V Penum 500 mg/500 mg Injection

In last month I had blood bleeding from left nose continues six times average 40 mins. Each time I was admitted hospital they done nose packing for three days in three days I had blood drops from right nose two times. Fourth day they removed the packing and operated in the nose they informed me that I have small hole in my nose and they operated and closed finely I don't know why it is happened even they were not informed me I am using tablet for heigh blood pressure ( TRIOLMEZEST - 40 Olmesartan (40 mg), Amyloid pine (5 mg), Hydrochlorothiazide (12.5 mg)v) In last total moral month I had bp fluctuations ( 140/80 to 100/60) Now I am having met XL 50 & Thelma 40 for heigh bp I can know why this episode was happened