What is a recommended adjunct therapy to help manage symptoms in cases of anterior epistaxis?

In the management of anterior epistaxis, avoiding exercise and spicy foods is a recommended adjunct therapy. Engaging in exercise can increase blood flow and pressure in the nasal vessels, which could exacerbate bleeding. Spicy foods can also stimulate nasal secretions and increase the likelihood of irritation and bleeding. Therefore, advising a patient to avoid these activities can help reduce the risk of further bleeding episodes and support the healing process.

Topical decongestants, while sometimes used to reduce nasal congestion, should not be relied upon solely. They can dry out the nasal mucosa, potentially leading to further irritation. Tapering corticosteroids might be applicable in cases of underlying conditions causing chronic nasal inflammation, but it is not a direct intervention for an acute bleeding episode. Thus, avoiding exercise and spicy foods is the most appropriate and supportive measure to manage symptoms in cases of anterior epistaxis.