Hello I am concerned about a young lady age 23 years old. She lives in Africa and she is bleeding from her mouth, ears, nose and her breast nipples. Some of the doctors there are not sure of what is going on, and the others just dont have the equipment to figure out what it could be. What could I possibly tell them?
Hi, It will be sheer guessing to diagnose coagulopathy with too little information you provided because bleeding from multiple sites can be caused by a number of diseases. However, in my opinion, it could be a bleeding disorder related to structural or functional abnormality of platelets or a vasculitis disease.  Simple and inexpensive tests like bleeding time, clotting time, platelet counts can throw some light into the diagnosis.  As some of them are highly reversible causes, it is suggested that a diagnosis be made early to save her life before anemia or internal bleeding takes toll. My wishes for her recovery are with her.