I am 35. Can medicines effectively shrink my nasal polyps?

Question

Hello doctor,

I am 35 and have been experiencing a blocked nose, constant runny nose, and loss of smell for the past several months. My ENT doctor diagnosed me with nasal polyps. Although a steroid spray gave some relief, the symptoms returned quickly. I also sometimes wheeze, which makes me wonder if there could be a link with asthma. I would like to know:

Can medicines effectively shrink nasal polyps, or is surgery the only long-term solution?
How high is the risk of recurrence even after surgery?
Are there newer treatments, such as biologic injections, that can help in controlling or preventing nasal polyps?
What precautions or lifestyle measures can I follow while waiting to see a specialist?

Please guide me.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

The symptoms you describe, persistent nasal blockage, loss of smell, runny nose, and the finding of nasal polyps, are typical of chronic rhinosinusitis with nasal polyps. This condition is often linked to asthma as part of what is called the united airway disease.

The possible causes are:

Chronic inflammation of the nasal and sinus lining.
Asthma or Aspirin sensitivity, which increases the recurrence risk.
Allergic or immune-mediated airway disease.

Treatment options include:

Steroid nasal sprays may help reduce symptoms, but their effects are often limited.
Oral steroids or high-volume steroid rinses shrink polyps more effectively but cannot be used long-term due to side effects.
Functional endoscopic sinus surgery (FESS) removes polyps and improves airflow, but recurrence is common, especially with asthma or Aspirin sensitivity.
Biologic therapies (Dupilumab, Mepolizumab, Omalizumab) are newer targeted treatments that reduce polyp size, improve sense of smell, and lower recurrence rates, often delaying or reducing the need for surgery.

Because recurrence is common, long-term control usually requires a combination of medical therapy, and biologics now offer an effective option for patients with severe or recurrent disease.

Please consult your ENT (ear, nose, throat) specialist for personalized advice and to discuss whether biologic therapy is appropriate in your case.

Let me know if you need further clarification.

Thank you.