Bleeding from inside the nose is called epistaxis.Epistaxis is a sign and not a disease.

Causes of epistaxis:

They may be divided into:

  • Local,in nose or nasopharynx
  • General
  • Idiopathic

A.Local causes

  • Trauma.Finger nail trauma,injuries to nose ,intranasal surgery,fractures of middle third of face and base of skull,hard-blowing of nose,violent sneeze
  • Infections
  • Foreign bodies
  • Neoplasm of nose and paranasal sinuses
  • Atmospheric changes
  • Deviated nasal septum
  • Adenoiditis
  • Juvenile angiofibrima
  • Malignant tumours

B.General causes

  1. Cardiovascular system
  2. Disorders of blood and blood Vessels
  3. Liver disease
  4. Kidney disease
  5. Drugs
  6. Mediastinal compression
  7. Infections


Many times the causes of epistaxis is not clear.


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