What should I do if nasal polyps are bleeding?

Written by Li Rui
Otolaryngology
Updated on October 24, 2024
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Nasal polyps accompanied by nasal bleeding can be caused by various reasons. It could possibly be hemorrhagic nasal polyps, or there might be dryness and erosion bleeding of the nasal mucosa, or bleeding due to rupture of small blood vessels, or inflammation-induced bleeding. Therefore, in such cases, it is necessary to promptly visit an otolaryngology department. Consider conducting a nasal endoscopy, routine blood tests, and coagulation function tests, which can help determine the severity of the nasal polyps and the cause of the nasal bleeding. If the extent of nasal bleeding is severe and the nasal polyps are widespread, surgical removal might be considered necessary. After surgery, regular follow-up checks are essential to monitor the recovery process.

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Written by Li Mao Cai
Otolaryngology
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Do you need to be hospitalized for nasal polyp surgery?

The surgery for nasal polyps is performed under general anesthesia using endoscopic techniques to excise the polyps. The procedure places high demands on the patient's overall health, but typically yields good results. As such, hospitalization is required for nasal polyp surgery, as it often involves additional procedures such as sinus opening and correction of a deviated nasal septum. Nasal polyps are generally caused by sinusitis, rhinitis, or chronic inflammation over a long period of time. Simply removing the nasal polyps may lead to recurrence. In order to thoroughly treat nasal polyps, and address chronic inflammation, sinus issues, and anatomical abnormalities such as a deviated nasal septum, specific treatments are required during surgery. This not only effectively eradicates the nasal polyps but also helps prevent their recurrence. Therefore, hospitalization is required for this type of surgery.

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Written by Li Rui
Otolaryngology
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How to deal with nasal polyps?

Nasal polyps are a relatively common otolaryngological condition. Clinically, the first step is to assess the extent of the nasal polyps. If the polyps are few and there are no obvious clinical symptoms, medical treatment can be considered, and regular re-examinations with a nasopharyngoscope are needed to monitor the recovery. If there are numerous polyps and the response to standardized medication is poor, surgical removal might be necessary. Currently, endoscopic nasal polyp removal surgery is commonly used. Regular postoperative check-ups are also required to observe the recovery. Generally, it is advisable to rinse the nasal cavity with saline solution to aid in postoperative recovery. (The use of medication should be under the guidance of a professional doctor.)

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Written by Li Rui
Otolaryngology
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Can nasal polyps heal by themselves?

Nasal polyps may resolve on their own in some patients, but this is mainly seen in cases where the polyps are relatively small and the clinical symptoms are mild. Generally, there is a chance for spontaneous recovery, but the probability of this happening is quite low. Overall, the proportion of patients who are cured is very small. If there are multiple nasal polyps and the clinical symptoms are more pronounced, it is advisable to seek timely treatment. Current common treatments include oral medications and nasal spray medications. If the medication is not effective, or if the nasal polyps are widespread, surgical removal should be considered. (Please use medications under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
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How long does nasal polyp surgery take?

The duration of hospitalization for nasal polyp surgery is approximately one week, as the surgery requires general anesthesia. Patients need to undergo endoscopic nasal polyp removal and cleaning of the nasal and sinus mucosa. Prior to surgery, routine examinations such as urine and blood tests, chest X-rays, electrocardiograms, and hepatitis B tests are required, along with consultations from relevant departments like respiratory medicine, internal medicine, and anesthesiology to fully assess the patient's vital status. After the surgery, patients need to use an expandable sponge to fill the nasal cavity to prevent local bleeding, and postoperative antibiotics are necessary to avoid local infections. If the patient does not have a fever or local bleeding, they can be discharged a week post-surgery. During the treatment period, it is recommended to drink more water and rest adequately.

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Written by Xu Qing Tian
Otolaryngology
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Does everyone have nasal polyps?

Nasal polyps are not something everyone has. The main causes of nasal polyps are related to the patient's smoking, drinking, and long-term exposure to physical and chemical factors in the air, which lead to the proliferation of redundant tissue on the surface of the nasal mucosa, blocking the patient's middle nasal passage and nasal vestibule, thereby causing symptoms such as nasal congestion, runny nose, and headaches. When patients with nasal polyps experience nasal congestion and runny nose, our first approach should be anti-inflammatory and symptomatic treatment. Next, it is necessary to perform a thorough diagnosis with an electronic nasopharyngoscope and paranasal sinus CT scan. After a confirmed diagnosis, patients with nasal polyps usually need functional endoscopic sinus surgery, which involves removing the polyp tissue blocking the nasal cavity and opening the sinus openings to restore the normal physiological environment and drainage of the nasal cavity.