The goal of this pilot randomized controlled trial is to compare pain relief efficacy while using nasal packing versus greater palatine foramen block (GPFB) in the management of acute episodes of epistaxis. The main questions it aims to answer are: Does GPFB have less potential to inflict pain when dealing with hemostasis with epistaxis, utilizing a pre-validated 10-point visual analog scale (VAS)? Was hemostasis management more effective in either technique? Researchers will compare anterior nasal packing to greater palatine foramen block using 2% xylocaine with adrenaline.
Patients will receive any of the hemostatic interventions at the time of the acute epistaxis episode.
The questionnaire will be administered 24 hours post-intervention.
Presentation with active anterior epistaxis
Failure of initial conservative measures (e.g., nasal compression and topical vasoconstrictors)
Ability to provide informed consent and those who consent for the study.
Suspected or confirmed posterior epistaxis
Known bleeding disorders or platelet count <50,000/mm³
Use of anticoagulants with supratherapeutic INR
Known allergy to local anaesthetic agents