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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Stuffiness And Runny Mucus, Used Nasal Drops, No Relief. Is It Polyps?

Greetings. I have a problem with the nose . I am female and I am 22 years old. .. The problem of my nose is a constant stuffiness and runny mucus green. I used different nose drops to help me as soon as you stop using them again to return to the same. I went to the doctor and he told me that I had polyps that he suspected and he gave me some new drops and drops to rebuild the nasal mucosa. However it did not help ... I m desperate please help me ... Adna from Bosnia and Herzegovina
Mon, 7 Jan 2013
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General & Family Physician 's  Response
Hello Adna,

Welcome to HCM and thanks for posting

It is possible that you are having polyps but I will like to take your description of symptoms and leave the part of the polyps first. Your symptoms are those of flu syndrome which could be as a result of sinusitis and depending on the duration of the symptoms ( < 1 month= acute, > 1month= chronic). The specific microbial causes according to most common will be viral (usually acute), bacteria such as strep, H. influenza, moraxella etc (usualy acute) and staph and anaerobes for chronic infection. If viral infection symptomatic treatment for a couple of days will suffice to manage the affection while bacteria infection will require oral antibiotics, analgesics/opiates, antihistaminics (chlopheniramine, phenylephrine, cafeine, paracetamol etc) and/or nasal steroids. Greenish mucus discharges usually indicate pyogenic bacteria infection and so antibiotics need to be included in your treatment. Now, for other causes of stuffy nose and mucus discharge we have anatomical abnormalities like polyps ( which my require use of steroids or surgery), allergies, asthma, immune deficiencies and even overuse of topical decongestants. So, your doctor will need to first eliminate infectious causes (bacteria, viral and even fungal) by examination, analysis of mucus in lab, blood tests ( complete blood count) and even imagery study like CT, MRI or X-ray. Ones diagnosis confirmed, appropriate treatment can be started.
You may have to visit an ENT specialist if despite above, you still remain symptomatic.

Thank you and hope this helps
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Constant Stuffiness And Runny Mucus, Used Nasal Drops, No Relief. Is It Polyps?

Hello Adna, Welcome to HCM and thanks for posting It is possible that you are having polyps but I will like to take your description of symptoms and leave the part of the polyps first. Your symptoms are those of flu syndrome which could be as a result of sinusitis and depending on the duration of the symptoms ( 1 month= acute, 1month= chronic). The specific microbial causes according to most common will be viral (usually acute), bacteria such as strep, H. influenza, moraxella etc (usualy acute) and staph and anaerobes for chronic infection. If viral infection symptomatic treatment for a couple of days will suffice to manage the affection while bacteria infection will require oral antibiotics, analgesics/opiates, antihistaminics (chlopheniramine, phenylephrine, cafeine, paracetamol etc) and/or nasal steroids. Greenish mucus discharges usually indicate pyogenic bacteria infection and so antibiotics need to be included in your treatment. Now, for other causes of stuffy nose and mucus discharge we have anatomical abnormalities like polyps ( which my require use of steroids or surgery), allergies, asthma, immune deficiencies and even overuse of topical decongestants. So, your doctor will need to first eliminate infectious causes (bacteria, viral and even fungal) by examination, analysis of mucus in lab, blood tests ( complete blood count) and even imagery study like CT, MRI or X-ray. Ones diagnosis confirmed, appropriate treatment can be started. You may have to visit an ENT specialist if despite above, you still remain symptomatic. Thank you and hope this helps