How can I manage my sinus issues and nasal polyps at 44?

Question

Hello doctor,

I have been dealing with chronic sinus problems for over a year, and recently found out I have nasal polyps. My sense of smell is completely gone. I can not taste food anymore, and it is really depressing. The nasal congestion is constant, making it hard to breathe through my nose, especially at night.

I snore terribly now, and my wife has to sleep in another room. I have had multiple sinus infections that required antibiotics, but they keep coming back. The ENT specialist showed me the polyps on a scan and said they are blocking my nasal passages.

I am supposed to use a nasal spray, but it does not seem to be shrinking them. My job requires me to do presentations, and I sound stuffed up all the time. People keep asking if I have a cold.

The doctor mentioned surgery might be necessary if the sprays do not work. I am 44 and have never had sinus problems before this started. What causes nasal polyps to develop? Will surgery permanently fix this problem?

Kindly advise.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I am sorry to hear about the challenges you are facing because of your condition.

It seems you may be suffering from chronic rhinosinusitis with nasal polyps, which is often related to allergies and how your nasal passages react to them. This can happen due to allergies or when your nose overreacts to triggers such as dust, strong smells, pollution, or even weather changes. It can also be caused by hereditary factors, asthma, or even fungal infections. More information will be needed to determine the exact cause.

Since you have been having the constant nasal blockage for a long time, it can lead to symptoms like:

Headaches.
Facial pressure.
A stuffy or runny nose.
Poor sleep.
Fatigue.
Brain fog.

Along with this, some people may also experience a loss of smell or taste.

The good news is that this condition is completely treatable. With the right medications and treatment, you can significantly reduce your symptoms. Treatment usually involves nasal steroids and, if necessary, oral steroids. If oral steroids are not effective, surgery (functional endoscopic sinus surgery, FESS) may be considered. I recommend visiting a nearby ENT (ear, nose, and throat) specialist to discuss oral steroid therapy.

To further assess your condition, I suggest you undergo these investigations:

Fresh CT (computed tomography) scan of the nose and paranasal sinuses.
Serum IgE (immunoglobulin E) levels.
Chest X-ray.

I truly understand how frustrating and exhausting it must be to deal with constant nasal blockage, headaches, and lack of sleep. Your struggles are valid, and you are not alone. With proper care, things can improve, and I am here to support you every step of the way.

Please keep me updated on your investigation results so we can plan the next steps accordingly.

I hope this helps you.

Thank you.