nose too hard. Advice and Reassurance: Stay hydrated – Drink plenty of water to keep mucous membranes moist. Use a saline nasal spray – Keeps nasal passages moist and reduces dryness-related bleeding. Humidifier at night – Helps prevent dryness from indoor air. Avoid blowing nose forcefully or picking nose. Cold compress on the nose bridge during bleeding episodes helps constrict vessels. Sleep in a slightly elevated position to reduce nasal pressure. Warning Signs (When to Seek Medical Attention): Frequent or heavy nosebleeds Bleeding that doesn’t stop after 10–15 minutes of applying pressure Bleeding with high blood pressure, dizziness, or vision changes Any signs of anemia (excessive tiredness, pale skin, breathlessness) Other Common Changes at 26 Weeks: Baby's movements become more regular and stronger Backache or pelvic discomfort Leg cramps or mild swelling in feet Increased heartburn or constipation Emotional mood swings or vivid dreams Next Steps: Continue prenatal vitamins (Iron, Calcium, Folic Acid) Maintain left-side sleeping position Monitor fetal movements daily Attend regular antenatal check-ups Optional: Blood pressure check and hemoglobin level (to rule out anemia if bleeding is frequent) You are doing great. Don’t worry mild bleeding is normal. Please rate and review. For consultation do reach me. Dr Shayeque Reza MD 9800280276