Hi David Collins! First of all I am glad to hear your wife is well and the tumor was benign. Please convey my
best wishes to her. Since in such a short span of time, now you are having problems, naturally you are
worried. It is really scary to cough or sneeze out something. If you have any of these: allergy issues,
recurrent cold, problems of smell, bad odor etc then it is possible you have nasal polyps (benign growths).
While sneezing out hard, you could have dislodged one. Since you have this problem since the last few days
(swollen sinus and cold as you mention), this is the most likely diagnosis, even though you have had the
gastric issues for a longer time. You did a very wise thing by storing the mass in saline water. Please
consult your PCP and get a referral for an ENT specialist first. Get the mass examined. The specialist will
look into your nose and in all probability will find nasal polyps there. Isolated nasal polyps can be present
but are rare. Treatment is use of nasal steroid and other sprays (please take only under medical supervision)
and in cases which do not respond to nasal sprays, surgery is planned.
Regarding acid reflux, Barrett?s esophagus, hiatal hernia: Polyps in the esophagus are rare and when present
usually compound the reflux and cause problems with swallowing. The most common esophageal polyps are the
leiomyoma and squamous cell papillomas which are benign growths. Hence only if there are no polyps found in
nose, should this be investigated by barium meal or endoscopy or CT scan. What is important is that the polyp
that you coughed or sneezed out should be biopsied. I?ll be looking forward to hear from you regarding how
thing go. Take care!