Nasal Polys

An under-recognised problem

Adam Gaunt

Adam Gaunt

NASAL POLYPS AND TREATMENT
What are nasal polyps?

Nasal polyps are soft, painless, non-cancerous growths that develop on the lining of your nose or sinuses. They often appear as a result of long-term inflammation from conditions such as asthma, recurring infection, allergies, or immune disorders.

Symptoms of nasal polyps
  • Blocked or stuffy nose
  • Runny nose
  • Post-nasal drip (mucus running down the back of your throat)
  • Reduced or lost sense of smell and taste
  • Snoring
  • Facial pressure or headaches
  • Frequent sinus infections
What causes nasal polyps?

The exact cause isn’t always known, but they are linked to chronic inflammation in the nasal passages. Common associated conditions include:

  • Asthma
  • Chronic sinusitis
  • Allergic rhinitis (hay fever)
  • Aspirin sensitivity
  • Cystic fibrosis
Diagnosis

Nasal polyps are usually diagnosed by a healthcare professional during a physical examination. They may use a small camera called a nasal endoscope to look inside your nose. Sometimes, imaging tests such as a CT scan may be needed.

Treatment options

NASAL SPRAYS:

  • Steroid nasal sprays (e.g. mometasone, fluticasone) can shrink the polyps and reduce inflammation.

TABLETS:

  • A short course of steroid tablets (e.g. prednisolone) may be prescribed if sprays aren’t enough.

SURGERY:

  • If symptoms are severe or persistent, surgery (endoscopic sinus surgery) may be needed to remove the polyps.
  • Surgery can improve symptoms, but polyps can come back, so ongoing treatment is often necessary.
Self-care and prevention
  • Use a saline nasal spray or rinse regularly to keep your nasal passages clear
  • Avoid known allergens and irritants
  • Manage associated conditions like asthma or allergies effectively
  • Follow your prescribed treatment plan and attend follow-up appointments
When to seek medical advice
  • Your symptoms don’t improve with treatment
  • You notice a sudden worsening of symptoms such as loss of smell
  • You experience facial swelling or severe headache
  • You have difficulty breathing through your nose
More information

For further advice and support, contact your GP or an ENT specialist. Useful resources:

Download the Nasal Polyps information leaflet