How are nasal polyps managed?

Hi,

Welcome to icliniq.com.

I understand your concern.

According to your statement, you have been suffering from CrSwNP (chronic rhinosinusitis) grade one for the last 15 years. Medications are the first-line therapy for CrSwNP grade one. If your symptoms are well controlled while using medications, you do not need to go under any surgery. All books and articles regarding CrSwNP grade one also suggest that. In case of severe symptoms of CrSwNP, you can use steroids or corticosteroids orally, which will help reduce the size of your nasal polyps and allow you to breathe easier. According to many books, surgery is only needed when the nasal polyps are large in number, and it is tough to breathe without the surgery, which only makes the sinus opening bigger and helps to breathe easily. However, surgery cannot cure CrSwNP; it can only make the sinus opening bigger. Most importantly, nasal polyps can return after a few years, even after surgery. So, medications should be continued after surgery. Besides surgery, you can try to take corticosteroids orally along with your present using medications, rinse out nasal passages, inhale menthol mixed with warm water, vape, and avoid the triggers that make your symptoms worse. You should consult with two more ENT specialists and listen to their treatment protocol, whether surgery or medications. In America, 1 to 4 % of people and globally, 5 to 10 % of people are suffering from CrSwNP, and they are well controlled with their symptoms by using medications and the measures that I have already mentioned.

I hope this information will help you.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

First, you should know about turbinates. They are small parts of the nose that help to clear and humidify air that enters the lungs by passing through the nostrils. In the investigation films that are provided here, there is no mention of the size of your turbinates. After getting the measurements from those film's reports, I can tell you how enlarged your turbinate is. Turbinate is made of a lot of blood vessels. It can be enlarged from some factors like respiratory tract infection, common cold, inflammation due to any causes, some medications, pregnancy, idiopathic or unknown causes, etc. For prolonged nasal obstruction, turbinate reduction is a valuable option to reduce nasal blockage. Still, the success rate is 82 %, and in the rest of the cases, tissue can be grown around the turbinate, and all symptoms before turbinate reduction can be reoccurred again. CRSwNP (chronic rhinosinusitis) patients are more prone to develop asthma, or CRSwNP can aggravate the symptoms of asthma, but all the patients with CRSwNP will develop asthma in the long run. You have not yet found any allergens that can exacerbate CRSwNP, but your IgE level is still normal. So, you are still not vulnerable to developing asthma now. As you have a positive family history, so your CRSwNP could be developed as a familial or hereditary cause, as your father has a history of this disease. Otherwise, it can be idiopathic cause. Anxiety or overthinking can reduce your body's immunity, so stop worrying. I have mentioned some medications and measures; practice those routinely, and you will hopefully feel better.

I hope this information will help you.

Thanks.