ENTAllergology

Nasal Polyps

Nasal polyps are soft, painless growths in the lining of the nasal passages or sinuses that cause persistent congestion, reduced sense of smell, and frequent sinus infections. They are closely linked to chronic inflammation from asthma and allergies. With the right treatment, symptoms can be significantly improved.

Affects 1 in 40 adultsMore common in men
Very treatableSprays, medication or surgery
Within 24 hoursFast online access

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Reviewed by a licensed doctor

This page provides general health information only and is not a substitute for professional medical advice.

What are nasal polyps?

Nasal polyps are noncancerous growths that develop from the mucous membrane lining the nose and sinuses. They arise from chronic inflammation and are strongly associated with asthma, allergic rhinitis, aspirin sensitivity, and cystic fibrosis. Small polyps may cause no symptoms, but larger ones block nasal airflow and impair the senses of smell and taste.

Nasal polyps tend to recur after treatment, which is why long-term management — rather than a one-off intervention — is the key to keeping them under control.

Symptoms

  • Persistent nasal congestion and blocked nose that does not improve with decongestants
  • Significantly reduced or absent sense of smell (anosmia)
  • Reduced sense of taste
  • Runny nose and post-nasal drip
  • Facial pressure or a feeling of fullness around the sinuses
  • Frequent sinus infections (sinusitis)
  • Snoring and sleep disruption

Causes & risk factors

  • Chronic rhinosinusitis — persistent inflammation of the nose and sinuses is the primary driver
  • Asthma — particularly severe or poorly controlled asthma
  • Allergic rhinitis and sensitivity to airborne allergens
  • Aspirin-exacerbated respiratory disease (AERD) — sensitivity to aspirin and NSAIDs
  • Genetic predisposition — nasal polyps run in families

When to see a doctor

See a doctor if nasal congestion has persisted for more than 12 weeks, particularly if accompanied by loss of smell or recurrent sinus infections. Nasal polyps are diagnosed by clinical examination and sometimes CT scan — they require treatment to shrink or remove them.

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Treatment options

  • Intranasal corticosteroid sprays — first-line treatment; reduce inflammation and shrink small polyps
  • Short courses of oral corticosteroids — for rapid reduction of larger polyps
  • Dupilumab (biologic injection) — highly effective for severe nasal polyps with type 2 inflammation
  • Functional endoscopic sinus surgery (FESS) — removes polyps and opens sinus passages; recommended when medication is insufficient
  • Treating underlying conditions — optimising asthma and allergy control reduces polyp recurrence

How eMedClinic can help

Our ENT specialists assess nasal polyp symptoms, prescribe appropriate nasal sprays and medication, and refer for surgical assessment or biologic therapy where needed. We help expats manage this chronic condition effectively in their new country without the barrier of language or navigating an unfamiliar healthcare system.

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