This question was answered on Sun 02, May 2010 05:34pm by Dr.Kokil Mathur

Coughed up a polyp ?

    
Asked by monet208 (Male; 62; I have hiatus hernia and diagnosed with barratts syndrome 6 years ago and been on nexium ever since.Occassional acid reflux but not often No endoscopy for 5 years Smoker about 8 a day - menthol; Relevant drugs:Nexium ) on Sun 02, May 2010 08:45am

Dr Mathur kindly helped advise on my wifes stomach problem- a GIST was discovered and removed 6 weeks ago -we were lucky it was benign. Our thanks to him for his kind advice But are we starting all over again with me ?? I have had swollen sinus's and a minor cold for the past few days and this morning I sneezed/coughed up what I think is a polyp. Not sure if it was snneezed out but probably coughed out with mucus. It is like a pointed tube about 1and a half cm long and about 4mm in diameter with a short about 5mm stalk that had broken off and was in the mucus. No blood. Have bottled it up in saline solution for when my doctor opens after the holiday on tuesday Could it be something other than a polyp ? If it is a polyp are the anti acids and/or smoking contributory factors Do they tend to be benign ???? - obiviously I am worried Thank you David Collins

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Answer by Dr.Kokil Mathur  on Sun 02, May 2010 05:34pm:

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!

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Comments:

Comment by Dr Rowena S, MD on Sun 02, May 2010 06:27pm:
Hi, Welcome to the forum. Dr Kokil has discussed nasal polyp management very well. Nasal polyps are sac-like growths of inflamed tissue lining the nose or sinuses and it is indeed possible that this could have been dislodged by forceful sneezing. The risk of nasal polyps increases with patients with wheezing, asthma, chronic sinus infections, cystic fibrosis or allergic rhinitis. Direct clinical examination and imaging modality such as CT san may help with the diagnosis. Medications like nasal steroids and cortoosteroids help relieve symptoms but rarely get rid of nasal polyps. Surgery such as functional endoscopic sinus surgery (FESS) may be indicated. However, nasal polyps often return after removal. Check with your doctor for proper evaluation. Take care and best regards.

Comment by Jennifer on Sat 02, Jul 2011 07:31am:
Hi, last night, after two days of heavy sneezing and coughing and months of havinga blocked nose (which I was told first of all was a nasal polyp and then a deviated septum within the two day period), I sneezed a lot of blood then finally what looked like an inch square thick skin tissue with a small amount of blood on two angles appearring like it had been connected, was in my tissue. I am hoping this may be a polyp that had discharged itself with the sneezing but cannot find any reference to any polyps other than grape type shapes. Mine is flat, approx one inch square. Any hints? I kept the 'thing' but chances of getting into a doctor in my town are limited.

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