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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is The Presence Of Unilateral Nasal Polyp A Cause For Concerrn?

Hello Doctor, I m having ongoing issues with my nose (and ears), here s a list of symptoms: 1.     Starting from January, my ability to smell decreases 2.     In February, got cold-like symptom after skiing, then noticed nose congestion on both nostrils, right one is more serious 3.     Nasal congestion decreases after exercises or outside with good air, worse by taking shower or sleeping on my side. When sleeping on the side, the lower one was completed blocked 4.     Not too much mucus, if I try to blow out I can see thick white mucus no blood 5.     When tried to cough out mucus, it’s either white or a bit yellow, no blood 6.     No swollen bump on neck 7.     Starting last month, start to feel that when moving jaw or swallowing, I can hear ear popping sound, on both side, but right side was more obvious. Also notice itchy ears. 8.     Last specialist appointment, the ENT doctor did an flexible nasal endoscopy, and looked into my both ears. She told me that I had a unilateral nasal polyp on my left side, so CT scan and biopsy will be required. She said my ears were find, since she doesn’t deal with nose any more so I need to see another ENT specialist which will take a few weeks of waiting time Current medication: fluticasone furoate nasal spray, however it didn t seem to help. My question is: 1. Is my issue serious? Is it OK for me to wait for another month or shall I look for additional investigation immediately? (I always fear of cancer) 2. What s the most likely cause of my symptom?
Fri, 27 Dec 2019
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General Surgeon 's  Response
Hello,

* As per my clinical experience, the narrated symptoms are related to partial blockage of nasal cavity from the nasal polyp.

There is absolutely no threat of cancer at all in your condition, so be rest assured for the same. Till the time you approach a nose specialist handling the nasal polyp, I would recommend you

- to avoid exposure to dust, atmosphere pollens
- do deep breathing exercises and YOGA regularly
- walk in fresh air daily
- get treatment of nasal congestion to cure underlying viral or bacterial infection if any
- avoid smoking ( active or passive ) if involved
- avoid stress and anxiety and manage to have sound regular sleep of 6-7 hours
- prefer semi reclining position when resting

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Bhagyesh V. Patel, General Surgeon
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Is The Presence Of Unilateral Nasal Polyp A Cause For Concerrn?

Hello, * As per my clinical experience, the narrated symptoms are related to partial blockage of nasal cavity from the nasal polyp. There is absolutely no threat of cancer at all in your condition, so be rest assured for the same. Till the time you approach a nose specialist handling the nasal polyp, I would recommend you - to avoid exposure to dust, atmosphere pollens - do deep breathing exercises and YOGA regularly - walk in fresh air daily - get treatment of nasal congestion to cure underlying viral or bacterial infection if any - avoid smoking ( active or passive ) if involved - avoid stress and anxiety and manage to have sound regular sleep of 6-7 hours - prefer semi reclining position when resting Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon