Dr. Muhammad Zubayer Alam
Pulmonology (Asthma Doctors)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 37-year-old female. I have CRSwNP and I am taking medications like nasal steroid drops and Cetirizine. This is a question just to seek some information on my level of risk. I have had CRSwNP since I was 23 years old. This is mostly controlled with Flixonase nasal drops. I have had allergy tests many times, and they always come back negative. The only slightly abnormal result in my blood test is my eosinophil count, which is always 0.5 x 10/L. I have a family history. My dad developed adult-onset asthma and nasal polyps when he was at the age of 40. Now that I am coming up to his age and have CRSwNP, I am wondering if I am likely to develop asthma, too. I know that we cannot read the future, but I suppose I wonder about having CRSwNP, am I predisposed to asthma? As in, am I at high risk? Or does having CRSwNP on its own not increase the risk of getting asthma? I have had CRSwNP for 14 years with no signs of asthma if it makes any difference. Please help.
Hi,
Welcome to icliniq.com.
I can understand your concern.
According to your statement, you have been suffering from chronic rhinosinusitis with nasal polyps (CRSwNP). You are now concerned about developing asthma in the near future. You also have a positive family history of asthma, as your dad had asthma. First of all, chronic rhinosinusitis with nasal polyps does not develop into asthma, but sinus infection may act as a triggering factor to cause asthma in the long run. It is just a possibility but not a confirmatory result. Similarly, a positive family history also acts as a possibility of developing asthma in the long run, but not confirmatory. At present, you are well controlled along with your symptoms. So do not be worried at all. Actually, no one predicts the future. So, it is not like your chronic rhinosinusitis with nasal polyps, along with a positive family history, will act as a triggering factor for developing asthma in the near future. Do not be worried at all. Just try to control your present symptoms like now, and that is all.
I hope I have answered your question.
Let me know if I can assist you further.
Take care.
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Pulmonology (Asthma Doctors)
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