What should I do if nasal polyps are bleeding?

Written by Li Rui
Otolaryngology
Updated on October 24, 2024
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Nasal polyps accompanied by nasal bleeding can be caused by various reasons. It could possibly be hemorrhagic nasal polyps, or there might be dryness and erosion bleeding of the nasal mucosa, or bleeding due to rupture of small blood vessels, or inflammation-induced bleeding. Therefore, in such cases, it is necessary to promptly visit an otolaryngology department. Consider conducting a nasal endoscopy, routine blood tests, and coagulation function tests, which can help determine the severity of the nasal polyps and the cause of the nasal bleeding. If the extent of nasal bleeding is severe and the nasal polyps are widespread, surgical removal might be considered necessary. After surgery, regular follow-up checks are essential to monitor the recovery process.

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Written by Deng Bang Yu
Otolaryngology
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Is nasal polyp surgery painful?

Nasal polyps are space-occupying lesions that occur in the nasal cavity and sinus cavity. After the discovery of nasal polyps, they are usually removed surgically. Currently, the surgery for nasal polyps is performed under general anesthesia using functional endoscopic sinus surgery, which involves removing the nasal polyps and opening the sinus ostia. There is no significant pain during the surgery, as it is conducted under general anesthesia. After the surgery, the nasal cavity is packed with some hemostatic materials. There is discomfort when this nasal packing material is removed on the second day after the surgery, but this discomfort is only significant during the removal and subsides afterward. Therefore, there is some pain associated with nasal polyp surgery, but the pain is not very severe.

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Written by Deng Bang Yu
Otolaryngology
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Do nasal polyps definitely have to be removed?

Nasal polyps are benign glandular tissues that occur in the nasal cavity. The presence of nasal polyps can block the nasal passage, leading to secondary infections, and as nasal polyps gradually increase in size, they can damage the local tissue structure. Therefore, once nasal polyps appear, they are primarily removed through surgery, making surgical removal necessary. However, in the early stages of nasal polyps, when they have just developed and are still small, they can be treated with medications such as methylprednisolone or prednisone. These drugs are mainly corticosteroids and can cause the polyps to gradually shrink and disappear in a minority of patients, a process referred to as chemical resection through medication. Nonetheless, the chance of detecting nasal polyps in their early stages is very small, and they are often only discovered when they have grown large enough to obstruct the nasal passage and affect breathing, meaning that they typically require surgical removal after they are found.

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Written by Li Rui
Otolaryngology
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What should I do if nasal polyps are bleeding?

Nasal polyps accompanied by nasal bleeding can be caused by various reasons. It could possibly be hemorrhagic nasal polyps, or there might be dryness and erosion bleeding of the nasal mucosa, or bleeding due to rupture of small blood vessels, or inflammation-induced bleeding. Therefore, in such cases, it is necessary to promptly visit an otolaryngology department. Consider conducting a nasal endoscopy, routine blood tests, and coagulation function tests, which can help determine the severity of the nasal polyps and the cause of the nasal bleeding. If the extent of nasal bleeding is severe and the nasal polyps are widespread, surgical removal might be considered necessary. After surgery, regular follow-up checks are essential to monitor the recovery process.

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Written by Li Mao Cai
Otolaryngology
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Do you need to be hospitalized for nasal polyp surgery?

The current nasal polyp surgery requires a general anesthesia and endoscopic nasal polypectomy. Since the surgery is performed under general anesthesia, more thorough preparations are made for hospitalized patients. The surgery demands high standards, thus preoperative blood tests and related cardiopulmonary function tests are necessary, requiring hospitalization. Additionally, after the surgery, nasal packing is needed to monitor the patient's recovery and to clean the nasal cavities and sinuses. Therefore, hospitalization is needed for this type of treatment, which generally lasts from 5 to 7 days from admission to discharge.

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Written by Li Rui
Otolaryngology
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What are the symptoms of nasal polyps?

Nasal polyps currently exhibit a variety of symptoms, which should be considered comprehensively based on individual reactions and the condition itself. If the polyps are localized and small, they might not show any clinical symptoms. In such cases, a nasopharyngoscope examination can be used for diagnosis. If there are multiple polyps or if the polyps are located in special positions, they might cause clinical symptoms such as poor nasal ventilation, runny nose, reduced sense of smell, headache, and dizziness. Some patients might experience changes in vision or facial swelling, numbness, and headaches due to accompanying sinusitis or other sinonasal disorders. Overall, it is advisable to visit an otolaryngology clinic for a nasopharyngoscope examination to make a comprehensive assessment and diagnosis.