As per my CT Scan report, a well defined irregular minimally enhancing soft tissue density lesion in the right nasal cavity measuring 15 x 8 x 18 (AP x TS x CC) abutting the middle turbinate superiorly, inferior turbinate inferiorly and nasal septum medially. Minimal Mucosal thickening is seen in the right maxillary sinus. Minimal deviation of cartilaginous part of nasal septum to the left side. IMPRESSION: Right nasal polyp as described above ? suggested clinical correlation. I am agd 68 and diabetic but in absolute control with tablets. Please advise if Polyp removal by operation is advised. I have no problems of pain or breathing problems, except that the right nose (just in the beginning) pains which reduces after some antibiotics. This happed twice in the last 1 month.
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If there is no history of bleeding from the polyp, medical management can be tried. This includes nasal sprays and other medications. If there is nasal blockage and repeated infections then surgery is required.
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Surgery is last resort, as you have no pain or breathing problem you can wait for surgery. Just avoid allergy, infection, irritation. Keep nose clean. You can use nasal sprays as and when required, not regularly.
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Sinusitis, is nothing but a physiological disorder of nose which led by malfunctioning of aerodynamics of nose (temporary sinusitis, secondly it is because of repeated infections of the sinus (permanent sinusitis) sinuses regulations and air conditioning of the air which we breathe and to get the benefit of above we must have normal, well sized opened sinusitis and hence nose breathing is required, those who breathe from mouth, they have tendency to get more throat and lungs infections. Recurrent sinus infection, pollution, poor diet, spicy food, long term steam inhalation from nose, and allergies leads to thick discharge from nose. This thick mucus if stays in the sinuses, it leads to irritation of the sinus skin which is mucosa and this go on growing hence leads to permanent sinusitis this extra growth is called nasal polyps this is where patient needs surgical correction. If patient comes to nose surgeon at right time, doctor can revert his/her symptoms and surgery can be abandoned. But most of the time patient comes to us after trying everything which he/she hears from neighbors, tv channels, ayurvedic or homeopathic treatment. Sinusitis if patient does not take serious steps to correct might lead to cardiac symptoms, lung diseases, etc. Once there are nasal polyps you have to go for surgery immediately.
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