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Why do my nasal polyps keep coming back?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello, Doctor,

I am 53 years old and have dealt with nasal polyps for almost ten years. I have had surgery once already, but the congestion slowly returned, and now I am back to barely being able to breathe through my nose.

I recently heard about newer medications and started wondering, “What helped someone aged 53 finally breathe freely after years of nasal polyps?”

I am tired of constantly relying on nasal sprays that only seem to help for a short time. Sleeping has become difficult because I wake up with a dry mouth almost every morning. I am not sure if the only choice is another surgery or there is something better this time.

Please help me.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Based on your clinical history, it is completely evident that the nasal polyps have returned, but it is crucial to understand that they never just grow out of nowhere without a specific reason, as there must be a constant underlying trigger in your body.

Very often, this hidden cause turns out to be a chronic allergy, which keeps the mucous membranes in a state of continuous low-grade inflammation, explaining why the problem almost always returns after standard surgical removal.

Because the tissue lining stays constantly swollen and undergoes overgrowth due to daily contact with an unidentified allergen, I strongly recommend that you do not rush into another surgical procedure but instead check a simple blood test called total immunoglobulin E (IgE) before scheduling anything.

If this specific marker turns out to be elevated, it will provide direct laboratory proof of an allergic origin for your condition, and the next logical step before any operation should be running a comprehensive molecular Alex test.

This advanced diagnostic tool will pinpoint exactly which specific allergen your immune system is reacting to, allowing us to finally eliminate the actual root cause of the issue, initiate proper targeted medical therapy, and stop this cycle for good, rather than just repeatedly undergoing surgeries to remove the physical consequences while leaving the main trigger completely untreated.

I hope this helps.

Thank you and take care.

Regards.

Medically reviewed byiCliniq medical review team
Published At July 3, 2026
Reviewed AtJuly 3, 2026

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