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Suggest Treatment For Sino Nasal Polyposis
Question: Severe nasal polyps, lots of mucus discharge, severe inflammation. I have been treated with Prednisone , Steroids, worked for two weeks, but not anymore. This condition has been occurring for five years with severe Allergic reactions to Pollen,etc. My IGE level is 180 vs 120 normal.
I have seen three Homeopaths, nothing has worked, Teatree oil, Quercitin, etc including Antibiotics.
I have seen three Homeopaths, nothing has worked, Teatree oil, Quercitin, etc including Antibiotics.
Brief Answer:
recurrenc is common, needs treatment and follow up for life time
Detailed Answer:
Hi,
I had gone through your question and understand your concerns that you are having nasal polyp.
As per your clinical details, it appears to be your nasal polyp extended to all sinuses.
Sino nasal polyposis (involvement of all sinuses) may induce asthma, airway obstruction, fungal sinusitis or sepsis.
There are two treatment measures. 1. surgery, 2. medical management. Decision can be taken by the findings of CT scan of para nasal sinuses and medical risk factors (diabetes, hypertension, heart condition).
In case of polyp secondary to allergic rhinitis (pollen or dust), recurrence is common. You may require life time treatment and follow up (needs steroidal spray and prophylactic anti allergic medications).
I suggest you to do ct scan of para nasal sinuses and up load the report for farther discussion.
Meantime, continue same steroidal spray and start prophylactic anti allergic medication (tab.lukotas-lc (montelukast +citrizine)one tab at bed time.
If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
recurrenc is common, needs treatment and follow up for life time
Detailed Answer:
Hi,
I had gone through your question and understand your concerns that you are having nasal polyp.
As per your clinical details, it appears to be your nasal polyp extended to all sinuses.
Sino nasal polyposis (involvement of all sinuses) may induce asthma, airway obstruction, fungal sinusitis or sepsis.
There are two treatment measures. 1. surgery, 2. medical management. Decision can be taken by the findings of CT scan of para nasal sinuses and medical risk factors (diabetes, hypertension, heart condition).
In case of polyp secondary to allergic rhinitis (pollen or dust), recurrence is common. You may require life time treatment and follow up (needs steroidal spray and prophylactic anti allergic medications).
I suggest you to do ct scan of para nasal sinuses and up load the report for farther discussion.
Meantime, continue same steroidal spray and start prophylactic anti allergic medication (tab.lukotas-lc (montelukast +citrizine)one tab at bed time.
If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
Above answer was peer-reviewed by :
Dr. Prasad
Total Nasal blockage, what is the chance of generating to much histamine.
Could this be a fungal infection?
XXXXXXX
Could this be a fungal infection?
XXXXXXX
Brief Answer:
Nasal endoscopy/CT scan of para nasal sinuses.
Detailed Answer:
Hello again,
Thanks for considering my answer and for your follow up.
Physiologically, body produces too much histamine when it has an allergic reaction. An allergen (pollen/dust) enters the body through the skin or is inhaled. The IgE antibodies in turn affect mast cells throughout the body and cause the release of histamine causing inflammation.
Histamine levels depend on the potency and volume of the allergen.
As such, total nasal blockage do not confirm its extension or fungal infection. Investigations like nasal endoscopy, CT scan of para nasal sinuses or culture of the nasal material confirms fungal sinusitis with extension into other sinuses.
Hope, I have answered your query.
Take care.
Nasal endoscopy/CT scan of para nasal sinuses.
Detailed Answer:
Hello again,
Thanks for considering my answer and for your follow up.
Physiologically, body produces too much histamine when it has an allergic reaction. An allergen (pollen/dust) enters the body through the skin or is inhaled. The IgE antibodies in turn affect mast cells throughout the body and cause the release of histamine causing inflammation.
Histamine levels depend on the potency and volume of the allergen.
As such, total nasal blockage do not confirm its extension or fungal infection. Investigations like nasal endoscopy, CT scan of para nasal sinuses or culture of the nasal material confirms fungal sinusitis with extension into other sinuses.
Hope, I have answered your query.
Take care.
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. Ashwin Bhandari
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