Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Recurrent Nasal Polyposis
Question: I am constantly congested..nose plugged solid 99% of time. I had polops removed 2014 No improvement Said nothing more can do for me. am using nose washes 3 times a day but do not sleep well and snore so bad as cannot breathe thru my nose. I was on predisone coupler times and with in 3 days am breathing thru nose as ...unplugged and can sell and taste again..BUT cannot be on that long term of course. BUT my question is why the heck I there not something comparable to use to make life bearable again??????
Brief Answer:
It seems to be recurrent Nasal Polyposis !!!
Detailed Answer:
Warm welcomes to HCM-the best online avaliable health portal assisting countless patients from all over the globe.
I appreciate your trust in our services. I have carefully reviewed your health concerns and can well establish the sensitivity of the issues.
It seems to be recurrent Polyposis that is the nasal polyps again. The bad thing about nasal polyps is that it can be reformed even after the surgery. That's why they sometimes are difficult to cure.
Triggers may be allergic or inflammatory reactions to the sinus mucosa. Many of my patients come with a burst of respiratory and sinus infection like Bronchitis, pneumonia or a burst of asthma that may end up eventually in polyps formation.
In some patients there is seen a triad of Polyps, Asthma, Aspirin allergy...They also end up in polyps formation.
Use of a forceful episode of antibiotics; Oral corticosteroids; Inhaled corticosteroids and nasal sprays helps in some but not all the patients.
Much of the times, addition of Montelukast is needed and I have seen good results in my patients with recurrent polyps. Your ENT Physician may help you for a prescription if needed.
If you have not been assessed and treated for allergens, it may be prudent and the best time to get it done now. Ask your Physician for that. If there is likely some allergen that is triggering the irritation of sinus mucosa, it may be dealt with and strict allergen avoidance is then the key to success.
Many a times we need to start afresh with repeat polyp surgery, assessing for the allergens if any and addition of montelukast post operatively, to get optimum benefits. To kill the respiratory infections in a timely way is key to avoid recurrence.
I will also suggest you to go for a Sleep Apnea Specialist consultation as this is mandatory in this case to work alongwith ENT Specialists.
Some patients get benefits from "Aspirin Desensitization". There are many centres across US and Canada for this type of treatment strategy. One of the best one is here in California US (Scripps Institute).
Hope it helps. You can always click on Close the Discussion where it suffices the discussion. Of course I am always here to further assist you where needed. Feel free to ask me anytime. For future refrencr simply click on tinyurl.com/drhanifmd
Regards!
It seems to be recurrent Nasal Polyposis !!!
Detailed Answer:
Warm welcomes to HCM-the best online avaliable health portal assisting countless patients from all over the globe.
I appreciate your trust in our services. I have carefully reviewed your health concerns and can well establish the sensitivity of the issues.
It seems to be recurrent Polyposis that is the nasal polyps again. The bad thing about nasal polyps is that it can be reformed even after the surgery. That's why they sometimes are difficult to cure.
Triggers may be allergic or inflammatory reactions to the sinus mucosa. Many of my patients come with a burst of respiratory and sinus infection like Bronchitis, pneumonia or a burst of asthma that may end up eventually in polyps formation.
In some patients there is seen a triad of Polyps, Asthma, Aspirin allergy...They also end up in polyps formation.
Use of a forceful episode of antibiotics; Oral corticosteroids; Inhaled corticosteroids and nasal sprays helps in some but not all the patients.
Much of the times, addition of Montelukast is needed and I have seen good results in my patients with recurrent polyps. Your ENT Physician may help you for a prescription if needed.
If you have not been assessed and treated for allergens, it may be prudent and the best time to get it done now. Ask your Physician for that. If there is likely some allergen that is triggering the irritation of sinus mucosa, it may be dealt with and strict allergen avoidance is then the key to success.
Many a times we need to start afresh with repeat polyp surgery, assessing for the allergens if any and addition of montelukast post operatively, to get optimum benefits. To kill the respiratory infections in a timely way is key to avoid recurrence.
I will also suggest you to go for a Sleep Apnea Specialist consultation as this is mandatory in this case to work alongwith ENT Specialists.
Some patients get benefits from "Aspirin Desensitization". There are many centres across US and Canada for this type of treatment strategy. One of the best one is here in California US (Scripps Institute).
Hope it helps. You can always click on Close the Discussion where it suffices the discussion. Of course I am always here to further assist you where needed. Feel free to ask me anytime. For future refrencr simply click on tinyurl.com/drhanifmd
Regards!
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
