Epistaxis

Local Causes continuing -

3.Anatomical deformities, such as DNS,septal spurs or Osler-Weber-Rendu Syndrome

4.Inflammatory reaction (eg. acute respiratory tract infections, chronic sinusitis, allergic rhinitis and environmental irritants.

5. Chronic granulomatous diseases like tuberculosis,lupas vulgaris , syphilis, leprosy, rhynoscleroma etc

6. Foreign bodies

7.Intranasal tumors (Nasopharyngeal carcinoma in adult, and nasopharyngeal angiofibroma in adolescent males)

8.Midline granulomas - wegeners and stauwarts granuloma

9.Nasal sprays, particularly prolonged or improper use of nasal steroids

10.Chemical inhalants like mercury and chromic acid fumes, cocaine snuff

11.Atmospheric changes such as sudden movement to high altitudes.