Hi, this inquiry is for Dr. Graf or Dr. Magnifico, both have seen my Blink for this mystery issue. Blink has had random nose bleeds on and off for about 6 months now and not really sure the cause. They are extremely intermittent and bleed from different parts of his nose (it’s never a lot of blood but enough to notice) He has no other symptoms and is behaving like his normal self although he does have sneezing fits sporadically. Him and his brother both have always had runny eyes etc. On 4/3, Dr. Graf recommended we start a steroid which we totally agreed to but truthfully we did not pick up because we were worried about the side effects and since the nose bleeds are so intermittent we thought we would watch and see. Today 4/21 was the first time we saw a nose bleed happen again (the last time was 3/27). I have included a picture. We just want to make sure we are doing the correct thing, is it still recommended for him to take the steroid?

One thing I realized that I didn’t mention before is that our neighbor is a heavy smoker (cigarettes) and not sure if this is contributing… we like to keep the windows open when it’s nice out so sometimes you can definitely smell it. Just wanted to add that detail as well.

Thanks!