Vol. 5, Issue 12 (2019)
Clinical profile of patients of epistaxis: A Study in rajshahi medical college & hospital, Rajshahi, Bangladesh
Author(s): Muhammad Aminul Islam, Kumar Subrata Rajan Sarker, Md Mahmud Ali, Md Golam Rabbani
Abstract: Introduction: Epistaxis is one of the most common encountered otolaryngologicemergency and affects up to 60% of the population in their lifetime, of which 6% require medical attention. Thisstudy was done to find out the relationship between general diseases and the occurrence of epistaxis and to evaluate the methods required to manage bleeding from the nose. Objective: To assess the Clinical profile of patients of epistaxis. Materials and methods: Cases were taken for this study from various indoor and outpatient departments of ENT, Rajshahi Medical College and Hospital Bangladesh from October 2018 till September 2019. Detailed history, clinical information was noted for all patients. All included patients underwent investigations as ordered by their doctor, and relevant clinical examinations were performed. Data was analyzed using appropriate statistical methods. Results: In this study, maximum number of subjects had bleeding from both nares followed by leftand right nares respectively. Deviation to left was more common in this study with not much significant difference between the two sides. Tumors of nose (17.78%) were the most common associated disease in this study followed by hypertension (13.3%), diabetes mellitus was associated with 6.67% of subjects. 11.11% patients had nasal bone fracture and 11.11 % of patients had enlarged external framework of nose mainly due to nasal masses. Most commonly used modality was anterior nasal packing in 40% cases, followed by surgery in 35.56% cases. Conclusions: These results illustrate the relation of epistaxis with past medical history, duration of bleeding. More research is required to understand the management patterns in different geographicallocations.