Q. What are the ways to overcome nasal polyps and allergic reactions?

Hello doctor,

I am a 37-year-old and have a history of PMH - chronic rhinitis with polyposis. I have suffered from the mentioned disease for 12 years, which is controlled with Mometasone and occasionally Fluticasone drops. I also take an antihistamine regularly, which helps even though my IgE allergy testing was negative. I had two questions: when I previously saw an ENT a year ago, they discovered grade 1 polyps and performed a sinus CT scan, which revealed minor inflammation that they did not consider severe enough to warrant surgery. The specialist reported there were no polyps during the follow-up nasendoscopy.I had been taking the steroid drops (Flixonase), which probably helped. I am currently using Mometasone nasal spray, but my nose remains incredibly clogged at night, forcing me to breathe through my mouth. Vicks nasal spray is quite helpful, however, I am afraid to use it because of the rebound effect. How many consecutive nights can I take Vicks nasal spray safely? I also utilized an ear wax camera to look up my nostril. I know I should not have done it, but I noticed a red spot on a stalk and was wondering if it was a polyp. Or is it merely a byproduct of the turbinate? I have uploaded a picture.

Please help.

Hello doctor,

Thank you for your response. I will surely consider your recommendations. I would like to ask you a few questions concerning my disease, which is chronic rhinitis with polyposis. I have had it for the past 13 years since I was 23. I have had allergy testing several times and they have all come back negative, so I can only presume it is not allergic. My blood eosinophils have always been on the high side at 0.5 to 7 %, thus it might be related to my immune system. My father had a history of nasal polyps and acquired asthma when he was 40, which makes me concerned about my chances of having asthma. I also underwent a spirometry test, which came out normal. Do you think I will acquire asthma in the future? Can my rhinitis develop into asthma? Does the fact that up to 60 % of persons with polyps acquire asthma indicate that I have a 60 % risk of developing asthma in the future? I also wanted to inquire about moisturizing because my sinuses seem quite dry and restricted at the back towards the nasopharynx, which I believe is due to the daily steroid sprays. I am already utilizing saline irrigation, but is there anything more I can do to increase moisture?