What should I do if nasal polyps keep recurring?

Written by Li Rui
Otolaryngology
Updated on March 27, 2025
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Nasal polyps are a relatively common ENT disorder, and some patients may experience recurrent episodes. This situation is mainly seen in patients with nasal polyps who have an increase in eosinophils or those with accompanying allergic rhinitis. The likelihood of recurrence varies individually. After a recurrence, it is necessary to visit an otolaryngologist. A nasal endoscopy or a sinus CT scan can be done to assess the severity of the recurrence. Some patients may opt for conservative medical treatment, commonly using nasal spray medications. Additionally, rinsing the nasal cavity with saline solution can be helpful. If the nasal polyps recur severely and conservative treatment is ineffective, surgical removal may be necessary. (Please use medication under the guidance of a physician.)

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Written by Xu Jian You
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How to completely treat nasal polyps?

The radical treatment method for nasal polyps is surgical removal, which is the main treatment method for nasal polyps. The traditional nasal polyp surgery is performed under frontal mirror illumination, using a snare or polyp forceps to remove the polyps. It cannot be completely obscured, may damage normal structures, is not easy to remove cleanly, and is prone to recurrence. Over the past 30 years, with the popularization of endoscopy, nasal polyp surgery has greatly improved. Now, under the nasal endoscope, the base of the nasal polyps can be clearly identified and cleanly removed. Most nasal polyps are associated with sinusitis or originate from the sinuses, so it is also necessary to perform simultaneous sinus opening surgery under the endoscope to thoroughly remove the diseased tissue, greatly reducing the recurrence rate of nasal polyps.

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Written by Li Rui
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Can nasal polyps be treated with medication?

Some patients with nasal polyps can opt for medical treatment, as there are mainly two types of treatments for nasal polyps: conservative treatment and surgical removal. For cases with minimal absorption, limited scope, and shorter duration, conservative treatment is generally recommended, primarily using corticosteroid nasal sprays. Regular follow-ups and a sufficient course of medication are necessary, typically rechecking with a rhinoscope every three months, and visiting the otorhinolaryngology department every one to two weeks for a check-up. If conservative treatment is ineffective and the patient has numerous nasal polyps, surgical removal should be considered.

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Written by Li Rui
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Nasal polyps bleeding is a symptom.

Nasal polyps accompanied by bleeding can have various causes. It might be due to hemorrhagic polyps, bleeding from the nasal mucosa, rupture of small blood vessels due to dry nasal cavities, or potentially sinusitis associated with the nasal polyps causing the bleeding. A small number of patients may have blood disorders such as coagulation dysfunction or thrombocytopenia. In such cases, it is necessary to visit an ENT (Ear, Nose, and Throat) specialist for a nasopharyngoscope examination, complete blood count, and coagulation function tests to determine the specific causes of the condition, and then to proceed with targeted treatment. Surgery might be considered for some patients.

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

There is a possibility of spontaneous healing for nasal polyps, but this possibility is relatively low. For cases with fewer polyps, conservative treatment with medication is generally recommended, commonly involving spray medications, along with saline nasal irrigation. However, it is necessary to regularly re-examine and observe the treatment results. If there are many polyps and the results of conservative treatment are not satisfactory, then surgical removal may be required. Currently, the common practice is to remove nasal polyps via endoscopic surgery, which is a minimally invasive procedure with generally good overall results, less damage, and shorter recovery time. However, regular follow-up is required as some patients may experience recurrence after the surgery.

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Written by Li Rui
Otolaryngology
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Can you smoke if you have nasal polyps?

Patients with nasal polyps are advised not to smoke. This is because cigarettes are quite irritating and can affect the nasal mucosa and the normal structures inside the nasal cavity, potentially aggravating the condition of nasal polyps, as well as possibly causing nasal congestion or acute upper respiratory infections, all of which could worsen the existing condition. In terms of treatment, it is first necessary to assess the severity of the condition. Some patients may opt for conservative drug treatment, while those with more severe conditions, where conservative drug treatment is ineffective, may need to consider surgical removal. After surgery, regular follow-ups are necessary to monitor the effects of the operation.