SYMPTOMS OF THE NASAL POLYP
Small polyps may not show symptoms. However, the common symptoms are:
- Severe nasal congestion
- Decrease in smelling and tasting sense
- Post-nasal drip
- Pain around the eye
- Transparent or coloured nasal discharge
- Snoring, sleep apnoea in severe cases
- Pressure sense in the sinuses
- Changes in the tone of the sound
- Pain on the upper teeth
- Difficulty to breath
DIAGNOSIS THE NASAL POLYP
After a detailed history taking, physical exam is performed. A pale coloured oedematous and obstructing nose is seen on either side or one side. Computed tomography may be necessary to determine the size and extent of the mass.
TREATMENT OF NASAL POLYP
Depending on the patient's condition, they are treated medically or surgically. Intranasal or systemic corticosteroid therapy is often beneficial, and antihistamines can be used if there is concomitant allergic flu and similar condition. Antibiotic, antileucotrienes, non-steroidal anti-inflammatory and decongestant drugs may also be used depending on the underlying cause. Nasal lavage may be applied.
If there is no response to medical treatment, polypectomy or endoscopic sinus surgery may be performed if the polyps obstruct the sinus access and lead to chronic infection and inflammation or completely fill the nasal cavity.
Polyps may reappear after treatment. In particular, allergy-induced polyps have a high risk of recurrence.