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Nasal Polyps

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Morris Nejat MD NY Allergist Specializing in Allergy and Allergy Triggers is a Board Certified Pediatrician and an NY Allergist in New York and Midtown and Downtown New York with information on allergy asthma and triggers Morris Nejat for NY allergy, NYC Allergist and Manhattan Allergy treatment and therapy in NYC new york city. NY allergist asthma ny allergy ny allergy dust mites cockroach pollen grass weed count sinus nasal polyps testing skin shots allergyshots NYC new york city allergist asthma ny allergist allergy nyc  allergy dust mites cockroach pollen grass weed count sinus nasal polyps testing skin shots allergyshots Morris Nejat MD Allergist in Allergy Testing, Specializing in Allergy and Allergy Triggers is a Board Certified Pediatrician Allergist in New York and Midtown and Downtown New York with information on allergy asthma sinus and triggers Morris Nejat Arthur Lubitz Feingold Finegold Gregory Pollack Cliff Bassett. Health Insurance Medicare Medicaid Aetna USHC Allmerica Financial AmeriChoice of NJ AmeriHealth Administrators Anthem Healthcare of NY BC/BS BC/BS HMO Beech Street Network Center Care Chickering Claims Administrators Child Health Plus Cigna First Health Network GHI Great West Healthsource HIP Home Care Industry Horizon of NJ Horizon of NY Insurance Design Administrators (IDA) Local Insurances Magnacare MasterCare Medicaid w/Medicare Medicare Multiplan New England Financial NY Government Employee One Health Care Network Oxford PHCS Network PHS Network Pomco Prudential Select Pro Unicare United Healtcare 1199 32-BJ. All insurance accepted. Medication therapy flonase advair claritine clarityne claritin patanol and allergy medication from board certified allergist clarinex clarinext allegra zyrtec glaxo nasonex nasanex.

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Nasal Polyps

These benign and edematous growths are usually multiple, mobile, and bilateral.  Nasal distention and enlargement of the bony framework may be a result from nasal polyps that are large and numerous, and possibly occluding the airway.  Nasal polyps usually develop as a result of continuous pressure resulting from a chronic allergy that causes mucous membrane edema in the nose and sinuses.  They usually occur more commonly in adults.

Symptoms:

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Nasal obstruction

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Anosmia (absence of the sense of smell )

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A sensation of fullness in the face

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Nasal discharge

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SOB (shortness of breath )

Treatment:   

Corticosteroids either by direct injection into the polyp or by local spray, to reduce the polyp temporarily.  Treatment of the underlying cause may include:  antihistamines to control allergy and antibiotic therapy if infection is present.  Allergy immunotherapy may be indicated to decrease the allergic response.  Local application of an astringent shrinks hypertrophied tissue.
Medical management alone is rarely effective, and for this reason, the treatment of choice is polypectomy (intranasal removal of the nasal polyp with a wire snare), usually performed under local anesthesia.  If continued recurrence, surgical opening of the ethmoidal and maxillary sinuses, and evacuation of diseased tissue may be done. 
Surgery should be combined with removal of the inciting agents and/or allergy immunotherapy where allergies have been noted to be a factor.
 

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