Another common symptom that can be a sign of hypertension is a pulsing headache. If you experience a headache in addition to your nosebleed, this could be a sign of a hypertensive crisis. This headache may feel like a migraine, but will not react to migraine treatments or pain medication. It will, however, be sensitive to light and smells, cause visual changes, and may get worse when you move or change positions. While degrees of pain and specific symptoms vary, it will typically feel as though you can hear your pulse. This is due to the increase in pressure caused by the hypertension.
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