Hi welcome to the health care magic In Rhinitis like nose mucosa infection condition crust and slough can lead nose bleed... For Rhinitis decongestant like antihistaminic drug prescribed... For nose bleed pinch nose with thumb and index finger to stop bleeding If bleeding severe than nasal packing needed As per your history if worm expelled from nose than maggots like Parasitic infection should be ruled out... For maggot If present chloroform water nasal irrigation or liquid paraffin use to kill them... Maintain nasal hygiene Hence consult otorhinolaryngologist for rhinoscopy nose examination and further work up accordingly to decide management plan Take care