Nasal Polyps


    • 25 Mar 2020
    • Posted By : Dr. Hitesh B. Shah


    A nasal polyp is a benign (noncancerous) tumor that grows from the lining of the nose or sinuses. These polyps usually occur in both the right and left nasal passages and obstruct the flow of air. They can make your nose feel stuffy, and can decrease your sense of smell. Not all growths in the nose are polyps.

    Nasal polyps may result from chronic (long-lasting) inflammation of the lining of the nose, although they often occur for no apparent reason. People with chronic hay fever (allergic rhinitis) are more likely than others to develop nasal polyps. In addition, nasal polyps commonly develop in children with cystic fibrosis.

    People with nasal polyps and asthma often are allergic to aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen. They may experience a sudden, severe shortness of breath if they take one of these drugs.

    If you have nasal polyps and asthma, avoid medications containing aspirin or other NSAID. Remember that aspirin and other NSAIDs are present in many over-the-counter pain pills and cold and flu remedies. They also are present in some skin creams.


    The key symptoms of nasal polyps are:

    • Difficulty breathing through your nose
    • Constant draining from your nose
    • Persistent stuffiness and facial discomfort
    • Frequent sinus infections
    • Loss of smell


    Your medical history. History of hay fever, allergic rhinitis, asthma or an allergy to aspirin.

    NASAL SPECULUM EXAMINATION-if your polyps are many and large blocking most of the nasal cavity it is obviously seen during routine nasal speculum examination



    Prevention can come in a number of ways. One can eliminate the cause for polyps such as eliminating allergens through environmental controls. One can block the stimulating cause through desensitization treatments. Or one can use maintenance therapy with anti-inflammatory medications such as steroid nasal sprays or leukotriene inhibitors. Many times a combination is necessary for optimal prevention.


    If the nasal polyps are small, your doctor may prescribe a nasal spray containing corticosteroids, perhaps along with corticosteroid pills. This medication will shrink the polyps slowly and prevent them from returning. Large polyps that do not respond to medical therapy usually require surgery. In most cases the surgery is an outpatient procedure. The surgeon may use a small tube called an endoscope to do the surgery. This avoids the need to make an external incision on the face. The surgeon will send some of the polyp tissue to a lab for closer examination. In rare cases, what appeared to be a polyp may turn out to be something else.