My brother is 32 years old. He is suffering from a strange medical problem. For the last couple of years, he has been vomiting blood. The problem has worsened recently, with the blood coming from the nose and the mouth. This happens at least three to four times a week. Because of this problem, he has become really weak and has lost a lot of weight in the past six months. He also has a grade 3 hiatus hernia and PAN gastritis. We have seen many doctors to find out the root cause of his problem, but there was no luck. I had taken him to a gastroenterologist, who asked us to see a hematologist as he did not find any reasons for vomiting blood. After a few tests, the hematologist asked us to see an ENT and now we are visiting an ENT specialist. He has recommended septoplasty for his nose as he thinks that will solve the problem. Several tests, including CT scan of the chest, ultrasound and endoscopy of the abdomen, CT scan of the PNS (paranasal sinus), blood tests like PT (prothrombin time), PTT (partial thromboplastin time), fibrinogen, and factor XIII have been done in the past for this problem, but nothing came out. Currently, he is taking Nasomist nasal spray and Liquid Paraffin. I am still not convinced if the procedure recommended by the ENT doctor will cure the root cause of the problem. Please help.