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Epistaxis has been referred to as the albatross of otolaryngology. It is considered a significant and common problem. The aim of this study is to describe the demographic characteristics of epistaxis in Tikrit city. A prospective study was conducted in otolaryngological department during 12 months period from September 2007 to September 2008. Age, sex, cause of bleeding, treatment and result were noted. During the study period 85 patients were managed in otolaryngological department. Out of 85 patients, 44 male (51.7%) and 41 female (48.2%). The most common cause of epistaxis was idiopathic (44.7%) followed by trauma (31.7%). Hypertension was found as the first systemic cause followed by hematological disorder. Seventy patients (82.3%) had anterior bleeding and three patients (3.5%) had posterior bleeding. Chemical cautary is the most common type of treatment followed by medical treatment. Epistaxis is commonest ear nose throat emergency; affect all ages groups and both sexes. The most common cause is idiopathic followed by trauma. Anterior bleeding is more common than posterior bleeding. All cases responded to conservative measures.