I have asthma and nasal polyp, and some foul smell is coming from my nose and throat. Please help.

Patient's Query

Hello doctor,

I have allergic asthma and nasal polyp since the past year. I have seasonal asthma since my childhood, and during an endoscopy, they found a 7 mm polyp at the GE junction, which is benign. I am feeling fatigue, and some foul smell is coming from my throat and nose. My recent blood work report shows mild elevation in gamma globulin and absolute lymphocyte count. I am worried for the elevated gamma globulin. Is it due to something more serious?

Answer

Dr. Parth R Goswami

Hematology Pathology

Hi,

Welcome to the icliniq.com.

According to the history provided, you are having asthma and acid reflux disease.

To cure asthma, I suggest using Salmeterol and steroid combination inhaler. Here steroid component can lead to throat irritation and secondary throat infection, for example, candidiasis like a fungal infection. As a result, your mouth might smell bad, so do wash your mouth with water after using the inhaler.

Use Betadine mouthwash, before sleeping to maintain good oral hygiene. You should get the posterior pharynx examined by an ENT otolaryngologist.

Prolonged acid reflux can also lead to throat irritation, and secondary to it there might be foul smell from the mouth.

Absolute lymphocytosis can be considered as viral infection here, for which symptomatic management is done. If CBC report is not improved even after a week, then further workup needs to be done.

If acid reflux is not improving with medication, then fundoplication like surgical management can be done.

Platelet count is slightly low, and giant platelet is seen suggest towards the destruction of platelet, secondary to an infection. Gamma globulin level also seems increased here secondary to infection.