In general, nasal polyps are quite common, and anyone can develop them, though they tend to most frequently appear when a person is in their 30s and 40s. One-sided nasal polyps typically trigger further investigation, as they may be malignant nasal or sinus tumors. A CT scan or MRI scan page may be necessary to determine the exact size and location of the polyp. Scans can also reveal whether the polyp deformed the bone in the area. This can also rule out other kinds of growths that may be more medically serious, such as structural deformities or cancerous growths.
In 2019, the Food and Drug Administration (FDA) approved Dupixent (dupilumab) for treatment of rhinosinusitis with nasal polyps. Nasal polyps vary in size, and small polyps may not cause symptoms. Larger polyps may block the nasal passages, cause symptoms, and lead to a sinus infection.
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An oral or injectable steroid, such as prednisone, may be an option if nasal sprays don’t work. These aren’t a long-term solution due to their serious side effects, including fluid retention, increased blood pressure, and elevated pressure in the eyes. Nasal congestion that doesn’t seem to stop, even with over-the-counter cold or allergy medication, may be due to nasal polyps.
Polyps that are farther up in the nasal passages or in your sinuses can’t be seen during a basic medical exam. Your doctor will likely refer you to a specialist, such as an otolaryngologist, also called an ENT (ear, nose, and throat) doctor. The best therapy for nasal polyps usually involves the use of surgical therapies followed by medical therapies, as this approach helps reduce the chance that the polyps will grow back. Patients that meet the criteria of CRS should always receive an endoscopic exam in the clinic.
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Continued treatment with nasal steroid sprays or oral corticosteroids may lower your resistance to sinus infections. Therefore, it is always important to start patients on intranasal corticosteroids and nasal saline irrigations, assess compliance, and follow their improvement. One important remark towards patient education is adherence to treatment.
A diagnosis of nasal polyps starts with symptoms, a medical history and a physical exam. They are often effective, but they are also expensive and require seeing a specialist before they can be prescribed. Seek medical attention see if your nasal polyps are making it difficult to breathe or causing symptoms that interfere with your daily life. Treatment for nasal polyps initially aims to shrink the size of the polyps or possibly eliminate them altogether.
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CT or MRI scans of the sinuses can also show findings that suggest presence of nasal polyps. Some healthcare providers use nasal steroid drops rather than sprays in order to better penetrate the nasal passages and reach the nasal polyps. The majority of people with nasal polyps will experience nasal congestion, which may look at this be severe and might not improve with standard allergy medications. Researchers believe that allergies and infections cause the inflammation. They think that because they’ve studied tissue taken from nasal polyps. Those samples contained extra eosinophils, white blood cells linked to infections and allergic reactions.