A young boy came to OPD with the complaints of difficulty in breathing. On examination, bilateral polyps were found. On aspiration, bleeding was seen. What will be the initial management?
I and D
Antihistaminic
Conservative
Septoplasty
1. Early polypoidal changes with oedematous mucosa may reve to normal with antihistaminic and control of allergy. 2. A sho course of steroids may prove useful in case of people who cannot tolerate antihistaminic and/or in those with asthma and polypoidal nasal mucosa. 3. Contraindications to use of steroids, e.g. hypeension, peptic ulcer, diabetes, pregnancy and tuberculosis should be excluded. 4. Surgical: Endoscopic sinus surgery.
FMGE 2019