Objective: To determine the frequency of hypertension in patients presenting with epistaxis in ENT department, Nishtar Hospital, Multan. Material and methods: The present study carried out in the Department of ENT, Nishtar Hospital, Multan during the period from March 2011 to September 2011. A total of 105 cases were calculated with 95% confidence level, 8% margin of error and taking expected percentage of Hypertension i.e. 22.36% in patients presenting with epistaxis. Results: 105 patients with history of recurrent epistaxis were included in study, mean age was e45.89 +/- 5.90 years in cases, sixty three were males (60%) and forty two (40%) were famales (M:F=1.5:1) with Forty (38.09%) out of one hundred and five were found to have hypertension. Conclusion: Hypertension is common in epistaxis.