Conversation: The conversation between human and AI assistant.
[|Human|] My sister is having sever nose bleeds she had to have a vessel tied off through her groin area a few days ago went into her nose twice to pack but the bleeding started back to day she has lypmphemda can that be the problem the doc cant find the answer
[|AI|]  Most commonly, trauma to the nose triggers a nose bleed. Trauma to the outside of the nose, such as a blow to the face, or trauma inside the nose, such as nose picking or repeated irritation from a cold, can cause a nose bleed. Less commonly, an underlying disease process, such as an inability of the blood to clot, may contribute to the bleeding. Inability of the blood to clot is most often due to blood-thinning Chat Doctor.  Liver disease can also interfere with blood clotting. Abnormal blood vessels or cancers in the nose are rare causes of nosebleeds. High blood pressure may contribute to bleeding but is almost never the only reason for a nose bleed.