ivailo.org

By Steven Guptha

NASAL POLYPOSIS:

DEFINITION:

Nasal polyp is an inflammatory condition of unknown etiology and occurs as an apparent new growth

It is defined as a prolapsed , edematous, pediculated nasal mucosa, which may arise from the sinuses or the nasal cavity

CLINICAL TYPES:

The polyp is divided into the following types:

COMMON:

Ethmoidal

Antro choanal

RARE:

Spheno choanal

True choanal

ETHMOIDAL POLYP: it arises from the multiple air cells of the ethmoidal labyrinth

They present as multiple grape like masses, which can be best seen on the anterior rhinoscopic examination

ETIOLOGY:

Exact etiology of nasal poly is not known and precise mechanism in the formation of polyp is incompletely understood

Causation of the nasal polyp appears to be multi factorial

PATHOLOGY:

The nasal polyp may be multiple or solitary

The nasal polyps are found to commonly arise from the mucosa of the ostia, clefts,and recesses in the ostiomeatal complex

The pathological changes are:

Round cell infiltration of the sub mucosa

Edema of the lamina propria

Bulging of the mucosa

Prolapse of the mucosa, giving the rise to the nasal polyp

Long standing polyps leads to the cystic degeneration with fibrosis

CLINICAL FEATURES:

SYMPTOMS:

Nasal obstruction: often bilateral ,may be partial or complete

Hyposmia or anosmia

Nasal discharge is usually mucoid in nature

Hawking sensation due to post nasal discharge

Altered or reduced sensation of the taste

Symptoms of nasal allergy such as sneezings, itchy nose, watery rhinorrhoea may be present

Broadening of the nose in the long standing cases

Head ache due to secondary sinusitis

May be associated with itchy throat, hoarseness , cough, wheezings etc due to associated pharyngitis

Hyponasal voice

Snoring and sleep apnoea may be present

SIGNS:

Widening of the intercanthal distance giving the frog face appearance

Signs of allergic rhinitis

DIFFERENTIAL DIAGNOSIS:

Congenital conditions like mennigocele,

menngo encephalocele,

glioma

INVESTIGATIONS:

1. Diagnostic nasal endowcopy

2. X-RAY PNS

3. CT scan of ostio meatal complex

4. Allergy tests

5. Nasal swab for fungal cultures

6. Biopsy to rule out any neoplasms or granular growths

HOMOEOPATHIC APROACH:

ALLIUM CEPA:

Nasal polyps of the left sided especially

There is frequent attacks of the cold

Acrid nasal discharge with blond discharge from the eyes

Sneezings worse in the warm room

It is associated with head ache

CALCAREA CARB:

Suited especially to the children

The patient is fat and flabby

Frequent attacks of cold

catches cold easily, with mucoidal discharge

there is itching of the nose and hawking due to post nasal drip

patient is very sensitive and fears of crowds

used as constitutional medicine

THUJA OCCIDENTALIS:

Nasal polyps of the left sided are usually treated with this remedy

There is severe itching of the polyp

Rawness and soreness sensation in the nose

Yellowish thick discharge from the nose

Sensation of obstruction of both the nostrils

TEUCRUM MARUM VERUM:

This remedy is suitable to polypus of the both the sides

Easily cathches cold with thin mucoidal discharge

There are frequent sneezings with sore throat

Polyps are congested and raw

Obstruction of the nose worse in the night

And better by sitting up erect

About the Author: Dr Guptha associated with

ICD10 Certification

and Dr Guptha associated with

ICD10 implementation

Source:

isnare.com

Permanent Link:

isnare.com/?aid=576484&ca=Medicines+and+Remedies