A Case Study of Recurrent Epistaxis Associated with Chronic Sinusitis and Deviated Nasal Septum in an Elderly Female

Recurrent epistaxis in elderly patients poses a significant clinical challenge due to its multifactorial etiology and tendency for recurrence despite conventional interventions. This article presents a case of a 62-year-old female suffering from profuse, dark red nasal bleeding for three months, associated with chronic sinusitis, left-sided deviated nasal septum, dyspnoea, and marked anxiety. The patient required repeated hospital admissions, with temporary control of bleeding followed by early relapse. Systemic parameters revealed a normal blood pressure with a persistently raised pulse rate during bleeding episodes. A homoeopathic approach was adopted based on the totality of symptoms, emphasizing physical generals, mental state, and characteristic desires. Ferrum Picricum was selected due to its well-documented affinity for hemorrhagic conditions, venous congestion, and nervous excitability. Following individualized treatment, a marked reduction in frequency, intensity, and duration of epistaxis was observed, along with improvement in respiratory comfort and anxiety levels. This case suggests a potential role for Ferrum Picricum in recurrent epistaxis with associated sinus pathology.