Nasal Polys
An under-recognised problem
Adam Gaunt
Adam Gaunt
NASAL POLYPS AND TREATMENT
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.
- 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
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
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.
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.
- 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
- 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
For further advice and support, contact your GP or an ENT specialist. Useful resources:
- NHS website: www.nhs.uk
- Allergy UK: www.allergyuk.org
