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I often wonder about that myself. One of my symptoms upon diagnosis was an incessantly bloody nose. My platelets were then around 10,000.
That being said, at my labs last week my platelets were 178,000, and I have had a slightly bloody nose for much of the winter. So has my friend who has no blood disease whatsoever. So a bloody nose in winter is common with normal platelets. My doctor told me some people have more blood vessels in the nose that make it prone to bleeding, especially in winter. I also bleed slightly when I floss my teeth, and he said that is for the same reason.
My thought would be whether it is bleeding significantly or just slightly. Either way, I wouldn't worry about being a hypochondriac, this challenging disease is enough to turn anyone into a hypochondriac. I'd call your doctor.
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Kevin, male age 45; dx SAA 02/2012 - Hgb 5.8, platelets 14, ANC 200, 1% cellularity. Received ATG 03/2012. As of 03/2015, significant improvement - Hgb 15, platelets 158, ANC fluctuates around 1000, Lymphocytes 620. Tapering cyclosporine. BMB 20-30% cellularity.
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