Can nasal polyps be eradicated by medication?

Written by Li Rui
Otolaryngology
Updated on May 08, 2025
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Nasal polyps are a relatively common type of nasal disease. In terms of treatment, some patients can opt for medication, commonly using corticosteroid nasal sprays. After medical treatment, nasal polyps may gradually recede in some patients, but for others, the treatment might not be effective, especially in severe cases accompanied by symptoms such as nasal congestion, reduced sense of smell, headache, and dizziness. In such cases, surgical removal may be considered. Currently, the common procedure is endoscopic nasal polyp surgery, which is a minimally invasive surgery with generally good outcomes and minimal damage. (Please use medications under the guidance of a doctor to avoid misuse.)

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Written by Li Rui
Otolaryngology
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Is nasal polyp fungus contagious?

Nasal polyps accompanied by fungal infection generally are not contagious to each other. This disease is not infectious and does not have direct contagion. However, it is necessary to visit an ENT (Ear, Nose, and Throat) specialist promptly after symptoms appear. The patient will need to undergo a nasal endoscopy and a sinus CT scan to assess the severity of the condition. Most patients may need to consider surgical treatment, and after surgery, regular follow-up visits are required to monitor the effectiveness of the procedure. One to two weeks after surgery, nasal irrigation should be performed, which can be done using saline or physiological seawater to help reduce the retention of nasal secretions.

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Written by Li Rui
Otolaryngology
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What medicine to take for nasal polyps?

There are quite a few methods for treating nasal polyps, and currently, they are mainly divided into two major categories on the clinical level: the first category is surgical removal, and the second category is conservative medicinal treatment. If the extent of the nasal polyps is relatively small and there are no significant clinical symptoms, this situation could be considered for medication treatment. Currently, the first choice is still nasal spray, primarily corticosteroid nasal sprays, which help reduce nasal polyps and alleviate clinical symptoms. If accompanied by sinusitis or rhinitis, it is recommended to combine it with oral medications, commonly used medications include antibiotics or traditional Chinese medicine preparations, and overall, it is a relatively common disease. If the range of nasal polyps is extensive, and the inflammatory response is severe, accompanied by obvious clinical symptoms, this situation might require surgical treatment, as purely medicinal treatment might indeed not be particularly ideal. (Specific medication use should be conducted under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
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Do nasal polyps need to undergo a biopsy before surgery?

Nasal polyps must first undergo a biopsy before surgical treatment can proceed. A clear diagnosis is necessary. If it is a nasal polyp, local surgical removal is needed. If it is a bleeding or malignant nasal polyp, local hemostasis, radiotherapy, or chemotherapy is required. Nasal polyps can occur for various reasons clinically, and are generally directly related to chronic rhinitis or chronic allergic rhinitis in patients. They are polyps formed from the diffuse congestion, edema, and prolapse of the nasal concha mucosa due to long-term inflammatory stimulation. Nasal polyps can lead to persistent nasal congestion in both nasal cavities, along with a sense of swelling and foreign body sensation in the nasal cavity. In severe cases, it can cause a decrease in the sense of smell and memory. It is necessary to go to the hospital for a detailed examination. An electronic nasal endoscope and sinus CT can determine if there are any abnormal tumors. If a tumor is found, a local biopsy will be required. If it is confirmed as a nasal polyp, local surgical removal is necessary for treatment.

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Written by Li Rui
Otolaryngology
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What is the cause of bleeding from nasal polyps?

Nasal polyps are a relatively common clinical disease, with various symptoms. Common symptoms include bleeding, as well as nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. The bleeding caused by nasal polyps may be due to the condition of the polyps themselves, with some patients experiencing bleeding polyps that bleed repeatedly. It could also be due to inflammation associated with the polyps, or erosion of the nasal mucosa or small blood vessels in the nasal cavity rupturing and causing bleeding. Therefore, when such symptoms occur, it is necessary to visit an otolaryngology (ENT) department for tests such as a complete blood count, coagulation function tests, nasopharyngoscopy, and a sinus CT scan to determine the specific cause of the condition.

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Written by Deng Bang Yu
Otolaryngology
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What should I do if nasal polyps are removed but grow back?

Nasal polyps are a common condition in otolaryngology and are benign neoplasms in the nasal cavity. After nasal polyp surgery, there is a possibility of recurrence, and the likelihood of recurrence is relatively high compared to other diseases. Currently, we surgically remove nasal polyps through functional endoscopic surgery, followed by regular post-operative outpatient follow-ups to clean the nasal cavity. Since then, the recurrence rate after this surgery has been relatively low. However, if the nasal polyps recur, we must perform surgery again to remove them, as enlarged nasal polyps can block the nasal cavity and damage the surrounding tissue structures, necessitating another surgical intervention, with no other special methods available.