Epistaxis, active Double clip bleeding from the nose, is a common ear nose and throat emergency, and can be severe or even fatal.We report a severe life threatening recurrent massive nasal bleeding caused by intranasal heroin use that has not hitherto been reported in the English literature.A 24-year-old male who took heroin several times nasally presented with massive nasal bleeding.
A blood transfusion and an operation to halt nasal DULSE WHOLE bleeding were required.The patient did not experience a bleeding attack 2 months following cessation of nasal heroin use.