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Medical Forum / Diseases and Disorders / Sinusitis / August 2006What's the most accurate method of diagnosing nasal polyps
I apologize in advance if I have the wrong group. I was wondering what method is the most accurate in diagnosing nasal polyps? After over a decade of having nasal polyps an Xray a while ago showed no evidence of nasal polyps. Thanks > I apologize in advance if I have the wrong group. > > I was wondering what method is the most accurate in diagnosing nasal > polyps? After over a decade of having nasal polyps an Xray a while ago > showed no evidence of nasal polyps. CT scan and nasal endoscopy  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. CT scan (most accurate) shows polyps, and some polyps can be seen with a normal exam. Go to an ENT and they can help you. > I apologize in advance if I have the wrong group. > [quoted text clipped - 3 lines] > > Thanks Be careful-in the surgery My surgeon said he saw polyps on the X-Ray During surgery though...there were none! yet removing them was STILL on the bill!! Another surgeon where I went for a 2nd opinion said he could see NO POLYPS on the X-Ray Kindest personal regards, Ray The Travellin' Man.....Ray Armstrong your eyes and ears on the Tweed!! Let's Keep Music Liiiiiiiiiiiive!!!!!!! > CT scan (most accurate) shows polyps, and some polyps can be seen with > a normal exam. Go to an ENT and they can help you. [quoted text clipped - 6 lines] > > > > Thanks > Be careful-in the surgery My surgeon said he saw polyps on the X-Ray > During surgery though...there were none! yet removing them > was > STILL on the bill!! Another surgeon where I went for a 2nd > opinion > said he could see NO POLYPS on the X-Ray Yup, that's exactly what I am afraid of: misdiagnosis. On 8/21/06 5:47 PM, in article 1156207623.754417.263310@75g2000cwc.googlegroups.com, >> Be careful-in the surgery My surgeon said he saw polyps on the X-Ray >> During surgery though...there were none! yet removing them [quoted text clipped - 4 lines] > > Yup, that's exactly what I am afraid of: misdiagnosis. Polyps can enlarge and then shrink. This is why medical management is tried first. > CT scan (most accurate) shows polyps, and some polyps can be seen with > a normal exam. Go to an ENT and they can help you. I had already gone to two different ones with one doctor. I suffer from sleep apnea. The first ENT looked in my nose and wanted me to have the laser surgery so nobody could hear me snore, but it wouldnt cure my apena. He was choked when I turned him down. The second one didn't do anything but sent me off for Xrays and prescribed me some Nasonex. The Xray came back negative, but after having nasal polyps for almost a decade (noticed by my dentist when he took a cranial Xray and follow-up with another doctor) they "supposedly" disappeared. Right now, I need to be armed with ammo and go see my present GP to get these things done to eliminate any interference with my sleep apnea and why I treatment isn't working. On 8/21/06 5:45 PM, in article 1156207530.065496.17680@h48g2000cwc.googlegroups.com, >> CT scan (most accurate) shows polyps, and some polyps can be seen with >> a normal exam. Go to an ENT and they can help you. [quoted text clipped - 13 lines] > these things done to eliminate any interference with my sleep apnea and > why I treatment isn't working. Are you asking the right question? Shouldn't it be what to do for sleep apnea? Most persons do well with CPAP. Murray Grossan wrote:> Are you asking the right question? Shouldn't it be what to do for sleep > apnea? Most persons do well with CPAP. Not sure, what you mean by "asking the right question"? Actually, *most* people do OK, not well with CPAP if they use it; however, compliance is very low. Some people cannot tolerate CPAP for a variety of reasons, one big reason is the "swallowing of air" or aerophagia which causes gas and belching. Some people are awaken by the swallowing of the air from their machine. Other people can have fitting issues with the mask(s), leakage, and noise issues. CPAP is an awful beast of burden. >> CT scan (most accurate) shows polyps, and some polyps can be seen with >> a normal exam. Go to an ENT and they can help you. [quoted text clipped - 6 lines] >The second one didn't do anything but sent me off for Xrays and >prescribed me some Nasonex. Xrays alone have largely been replaced by CT scans (which are actually a series of XRays) which are much more accurate...... > The Xray came back negative, but after >having nasal polyps for almost a decade (noticed by my dentist when he >took a cranial Xray and follow-up with another doctor) they >"supposedly" disappeared. >Right now, I need to be armed with ammo and go see my present GP to get >these things done to eliminate any interference with my sleep apnea and >why I treatment isn't working. > Xrays alone have largely been replaced by CT scans (which are actually a series > of XRays) which are much more accurate...... I think what may have happened is that perhaps the Polyps shrunk to a point where the XRay could not detect them. In Canada, the medical system is such that we LOVE to do XRAYS and avoid CT scans as much as possible because XRays are much cheaper. That's why we have people driving across the border to the USA paying for them out of pocket without any reimbursement to have CT, PET, and MRI scans because we don't have that many up here (waiting list is huge) while in the USA, they are like a dime a dozen. >> Xrays alone have largely been replaced by CT scans (which are actually a series >> of XRays) which are much more accurate...... > >I think what may have happened is that perhaps the Polyps shrunk to a >point where the XRay could not detect them. Right well maybe you just need to continue along the path you were started on at that time. More rest? Moved? Whatever.... >In Canada, the medical system is such that we LOVE to do XRAYS and >avoid CT scans as much as possible because XRays are much cheaper. >That's why we have people driving across the border to the USA paying >for them out of pocket without any reimbursement to have CT, PET, and >MRI scans because we don't have that many up here (waiting list is >huge) while in the USA, they are like a dime a dozen.
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