Thanks En Bloc. I phoned the out of hours doctor last night. He asked me to describe the bleeding and was satisfied that it was most probably because I had ingested a lot of blood when the nose bleed went down my nasal passage when I was sleeping on my back with my mouth guard in to stop my jaw crunching.

I know this sounds a bit bizarre but my mouth and nose were caked in blood when I woke (yuck - sorry!)

He did ask me to come into the hospital this morning to get a full blood count taken but our car was out of action and anyway I don't think I am anaemic. I get nose bleeds quite often from the dry sores that seem to form in the top of my nostrils. I don't have polyps so I think this is Sjogrens as part of my RA/ autoimmune disease. But the doctor confirmed that Asprin could cause or significantly worsen a nose bleed. Of course if I had more blood in my stools I'd go straight to A&E/ ER as the doctor also told me to.

Thanks for explaining that Asprin stays in the body for a while. That is useful to know and probably explains why the gnawing stomach continues - like being hungry and nauseous at same time. The emergency doctor said I should ask my GP to send me for an endoscopy. After the awful lumbar puncture of three weeks ago I find the thought of another unpleasant procedure a bit daunting but I'll get over it if this horrible tummy problem continues!