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Nasal polyps, asthma and BP. Medication hasn't helped. Go for polyps removal surgery? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User:Good Afternoon Doctor
Doctor:Good afternoon. How are you doing?
User:I am doing Good
User:I have a Query Concerning My Fathers Health Actually
User:Age 56
Doctor:sure, go ahead
User:He has been identified with problem of Nasal Polyps
User:And has been taking Medication for like 1.5 years from now
User:However We see that there is not much relief due to meds
User:Problem keeps on surfacing respect to the Climatic changes
User:or like exposing to AC
User:or cold weather
User:So I want to evalaute the option of going in For Polyps Removal Surgery
User:ques 1 : Is Surgery Advisable waht are the pre-requisites
User:Ques2: Types of Surgeries
User:Ques3: Side Effects
Doctor:The prerequisites for any surgery would include optimum health as such
Doctor:Does he suffer from high blood pressure, asthma, diabetes or anything else?
User:yes BP had a Bypass, and Asthama
Doctor:Then his BP needs to be properly controlled, asthma needs to be controlled and he would need a repeat ECG
User:mm hmm
Doctor:Does he smoke or consume alcohol as well/
Doctor:Then we are clear on that front
Doctor:The surgery mainly is an endoscopic sinus surgery
Doctor:This means that we put an endoscope and remove the polyps
Doctor:It may or may not require an incision depending on the location of the polyp
Doctor:Another surgery is nasal polypectomy
Doctor:But endoscopic sinus surgery is better
Doctor:But even after the surgery, he would need to continue taking the precautions to avoid recurrence
Doctor:There are several complications but generally speaking its safe
Doctor:Its important his BP is very well controlled before the surgery
Doctor:This would decrease the bleeding
User:By Surgery you mean Ploypectomy as there is no incision in endoscopy
Doctor:No, it includes endoscopy as well
Doctor:It works like this
Doctor:If the blood is flowing under high pressure, if a vessel gets injured when I remove a polyp, there is more bleeding
User:aah i see that now
User:do we have a Laser surgery
Doctor:I dont think so
Doctor:Is there anything else I can help you with/
User:Can you provide me ways to reach to ENt surgeons
Doctor:I can have my customer care team find reputed ENT surgeons for you in Bangalore
Doctor:They can fix an appointment depending on where you are based
Doctor:Would you want that?
User:That sounds Great.
User:Sure I would like to have some contacts handy from thereon I can Trigger and consult the case with them
Doctor:Actually would you raise a request for fix an appointment
Doctor:Or do you want me to handle it entirely?
User:I am not sure of the process here., Probably you can handle it if you have capacity
Doctor:I'll take care of it
User:else provide me with Details and I can do a followup
Doctor:i'll get them to call you
Doctor:I'll get them to call you
Doctor:Is there anything else I can help you with?
User:I feel that is already a great help from you
User:Thnaks for your patience and advise.
Doctor:Thanks for consulting me
Doctor:Have a great day ahead
User:you too :)
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