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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Solid Piece Of Phlegm With Sinus Headaches?

I have been coming down with a respiratory-type illness for the past couple of days. Today I gagged on a big piece of phlegm that I felt coming down from the back of my nose into my mouth, and I noticed that it was solid and looked and felt like a piece of fat cut out of a chunk of meat or something. My mom suggested that it may have been a nasal polyp, but I don t think I have any of the problems that normally cause those to develop. Should I get checked to see if I might have more polyps, in case this actually was one? I have in fact had a few sinus headaches lately (the past few months, or at most a year), although I had never had them in my life before. (I m 44.) I do not have any allergies so far as I know.
Fri, 28 Aug 2020
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General Surgeon 's  Response
Hi.

Noted your history of sinusitis and related headache in past, expelled fat like phlegn from back of nose, suggestive of polyp.
The explanation about the phlegm like faty mass is usually a polyp unles proved otherwise.
This is usually a part of the antro-choanal polyp,
THis cna be confirmed by the following ways:
Consult your Doctor or ENT Surgeon, show them the piece and send it for histopathology examination.
CT scan of sinuses will confirm any residualy masses in nose or sinuses.
Relevant tests of blood and urine.
ENT endoscopy by an ENT Surgeon.
All these will give an appropriate diagnosis and allow for proper management:
Medical management with steroid, antihistamine can help resolve the small polyps.
If a course of oral and nasal steroids do not help then surgery will be done to get a possible permanent cure.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT & General Surgeon
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What Causes Solid Piece Of Phlegm With Sinus Headaches?

Hi. Noted your history of sinusitis and related headache in past, expelled fat like phlegn from back of nose, suggestive of polyp. The explanation about the phlegm like faty mass is usually a polyp unles proved otherwise. This is usually a part of the antro-choanal polyp, THis cna be confirmed by the following ways: Consult your Doctor or ENT Surgeon, show them the piece and send it for histopathology examination. CT scan of sinuses will confirm any residualy masses in nose or sinuses. Relevant tests of blood and urine. ENT endoscopy by an ENT Surgeon. All these will give an appropriate diagnosis and allow for proper management: Medical management with steroid, antihistamine can help resolve the small polyps. If a course of oral and nasal steroids do not help then surgery will be done to get a possible permanent cure. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT & General Surgeon