Nose bleeds or spotting from the nose can be a sign of dysfunction in the liver.

I'd be asking for copies of Liver Function Tests.

You should find out whether your erythrocyte sedimentation rate (ESR it's called here)/Sed rate is abnormal. ESR is often higher in people with autoimmune conditions, and lower for various others.

If you have a suspected inflammatory condition I'm sure your doctor would have done those before now. If not recently, ask for another. It should be a routine test under your circumstances.

I'd be concerned about taking daily Paracetamol if you are having nose bleeds. Paracetamol is metabolised in the liver.

P.S. Mat, you didn't have Rheumatic Fever as a child did you? Just wondering.