Nasal Polyps symptoms, causes and treatment

Nasal Polyps are pale, edematous masses inside nasal cavity, which are mucosal covered and commonly seen patients with asthma and allergic rhinitis.
Nasal polyps are benign inflammatory and hyperplastic outgrowths of the sinonasal mucosa.
Nasal polyps can cause nasal obstruction difficulty breathing with nose and diminished sense of smell.
In patients with asthma and nasal polyps, aspirin should be avoided, to prevent severe bronchospasm.
Exact cause of nasal polyps is not known but it is associated with aspirin sensitivity, allergy, rarely systemic vasculitis, and cystic fibrosis.
Nasal polyposis should be suspected in patients with progressive nasal obstruction, nasal and/or facial congestion, rhinorrhea, and decreased sense of smell.
Nasal polyps usually aren’t painful. But it can cause sinusitis which can cause face pain.
4 % of population have nasal polyps, but 40 % population will have nasal polyps at some point of life. It means this disease is extremely common.
Diagnosis
Nasal polyposis is a clinical diagnosis based on anterior rhinoscopy or a nasal endoscopic examination.
Treatment:
For patients with chronic rhinosinusitis with nasal polyposis, initial therapy with intranasal corticosteroids and nasal saline irrigations for approximately 2-3 months should be attempted. High-volume, low-pressure nasal saline irrigations are safe and non-expensive and increase the clearance of antigens, biofilms, and inflammatory mediators. Intranasal corticosteroids improve nasal congestion and decrease polyp size.

Another treatment option is surgery.
Surgery removes the anatomic obstruction and restores more normal mucosal drainage, but the underlying allergic etiology must be addressed. Topical nasal steroids and or topical antihistamines are a mainstay, together with formal allergic testing and targeted immunotherapy if available.
Surgical treatment is effective but Recurrence is common with severe disease recurring in around 5%–10% patients.
If a patient continues to be symptomatic despite the aforementioned strategies, oral corticosteroids are occasionally used. The mindful use of systemic steroids should be implemented to avoid unwanted side effects.
Antibiotics are typically used if there is evidence of an acute bacterial exacerbation. The role of antifungals in the treatment of nasal polyps is controversial.
Lastly, biologic drugs (monoclonal antibodies) can be used in refractory disease.
Intranasal corticosteroids such as budesonide, fluticasone propionate, and mometasone furoate have been shown to reduce polyp size. These should be used twice daily for several weeks before optimal effects can be appreciated. In contrast, for more severe disease, oral corticosteroids can be given; these should be provided in pulses and in a tapered way.
A research was done, with moderate Nasal Polyps mometasone furoate nasal spray with placebo for 16 weeks. They found a significant decrease in nasal congestion, polyp size, and improved quality of life. compared fluticasone propionate with placebo in 46 patients for 12 weeks in a randomized controlled trial. Polyp score and acoustic rhinometry improved significantly. Steroids have been shown to improve nasal breathing, improve symptoms of rhinitis, and reduce the size of NP along with the rate of recurrence.
In all patients the addition of simple saline nasal douching to help cleanse the nose prior to topical medications is beneficial.
These irrigations have been shown to improve nasal mucocilliary clearance measured by the saccharine test in both Nasal Polyp and healthy volunteers in an American study.
These are typically available over the counter in most pharmacies.
Antibiotics:
Based on the concept of S. aureus intraepithelial colonization, studies have been done to support the use of antibiotics along with corticosteroids to treat patients with Nasal Polyps. Recent studies have shown that oral doxycycline (200 mg on the first day, followed by 100 mg once daily) for 20 days has shown a significantly decreased Nasal Polyp size, reduced levels of myeloperoxidase, ECP, and matrix metalloproteinase 9 in nasal secretions

[drbibo]

Nice and informative video. Nasal polyps are common in people with respiratory conditions and can affect any age group.
Various home remedies can help reduce the symptoms and size of the nasal polyps. You can practice these remedies with the standard treatment prescribed by your doctor.
Cayenne pepper is known to reduce the inflammation and size of nasal polyps. You can drink tea or use a nasal spray containing cayenne pepper.
Using humidifiers will help reduce the symptoms of nasal polyps.
Inhaling essential oils like Eucalyptus, Peppermint or Tea tree oil may help reduce the pain and inflammation of the nasal polyps.

[voramuj]

CRSWNP can be treated without surgery.
In 2020 I had nasal surgery. I suspect my polyps are result of allergy since 2007.
But in 2021 polyps came back, Otolaryngology doctors suggested another surgery looking to my new CT.
But I have treated them without surgery in only 23 days… by hunger treatment. Full hunger, only herbal tea, some 2-3 tablespoons of olive oil once a day.

That’s it. I can share my CT before and after treatment

[apachinook]

I had nasal polyps removed without anesthesia, it was very painful and there was a lot of blood. My heart sank.

[chetanrawal]

Blocked nose wicch best nasal spray name tell me Daily using spray only name tell me 🙏😥

[imanimaverick]

I have sneezing as well and a constant runny nose! 😮

[JanethChavez-bm]

I have likw that. What is thw medicine 😢

[sheryskay]

My 3yr old has the ame swelling. Really scary and don't know what to do 😢

[vitaliscarey]

Well😢 apparently I'm living with Nasal polyp for the past 7 years now and hasn't been removed... Infact I really go through sinus traumas

[ChandaniBegam-puui]

I had done my surgery before 2year and now again I'm facing the same problem nasal polyps why ??

[chamutainamanda]

I have the same thing, how can I be healed

[mhv]

Where we can buy in India this nasal spray kindly guide medical name

[renobautista]

I have nasal polyps my bby pls how i treat

[jonathanbruce]

Your Great reward is in heaven Dr osaye, I'm sure you worked tirelessly throughout the years to put other first by providing mostly needed herbal supplements for the people©®

[khursheedaslam]

Can nasal polyps affects our brain memory and health?
I can't focus

[dejuanboclaire]

I had surgery twice and it keeps coming back, and getting tired of this crap.

[teteahauzel]

I got nasal polyp for 6 month i need a cure my doctor always giving me the same medicine he never talk about surgery how can i cure in my house within a week

[olaoluwaadebayo]

What's the name of nasal spray on your page

[girijans]

Due to Nasal Polyps, our nose looks big and black horizontal line on nose ???

[rayanreyes]

Where can buy in Philippines nasal polyps spray😭

[LaStOnE_leFt]

Hypothetically, what if someone snorted a lot of drugs in their life? Could that cause those? Asking for a friend 🤔😂