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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Nasal Blockage And Difficulty In Breathing?

hi doctor, iam writing for my husband benat,age -35,weight -80.height -6feet 8 inch. he was suffereing from nasal blockage & difficult to breath for the past 2 months. a CT scan was performed yesterday and doctor told its polyposis because of allergy to dust. he recommeneded for a endoscopic suregery immediately.then we consulted another ENT where he mentioned the same details but he suggested for medicines for 1o days and then we will go for surgey. we need an opinion from you like whether we need to wait for 10 days or sugery is better . if surgery is done what are the complications ?
Thu, 28 May 2020
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General Surgeon,  's  Response
Hi,

Noted the history about your husband, 35 years, having nasal blockage for the last 2 months, CT scan shows polyposis, one ENT Surgeon advised immediately another said for 10 days medical treatment before surgery, wants to know what to do and complications of surgery.
With my experience I would advise you the following:
Consult the Second Surgeon and request for a 21 days course of medicines including oral steroids in a tapering dose if your husband is not suffering from diabetes.
Then repeat the scan and you may find clear sinuses hence no need of surgery.
Continue the medicines as would advised and repeat the scan after 6 months and if there is recurrence then only go for surgery.
Now-a-days sinus surgery by endoscopy is commonly performed and the rate of complications is very less in experienced hands ; the commonest being bleeding and recurrence.
All the best.

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

Regards,
Dr. T. Chandrakant, ENT and General Surgeon
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Suggest Remedy For Nasal Blockage And Difficulty In Breathing?

Hi, Noted the history about your husband, 35 years, having nasal blockage for the last 2 months, CT scan shows polyposis, one ENT Surgeon advised immediately another said for 10 days medical treatment before surgery, wants to know what to do and complications of surgery. With my experience I would advise you the following: Consult the Second Surgeon and request for a 21 days course of medicines including oral steroids in a tapering dose if your husband is not suffering from diabetes. Then repeat the scan and you may find clear sinuses hence no need of surgery. Continue the medicines as would advised and repeat the scan after 6 months and if there is recurrence then only go for surgery. Now-a-days sinus surgery by endoscopy is commonly performed and the rate of complications is very less in experienced hands ; the commonest being bleeding and recurrence. All the best. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT and General Surgeon