Hereditary Hemorrhagic Telangiectasia (HHT) also known as Osler Weber Rendu syndrome is a rare autosomal dominant genetic disorder that causes aberrant vasculogenesis in the skin, mucus membranes and major organs such as lungs, gastrointestinal tract, liver and brain. A 48 years old gentleman presented to our tertiary care hospital with complaints of recurrent episodes of epistaxis for the past 30 years. Epistaxis occurs on and off for the past 30 years at varying frequencies between 1 - 2 episodes per week, approximately 10 - 15 drops from both nostrils, occurring predominantly on straining, resolving spontaneously. There was no history of trauma and bleeding episodes were not associated with nose picking. Patient presented to us with history of one episode of melena and haematemesis associated with easy fatigability.