Key points

  1. Chronic epistaxis can significantly impair quality of life for its sufferers
  2. Hereditary haemorrhagic telangiectasia is a rare but serious form of chronic epistaxis
  3. There is good evidence for the use of symptom diaries in chronic disease; improving patient outcomes and increasing sense of ownership over one’s illness.
  4. The use of a symptom diary for chronic epistaxis can improve patient outcomes and experiences, both physically and psychosocially.
  5. We recommend all patients with chronic epistaxis and HHT keep a symptom diary with a format similar to xxx’s