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What Causes Recurring Nasal Polyps In An Asthma Patient?

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Posted on Fri, 13 May 2016
Question: Hi
I have triad asthma and had 4 nose surgeries removing huge pulps in my nasal cavities, but they keep coming back. Right now im having a hard time keeping the thick mucus down my throat and its been getting into my lungs causing me to cough it up as it gets stuck at that valve. I been drinking hot stuff to try and get it to go in my stomach instead but it just sits there at that valve (lungs/stomach). Any suggestions would be greatly appreciated as I just had surgery on my colon (tumor removed) and really hurting that incision in my stomach everytime I cough and causes it to leak. Just gotten done with whining down from my prednisone, but Im really tired of hurting my stomach :-)


Is it the flu? I also tried Nasacort and it didn't help at all, made it worst even. I was on prednisone for 17yrs straight, but it took over my amune system and soon as I get off it (been only 4months now where totally off it, was a 5mg/daily for long period and it seemed to help) but soon as I get totally off it, get cold/infections real easy. I had a asphma attach in hospital, and they have to give me huge doses of prednisone to counter it 126mg in IV. I know that stuff is bad for me, but to me it is my ammune system and works wonders for me. We did do bone density test and was still ok......for now that is :-)

Is this $15 a one time fee for a month/year/day? I didn't even know it cost until I got it all written up :-(

But if we can help it, it would be well worth the $15 indeed. Please let me know what the $15 is covering as I don't want this subscription just taking out 15 each time I type something :-)

Thanks, XXXXXXX XXXX
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:
Explained in detail

Detailed Answer:
Hello and welcome

Your concern is appreciated

Patient having asthma of atopic or non atopic origin about 7% of them may have nasal polypi.
36% of patient with aspirin intolerance can have nasal polypi. Sampters asthma nasal polypi and aspirin intolerance .
2 0% of people with cystic fibrosis form polypi its due to abnormal mucous
Nasal mastocytosis a form of chronic rhinitis is another cause for polyps.
Allergic rhinitis has comolication of nasal polypi

Treatment will include avoidance of allergen antihistamines, phenylephrine oxymetazoline are used to decrease nasal congestion
Corticosterioids and sodium cromoglycate
Immunotherapy or hyposenitization are also done
To loosen the mucus you can do steam inhalation
Warm Salt water irrigation of throat
You can also try mucolytics
You should keep washing and lavaging the nose to keep the mucous loose and draining and try not to swallow it.

For the payment issue please contact customer care.

let me know if you have any query

Wishing you best of health

Please consult your doctor before taking any further course of action

Dr M.S Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Muhammad Sareer Khalil (28 minutes later)
Thank you for your response. I try to get it to run out my nose, but it wont, so I drink hot coffee/tea/water to get it down to my stomach instead of just sitting there at the valve where it determines whether your trying to breath or swallow. Every time I cough its this thick white mucus and not yellow/green like an effection of some sort, really cough hard to get it out, and I just had surgery on colon and have 30 staples on outside which leak each time I cough (still after 2 days, and until I can stop coughing I think it wont heal). We tried the irrigation method with saline also, but still can't get it to go out nose. Claritin seems to help dry it out, tried other allergy pills but they don't work as well. Is there an over the counter mucolytics? or does it have to be prescribed by my Dr here?

Thanks for all you help,
XXXX
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (10 hours later)
Brief Answer:
Explained

Detailed Answer:
Hello again.

Potassium iodide given by mouth promotes and liqufies nasal secretion
Nasal irrigation witb warm normal saline or solution made by dissolving a teaspoon full of powder containing sida bicarb 1 part sodium biborate 1 part nacl 2 parts in 280ml of water used to wash nasal cavities it loosen the crusts and thick tenacious diacharge. Mucolytics like n acetylcysteine or carbocysteine would also help. They are available OTC though in some places one may require a prescription. If you cant get them then you need to contact your physician for a prescription.

Please consult your doctor before taking any further course of action.

wishing you best of health

Thanks

Dr M.S Khalil
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What Causes Recurring Nasal Polyps In An Asthma Patient?

Brief Answer: Explained in detail Detailed Answer: Hello and welcome Your concern is appreciated Patient having asthma of atopic or non atopic origin about 7% of them may have nasal polypi. 36% of patient with aspirin intolerance can have nasal polypi. Sampters asthma nasal polypi and aspirin intolerance . 2 0% of people with cystic fibrosis form polypi its due to abnormal mucous Nasal mastocytosis a form of chronic rhinitis is another cause for polyps. Allergic rhinitis has comolication of nasal polypi Treatment will include avoidance of allergen antihistamines, phenylephrine oxymetazoline are used to decrease nasal congestion Corticosterioids and sodium cromoglycate Immunotherapy or hyposenitization are also done To loosen the mucus you can do steam inhalation Warm Salt water irrigation of throat You can also try mucolytics You should keep washing and lavaging the nose to keep the mucous loose and draining and try not to swallow it. For the payment issue please contact customer care. let me know if you have any query Wishing you best of health Please consult your doctor before taking any further course of action Dr M.S Khalil