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Nasal polyps

Polyposis nasi · Nosní polypy

What it is

Soft swellings of chronically inflamed sinus lining that block the nose.

Symptoms & signs

  • Blocked nose
  • loss of smell
  • runny nose
  • facial pressure
  • worse with asthma or aspirin sensitivity

🚩 Get help if…

  • call 112 / 911 now Swelling around the eye, double vision or reduced sight
  • call 112 / 911 now Severe headache, stiff neck or confusion with a blocked nose
  • see a doctor soon Blockage, bleeding or crusting on one side only
  • see a doctor soon A growth that bleeds or looks different in one nostril

Where it strikes

Medical treatment

  • Intranasal steroids
  • short oral steroid courses
  • endoscopic sinus surgery
  • dupilumab, omalizumab or mepolizumab
  • steroid-eluting sinus implants (Propel, Sinuva) — FDA-approved

Natural & lifestyle

  • Saline irrigation
  • allergen control
  • aspirin desensitisation in AERD
  • smoking cessation

Emerging & experimental

  • Biologics as first-line in severe disease

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Capsaicin nasal spray — small trials shrank polyps early / small studies
  • Manuka honey rinses — small trials early / small studies

ICD codes