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Sinusitis with nasal polyp
Hello,
i am having chronic sinusitis, dns and nasal polyps also asthema
i have taken costicosteroids nasal drops antibiotics and anti allergic
nothing worked
dr saying no to operation as it will reoccur
please give solution
Answers (1)
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Dr. Gladson Guddappa Uchil
ENT/ Otorhinolaryngologist
26 yrs exp
Bangalore
The only thing that may recur are the polyps, for which the only cure is immunotherapy after undergoing skin prick tests for identifying the allergens causing the allergy.
The correction of the nasal septal deviation along with polypectomy must also be done, to afford nasal breathing.
I usually give my patients one week high dose oral corticosteroid therapy about 2 weeks later, to clear out all the sinuses of the polyps. As the Sublingual Immunotherapy progresses, the recurrences of the polyps slows down and stops after about 3 years of immunotherapy. In the meanwhile you may need a few more courses of oral steroids to free up your nasal passages.
Health Tips
Oral steroids must be given only in rare circumstances as they have a lot of side effects if not done properly and I usually admit my patients for 4 days for monitoring when I do so.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.