Nasal polyps are non-cancerous, painless, and soft growths that form on the lining of the nasal passages or sinuses. Often teardrop-shaped, they result from chronic inflammation and can vary in size—from barely noticeable to large enough to block nasal airways. Though they may go unnoticed when small, larger polyps can lead to significant breathing difficulties, frequent infections, and a diminished quality of life.
Nasal polyps typically arise due to long-standing inflammation. While the exact mechanism isn’t fully understood, they are commonly associated with conditions such as chronic sinusitis, asthma, aspirin sensitivity, allergic rhinitis, and cystic fibrosis. Genetic factors and immune system responses also appear to play roles in their development.
Chronic inflammation causes the nasal mucosa—the moist lining of the nasal passages—to become swollen and form fluid-filled sacs or growths. Over time, these swellings may enlarge and form polyps. Importantly, nasal polyps are not tumors and are almost always benign.
Nasal polyps themselves are not painful, which can delay diagnosis. However, they often produce noticeable effects on breathing and sinus function, including:
Persistent nasal congestion
Reduced or complete loss of sense of smell (anosmia)
Runny nose or postnasal drip
Frequent sinus infections
Facial pressure or pain, especially around the eyes and forehead
Snoring or disrupted sleep
A sensation of fullness in the face or sinuses
In children, nasal polyps can also be a sign of underlying conditions such as cystic fibrosis, and their symptoms should be evaluated thoroughly.
While not all cases of nasal polyps are preventable, certain steps can help reduce the risk or severity:
Manage allergies and asthma: Keeping allergic reactions and asthma under control with the help of medication or lifestyle changes can reduce nasal inflammation.
Avoid nasal irritants: Exposure to cigarette smoke, chemical fumes, dust, and other pollutants can worsen nasal and sinus inflammation.
Practice good nasal hygiene: Use saline sprays or nasal irrigation (like a neti pot) to keep nasal passages moist and free of allergens or irritants.
Humidify your living space: Dry air can irritate nasal passages, so using a humidifier may help reduce the risk of inflammation.
Seek timely treatment for infections: Promptly addressing sinus infections and avoiding their chronic development can prevent conditions conducive to polyp formation.
Nasal polyps often go unnoticed in the early stages but should not be ignored when symptoms become persistent or progressively worsen. You should consult a healthcare provider if you experience:
Symptoms lasting more than 10 days despite home treatment
Severe nasal blockage affecting breathing
A significant decrease or loss in sense of smell
Recurring sinus infections
Unusual nasal discharge, especially if it’s green or bloody
Swelling around the eyes or vision changes (which may indicate complications)
Early medical intervention can prevent complications and restore normal sinus function. A doctor may recommend a nasal endoscopy, imaging tests (like CT scans), or allergy testing to determine the extent and cause of the polyps.
Initial treatment typically involves medications such as corticosteroid nasal sprays, which help shrink polyps and relieve inflammation. In more severe cases, oral corticosteroids or even injectable options may be prescribed. If medications are ineffective, endoscopic sinus surgery may be considered to remove the polyps and correct sinus anatomy.
It is important to note that even with treatment, nasal polyps have a tendency to recur, particularly if underlying inflammation is not managed properly.
In Conclusion, nasal polyps may seem like minor growths, but their impact on respiratory health can be substantial. Recognizing the symptoms early and taking proactive steps—through medical care and daily precautions—can greatly improve breathing, reduce infection risk, and enhance overall well-being.