Hello to all! I guess I knew many years ago because of the spots on my fingers, toes, lips and tongue as well as LOTS of nosebleeds that I had HHT after reading about it on the web. I've been blessed with a great dermatologist who uses a laser that has basically eliminated all the spots and bleeding on my lips and most on fingers and toes. I don't have my tongue done unless necessary because that's one spot that can really hurt! Because of the new laser the other areas don't really hurt when treated but the results are so much better than the old lasers.
I've had surgery on my nose because of the bleeds. It helped for a while but they came back rather soon. I do use Afrin on a kleenex, saturate the kleenex really well and then stick it up my nose (ugh!

) on the bleeding side which helps to stop the bleeding faster. Because of the nosebleeds my ENT sent me to Mayo Clinic in Rochester to have a complete workup.
I was shocked when the tests showed my liver was full of telangeiectasias and my lung had a very large PAVM. They used 11 coils in a surgery the next day. I never had any coughing up of blood or shortness of breath prior to the surgery so I didn't even know I had this! The surgery was easy-I was awake and just did the breathing they told me so that they could place the coils. They gave me some kind of "happy juice" so that there was no pain. I'm home now and was told to take it easy for 30 days and then I have to go back in 90 days for another check up. After that they said it would be necessary to come back every year for repeated scans and treatment as necessary. Need to eliminate alcohol to keep the liver in as good a condition as possible.
Of course now I want to have my 20 and 16 year old sons checked out as well as my 5 brothers and 2 sisters----none have shown any of the signs of HHT which is really surprising based on what I've read.
I really want to get back to normal life and being able to do physical exercise withouth working about the PAVM. Would love to talk/share with anyone else out there!