What should I do if nasal polyps keep recurring?

Written by Li Rui
Otolaryngology
Updated on March 27, 2025
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Nasal polyps are a relatively common ENT disorder, and some patients may experience recurrent episodes. This situation is mainly seen in patients with nasal polyps who have an increase in eosinophils or those with accompanying allergic rhinitis. The likelihood of recurrence varies individually. After a recurrence, it is necessary to visit an otolaryngologist. A nasal endoscopy or a sinus CT scan can be done to assess the severity of the recurrence. Some patients may opt for conservative medical treatment, commonly using nasal spray medications. Additionally, rinsing the nasal cavity with saline solution can be helpful. If the nasal polyps recur severely and conservative treatment is ineffective, surgical removal may be necessary. (Please use medication under the guidance of a physician.)

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Can nasal polyps be eliminated by taking medicine?

Nasal polyps are a relatively common otolaryngologic condition, presenting with a variety of clinical symptoms. The more common symptoms include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. In terms of treatment, the usual approaches are conservative treatment and surgical treatment. If there are few nasal polyps and the clinical symptoms are not particularly severe, medication treatment can be considered. Some patients may see a gradual reduction in their nasal polyps after medication treatment. However, in cases where there are many polyps and the clinical symptoms are significant, and standardized medication treatment is ineffective, surgical removal may be necessary. Currently, the more common procedure is endoscopic sinus surgery for the removal of nasal polyps.

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Symptoms of enlarged nasal polyps

Nasal polyps are a relatively common otolaryngology disease with various clinical symptoms and certain individual differences. If the nasal polyps are few, there might not be obvious clinical manifestations. They could be discovered during physical examinations or nasal endoscopy. If there are many nasal polyps, it could lead to reduced sense of smell, headaches, dizziness, nasal congestion, and runny nose. Overall, different patients exhibit different symptoms. In terms of treatment, it is first necessary to assess the specific severity of the condition, which can be evaluated comprehensively using nasopharyngoscopy and sinus CT scans. Most patients can consider medical conservative treatment, while a small number of patients with numerous polyps might need to consider surgical treatment. (The use of medications should be guided by a professional doctor.)

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What medicine is good for nasal polyps to heal quickly?

Nasal polyps are benign neoplasms in the nasal cavity, sometimes originating from the sinuses, characterized as translucent, colorless, lychee-like neoplasms without blood vessels or nerve distribution. Clinically, nasal polyps are primarily diagnosed and removed during nasal endoscopic surgery. Certain medications can be used early in the development of nasal polyps, including corticosteroid drugs such as nasal sprays, nasal corticosteroids, and oral corticosteroids. These can control, and in some very small cases, even eliminate nasal polyps. However, this possibility is extremely rare in clinical practice because by the time patients seek treatment for nasal polyps at a hospital, the polyps are usually relatively large, and these medications are no longer effective for fundamental treatment. Therefore, nasal polyps are generally treated surgically. (The use of medications should be under the guidance of a doctor.)

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Can nasal polyps be seen on an X-ray?

Nasal polyps are a relatively common otolaryngology disease, which can be comprehensively assessed through nasal endoscopy or sinus CT scan. Generally speaking, nasal endoscopy is more intuitive, allowing direct observation of the extent and severity of polyps within the nasal cavity. If a sinus CT scan is performed, it has diagnostic and reference value for multiple nasal polyps, but it might not be very clear if there are only a few polyps. In terms of treatment, if there are numerous nasal polyps and medication is ineffective, surgical treatment should be considered. If the nasal polyps are limited and the clinical symptoms are mild, medical conservative treatment is recommended, but regular follow-up examinations are necessary to monitor the effect. (Specific medications should be used under the guidance of a doctor.)

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Can nasal polyps be treated without surgery?

A portion of patients with nasal polyps may not require surgery. The decision to operate on nasal polyps primarily depends on the severity of the condition and the overall health of the patient. If the nasal polyps are particularly localized and the patient does not exhibit significant symptoms such as nasal congestion, purulent nasal discharge, reduced sense of smell, headaches, or dizziness, conservative treatment or regular check-ups may be considered. Conservative treatment involves the use of nasal sprays and regular examinations with a nasopharyngoscope to monitor the growth of the polyps. However, if the nasal polyps are extensive and accompanied by clinical symptoms, and conservative treatment proves ineffective, surgery may need to be considered. Currently, endoscopic surgery is commonly performed and is generally very effective with minimal trauma.