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Nasal Polyps
What
are nasal polyps?
Nasal polyps are small growths of inflamed mucus
membrane usually occurring in the top of the nose. Apart from causing
blockage in the nose, they decrease the sense of taste and smell and make
it harder to breathe.
As the small grape-sized polyps make the nasal
cavity narrower, mucus forms behind the polyp and cannot drain properly.
This may become infected and leads the sufferer to having to breathe
through the mouth. Therefore, we see
respiratory complaints such as asthma, hay fever
and chronic sinus conditions occurring alongside the polyps. About a
quarter of people with cystic fibrosis also have polyps.
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Nasal
polyps and related conditions
Respiratory allergies are commonly thought to be
the cause of polyps, though some research suggests that a chronic viral or
bacterial infection such as staphyloccus of the sinuses may be the cause.
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Further
research into nasal polyps
One study reported a connection with house dust
mite and house dust allergies, particularly in patients under 40. (1)
Aspirin can also cause polyps suggested another. (2)
However, most evidence pointed to allergy as one
study in Thailand confirms (3). 60% of the patients registered positive to
the skin prick test, indicating they were allergic. The research concluded
that in those patients suffering from allergy they were six times more
likely to suffer from polyps. A further study (4) reported that 57% of
children who were allergic were suffering from polyps.
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Conventional
Treatment of Polyps
Conventional treatment aims to shrink the polyps
using steroids, before surgery is considered. Often doctor’s will
attempts a "medical polypectomy", by giving a one-to two week
course of oral steroids, followed by three or four weeks of antibiotics,
and then long-term use of intranasal steroids.
Surgery requires a nasal endoscopy and often has
to be performed due to in-adequate response from the cocktail of
medicines. Doctors try to further minimise the chance of the polyps
returning by prescribing nasal steroids indefinitely after surgery (5).
Long term use of steroids are detrimental to the persons overall health
and can have horrible side effects including osteoporosis, growth
retardation in children and thinning skin.
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Alternative
methods
The problem with these approaches is that they
are not addressing the cause. The best form of treatment would be to find
out what the patient is allergic to and try to eliminate it from his or
her life. This does not only mean what can be inhaled, it can also be an
allergy to food substances as well.
It is recommended the patient undergoes a
complete allergy test, to see which inhaled or environmental substances he
or she is allergic to. This should be combined with a food allergy test,
carried out by an elimination diet to find out which food may be causing
the problem. Although this process is not as quick or a drastic measure as
the direct intervention means, it offers the person a definite answer as
to the cause of their nasal polyp problem.
Electric acupuncture has also shown some positive
results in the treatment of nasal polyps. (6)
Reference:
- Source : (1) HNO, 1991;
39: 307-10
- Source : (2) Acta
Otolaryngol, 1999; 119: 277-80 Rhinology, 1999: 37: 16-20
- Source : (3) Asian Pac J
Allergy Immunol; 1999 17 : 13-5
- Source : (4) South Med
J, 1978; 71 : 911-3
- Source : (5) Auris Nasus
Larynx, 1999; 26: 49-55
- Source : (6)
Otorinolaringol, Mar-Apr 1990; 2: 10-2
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This page was last updated on 05 December 2006 15:31:40
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