What causes nosebleeds during periods in a 50-year-old woman in premenopause? - #54540

your wife’s symptoms (perimenopausal phase + brief nosebleed during menstruation) are usually understood as a Pitta aggravation with Rakta (blood) involvement, especially Rakta-Pitta tendency occurring along with Artava (menstrual) cycle disturbance. –Rx 1. Tab. Kamdudha Ras (plain) 1 tab BD after meals 2. Praval Pishti 125 mg BD with honey/ghee 3. Syp. Ashokarishta 15 ml + equal water BD after meals 4. Shatavari Churna 1 tsp HS with milk —Advice Take cooling diet (coconut water, pomegranate, milk) Avoid spicy, fried, heat-producing foods Keep body cool, avoid sun/heat exposure

This can be due to pitta aggravation and hormonal changes in premenopausal phase. Mild, short nose bleeding during periods is usually not serious, but if it repeats frequently, evaluation is needed. Ayurvedic treatment and dose Praval Pishti 125 mg twice daily after food Mukta Pishti 125 mg twice daily Kamdudha Ras 1 tablet twice daily after food Amalaki Churna 3 grams once daily in morning If bleeding occurs Put 2 drops of cow ghee in each nostril Diet Avoid spicy, sour, heat producing foods Take coconut water, amla, milk If bleeding becomes frequent or heavy, consult ENT doctor and do blood tests.