Nasal Polyps are a projection of oedematous mucous membranes composed of loose fibro- oedamatous tissue, the surface of which is covered by ciliated epithelium. Small blood vessels traverse the surface and are some times visible to the naked eyes. There is variable degree of infiltration of round cells, while  allergic polyps large  number of eosinophils are found.

Nasal polyps are caused by a combination of allergy and infection. They are uncommon in childhood or adolescence, begin more frequent in adult life. Those arising earlier in life have a more obvious allergic aetiology. Nasal polyps are common in men than in women.

Causes

Nasal allergy cause oedema due to the release of histamine giving rise to increase blood vessels permeability. The oedema results in blockage of the Ostia of the ethmoidal cells, and a secondary bacterial infection supervenes. As the polyps enlarge they cause poor aeration of the middle meatus of the nose, and the resulting chronic rhinitis and the underlying allergy leads to oedema of the middle turbinate and lateral nasal wall. Once the polyps appear within the nose blowing, causing increased oedema. While they can vary in size, by enlarging during a cold or an exacerbation of hay fever, once they are visible on rhinoscopy they will not disappear completely. The vast majority of nasal polyps arise from the ethmoidal sinuses and they should be regarded as the end product of chronic ethmoidal , while remembering that the sequence of oedematous blockage of the Ostia followed by secondary infection frequently has an allergic causation. Nasal polyps are almost always multiple and bilateral, and an individual polypus can exceed the size of a grape.

Symptoms

Nasal congestion

Runny nose

Sneezing

Post nasal drip

Loss of sense of taste

Distorted sense of smell

Nasal obstruction

Headache

Snoring

Breathing through the nose

Complication

Sinusitis

Examination

Polyp may be visible with the aid of lighted instrument.

Nasal endoscopy.

Treatment

Surgical removal

Medical treatment can only give temporary relief, because, once the polyps are apparent on rhinoscopy, they will never disappear completely. Medical measure include short term use of nasal decongestant drops,or oral decongestant tablets, and the treatment of allergy with histamine or a steroid spray such as beclomethasone  disproportionate.

Grey polypi discovered incidentally on routine rhinoscopy and giving rise to no symptoms should be left alone.

Nasal polypectomy can be carried out either under a local or a general anaesthesia.

Single pedunculated polypi are removed with a nasal snare, multiple polypi require the use of blunt- ended forceps.

Injection of steroids.

Homoeopathic Medicine for Nasal Polyposis

1. Kali bi
2. Calc carb
3. Silicea
4. TMV
5. Lemna minor

The selection of homoeopathic remedies based on symptom similarities and doses according to the Susceptibility of patient.

Don't take homoeopathic medicine without any prescription / without any advise of physician.