How come there is bleeding from nasal polyps?

Written by Li Rui
Otolaryngology
Updated on January 06, 2025
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Patients with nasal polyps experiencing nosebleeds can have many causes. It might be due to hemorrhagic polyps, erosion of the nasal mucosa, dry nasal cavities, or rupture of small blood vessels. Some patients may have sinusitis accompanying their nasal polyps, with significant inflammatory responses that could also lead to nosebleeds. However, it's necessary to check for other conditions, such as nasopharyngeal angiofibroma, malignant tumors in the nasal cavity or sinuses, nasopharyngeal carcinoma, or blood disorders like coagulation dysfunction and thrombocytopenia. It is advisable to visit an ENT specialist and undergo nasopharyngoscopy, sinus CT scans, blood tests, and coagulation function tests to make an accurate diagnosis.

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Written by Deng Bang Yu
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Can nasal polyps be eliminated?

Nasal polyps are benign neoplasms in the nasal cavity. They are translucent, lychee-shaped neoplasms without nervous or vascular innervation. Nasal polyps can be completely removed, primarily through two methods. One method is the chemical removal with medications, mainly using corticosteroids, which is suitable for early-stage nasal polyps. Another method is via functional endoscopic sinus surgery, which involves the removal of nasal polyps. The surgery is performed under endoscopic guidance, using forceps or a snare device to excise the nasal polyps. This surgery is conducted under general anesthesia, and nasal polyps can be removed.

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Written by Zhang Jun
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Can nasal polyps be cured?

Nasal polyps are curable, and patients can be cured through localized surgical treatment. The cause of nasal polyps is unknown, generally due to chronic inflammatory stimulation, leading to bilateral nasal turbinate mucosal diffuse congestion, edema, proliferation, and prolapse, resulting in nasal polyps. They are also often secondary to allergic rhinitis. Nasal polyps generally occur bilaterally, causing the patient to have persistent nasal congestion that progressively worsens. In addition, patients may experience facial swelling, headache, and yellow nasal discharge, among other symptoms. During an examination with an electronic nasoscope, pale lychee-like masses can be observed in the nasal passages on both sides. These are soft, painless, and not prone to bleeding. In terms of treatment, nasal polyps require endoscopic nasal polyp removal surgery and sinus opening surgery for a cure.

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Written by Xu Jian You
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How to completely treat nasal polyps?

The radical treatment method for nasal polyps is surgical removal, which is the main treatment method for nasal polyps. The traditional nasal polyp surgery is performed under frontal mirror illumination, using a snare or polyp forceps to remove the polyps. It cannot be completely obscured, may damage normal structures, is not easy to remove cleanly, and is prone to recurrence. Over the past 30 years, with the popularization of endoscopy, nasal polyp surgery has greatly improved. Now, under the nasal endoscope, the base of the nasal polyps can be clearly identified and cleanly removed. Most nasal polyps are associated with sinusitis or originate from the sinuses, so it is also necessary to perform simultaneous sinus opening surgery under the endoscope to thoroughly remove the diseased tissue, greatly reducing the recurrence rate of nasal polyps.

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Written by Li Rui
Otolaryngology
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What is the cause of bleeding from nasal polyps?

Nasal polyps are a relatively common clinical disease, with various symptoms. Common symptoms include bleeding, as well as nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. The bleeding caused by nasal polyps may be due to the condition of the polyps themselves, with some patients experiencing bleeding polyps that bleed repeatedly. It could also be due to inflammation associated with the polyps, or erosion of the nasal mucosa or small blood vessels in the nasal cavity rupturing and causing bleeding. Therefore, when such symptoms occur, it is necessary to visit an otolaryngology (ENT) department for tests such as a complete blood count, coagulation function tests, nasopharyngoscopy, and a sinus CT scan to determine the specific cause of the condition.

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What medicine is effective for nasal polyps?

The treatment of nasal polyps currently mainly includes two types: conservative treatment and surgical treatment. For smaller, localized nasal polyps with relatively mild clinical symptoms, conservative drug treatment is primarily considered. Currently, corticosteroid nasal sprays are predominantly used, mainly to improve nasal ventilation, reduce mucosal edema, and shrink the nasal polyps. Some patients may even see the polyps disappear completely. However, there are also patients who do not respond well to this treatment, or have relatively large polyps. In these cases, conservative treatment may be less effective, and surgery might be considered. Presently, minimally invasive surgery under endoscopic guidance is commonly performed to remove nasal polyps, and generally, the outcomes are quite definite. (Answer for reference only, medications should be taken under the guidance of a professional physician and not self-administered.)