Connect with us

Health

What Medications Treat Nasal Polyps?

Published

on


Tired of living with a stuffy nose, postnasal drip, sinus infections, facial pain, poor sense of smell, and the other symptoms that come with nasal polyps? It’s time to seek treatment.

“There are a full array of treatments available for nasal polyps,” says Cecelia Damask, DO, an ear, nose, and throat specialist in Lake Mary, FL.

Your doctor can create a treatment plan that aims to shrink or eliminate these noncancerous growths in your nostrils and sinus cavities, allowing you to breathe easier.

These are the most common medications used to treat nasal polyps:

Topical steroids: This is usually the first treatment doctors recommend for nasal polyps. These medications, delivered into your nasal passages via drops, sprays, nebulizers, and inhalers, reduce inflammation and shrink nasal polyps.

They’re not only effective, but have fewer side effects than oral steroids, Damask says.

Your doctor can prescribe topical steroids, and you can buy over-the-counter versions as well. It’s safe to use them long-term. Your symptoms will return when you stop using them.

Many people use them along with other treatments. Research shows that combining topical and oral steroids is more effective to shrink polyps and improve your sense of smell than topical steroids alone.

A newer tool called an exhalation delivery system (EDS) may work better than conventional nasal sprays to deliver the medication where you need it. An EDS connects to your nose and mouth. You blow into the device, sending the medication high into your nasal cavity.

Oral steroids: Oral steroids are among the most common treatments for nasal polyps. Doctors may prescribe them:

  • When you have serious sinus disease
  • If your nasal polyps tend to come back
  • When sprays don’t work to shrink your polyps or reduce symptoms

“Oral steroids do a great job,” Damask says.

Still, they come with some risks. Repeated use of oral steroids has been linked to serious side effects like high blood sugar, cataracts, glaucoma, osteoporosis, bone fractures, and heart problems, she says.

“As few as four lifetime bursts of oral steroids could result in these side effects,” Damask says.

Because of the risk of side effects, your doctor probably won’t recommend using oral steroids long term. Their effects usually last for a few months.

Injectable steroids: Your doctor can inject steroid medication directly into nasal polyps, which helps more medication reach the site. The effects of injectable steroids should last for at least 3 months.

They’re as effective as oral steroids for reducing inflammation, easing symptoms, and shrinking polyps, but tend to have fewer side effects. A few people have had short-term vision loss as a side effect, though.

Your doctor may recommend steroid injections if your polyps are serious. But if you have several large polyps, injections may not work to eliminate them.

Antibiotics: Nasal polyps and sinus infections often go hand in hand. Your doctor may prescribe antibiotics if you have a bacterial sinus infection along with nasal polyps. (Most sinus infections are caused by viruses, so antibiotics don’t work to treat them.)

The antibiotics treat the infection, which causes inflammation. You’ll get other medications, like steroids, to shrink the polyps.

Antihistamines and decongestants: While these medications don’t actually treat nasal polyps, your doctor may recommend them in addition to other treatments to help control symptoms such as runny nose, congestion, and itchy eyes, says Yasmin Bhasin, MD, allergist and immunologist at Allergy Asthma Care in Middletown, NY.

“Antihistamines and decongestants can also reduce swelling in the nose,” she says.

Biologics: In 2019, the FDA approved the use of biologics for nasal polyps. These injectable medications target the proteins that cause inflammation and swelling. Bhasin calls biologics “the ultimate weapon” against nasal polyps.

You’ll get the first few doses in your doctor’s office so your doctor can watch for side effects, which can include pain, redness, and swelling at the injection site, she says. If you have no side effects, you can use a special pen to give yourself the injections at home.

Research has found that people who took biologics had less severe sinus infections, an improved sense of smell, and smaller nasal polyps.

Immunotherapy: Allergies cause inflammation that can trigger the growth of nasal polyps. So it makes sense that getting allergy shots could help.

One study found that people with nasal polyps who got immunotherapy injections every 2 weeks for a year had fewer symptoms and fewer polyps. They also had few side effects from the medication.

Treating your allergies can also lessen the risk that nasal polyps will return, Bhasin says.

Aspirin desensitization: People with an intolerance to aspirin intolerance are at higher risk for developing nasal polyps. Aspirin intolerance appears to increase the release of eosinophils, white blood cells that increase inflammation.

Aspirin desensitization involves taking aspirin in increasing doses, under medical supervision. The goal is to prevent nasal polyps from coming back and decrease your need to take steroid medications.

While there are many medications available to treat nasal polyps, you might need surgery if they don’t work well enough.

But it’s not a cure. Nasal polyps tend to come back. Research found that 79% of people who had the surgery  developed additional growths within 12 years. And more than one-third had additional surgeries.

Still, treatment is important to keep your symptoms under control and improve your quality of life.

“There is a lot that can be done that can really help,” Bhasin says.



Source link

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Health

5 Family and Community Engagement Strategies to Improve Student Outcomes

Published

on


Strong school-family-community partnerships bring exceptional value to children’s education. A recent book by Karen L. Mapp, a senior lecturer at the Harvard Graduate School of Education, and four other co-collaborators synthesizes the available research to explain who benefits from these partnerships and the many advantages of family and community engagement.

Everyone Wins! The Evidence for Family-School Partnerships & Implications for Practice (Scholastic, 2022) cites various research to demonstrate how family-community-school partnerships benefit all stakeholder groups when they’re approached effectively:

  • Students have higher grades, better attendance, deeper engagement in school, greater self-esteem, and higher rates of graduation and college attainment.
  • Educators enjoy better job satisfaction, better success motivating students from different backgrounds, more family support, and an improved mindset about students and their families.
  • Families have stronger relationships with their children and better rapport with educators. They can navigate school policies and advocate for their children more effectively.
  • Schools enjoy a better climate, more support from their community, and improved staff morale—leading to better teacher retention.
  • School districts and communities become better places to live and raise children. They experience fewer disciplinary problems, greater participation in afterschool programs, and more family and student involvement in decision-making.
community members talking and hugging in matching green volunteer t-shirts in front of an outdoor mural

What elements make school-family-community partnerships particularly effective? Here are five tips for how school systems can successfully promote family and community engagement in education and drive better student outcomes.

1. Successful Family Engagement Requires Intentional Leadership

Engaging with families has to be a core activity and not just an afterthought. It requires a total commitment by school and district leaders, and this commitment must include investing in the tools and training needed to help educators effectively engage with families from all backgrounds. It must be a real and intentional focus, and as Mapp says: “It’s real when I see it on your budget sheets.”

2. Teachers and Administrators Must Communicate Clearly and Consistently

To encourage family involvement in their children’s education, educators must interact with families frequently—and in many ways. For instance, teachers and administrators might engage with families in person during school drop-off and pick-up periods, set up a Family Information Board in the school’s lobby, write and distribute regular newsletters or blog posts, and/or send emails or text messages to parents.

Communicating effectively is one of the National PTA’s “National Standards for Family-School Partnerships,” which guides how schools and families should work together to support student success. Teachers and administrators should learn about and meet families’ preferred methods of communication, and families should be able to share and receive information in culturally and linguistically relevant ways.

3. Develop Healthy, Positive Relationships Based on Mutual Trust and Respect

Interactions between educators and families should be positive and reciprocal, with families feeling valued and supported. Educators can establish trust and encourage healthy, two-way communications with families by sharing information about their children’s positive behaviors and accomplishments and which skills may need work. Listen to all parents and provide opportunities for shared decision-making.

4. Be Mindful of Diversity, Equity, and Inclusion

Welcoming all families and fostering a sense of belonging is another National PTA standard. When families engage with your school, do they feel respected, understood, and connected to the school community?

To ensure equity and inclusion, learn about the families you serve and their unique needs and challenges. Use culturally responsive engagement practices. Create opportunities for connection, especially with historically marginalized families and students. Learn about and seek to remove barriers for families to participate fully in their children’s education.

5. Help Families Support and Extend the Learning at Home

Students learn more effectively when they have opportunities at home to practice, reinforce, or extend the skills and lessons they’ve learned in school. Educators can facilitate this process by giving families specific ideas for expanding their children’s learning at home, such as by incorporating core math and literacy concepts into everyday routines.

Schools can also make instructional resources such as take-home packs, activity sets, and other materials available to families to support their children’s education.

How School Specialty® Can Help

School Specialty has more than six decades of experience in providing tools, resources, and strategies that promote successful education both in school and at home. We offer arts and crafts, early childhood, ELA, math, science, STEM/STEAM, physical education, special needs, and social emotional learning resources for families, as well as games, puzzles, and general supplies.

How do you promote family engagement in your classroom and community? Let us know in the comments!





Source link

Continue Reading

Health

Preteens and skincare: What parents should know – CHOC

Published

on

By


Published on: April 16, 2024
Last updated: April 9, 2024

Should teens and preteens be using so many skincare products with fancy ingredients? A pediatric dermatologist answers parents’ questions.

Link: https://health.choc.org/preteens-and-skincare-what-parents-should-know/



Source link

Continue Reading

Health

Living With Crohn’s: My Daily Routine

Published

on


By Michelle Pickens, as told to Danny Bonvissuto

As early as I can remember, I’ve had issues with my health. When I was little, I had severe constipation, nausea, vomiting, and food sensitivities.

As I got older, those symptoms transitioned into diarrhea, irregular bowel movements, and pain. I was always very fatigued and my immune system was weak: The second someone in my class had the cold or flu, I’d get it, too. Looking back, it was a sign.

From a mental perspective, my anxiety was high. What if I need to find a bathroom? What if I’m nauseous? Doctors would say, “Oh, you’ll grow out of it. It’s just your anxiety.”

Finally, a Diagnosis

After years of misdiagnosis, I was finally diagnosed with Crohn’s disease in 2015. I was 23 and had just finished up college while working full time. My symptoms were getting worse. I had a lot of vomiting and pain. The fatigue was at the point where it was difficult for me to work or even get out of bed some days.

It was so bad it pushed me to seek additional care. I took a couple months off, looked for another job, and went through all the doctor appointments it took to get the diagnosis.

There’s no blood test for Crohn’s. No way to prove what you’re feeling. Eventually I saw the right doctor, who did a test with a pill camera called a small bowel capsule. (This is a pill-sized camera that you swallow, allowing doctors to see inside your digestive system.) It tracked my intestines and was able to get into a blind spot where neither a colonoscopy nor endoscopy can see inflammation. 

It was such a relief to get the diagnosis because it made me feel like I wasn’t crazy. For so many years I knew something was wrong and couldn’t name it. I also felt hopeful. Once I knew what I was dealing with, I knew I could work to get to a better place.

Sharing My Story

In 2016, I started a blog called Crohnically Blonde as an outlet to connect with people as I go through the stages of dealing with Crohn’s. When I first started to share, there weren’t as many people talking about it.

I’ve been able to form relationships in an online community through shared experiences. I hope someone can see my story and feel that, if they’re at the beginning of their journey, there’s a way to get through.

Managing My Medication

At first, I was on a lot of medication that wasn’t working well and was a huge imposition on my schedule. Now I get infusions of an immunosuppressive drug every 7 weeks.

It means being away from my family and job for 4-5 hours, and managing child-care coverage during the treatment and the weekend after, because I feel almost flu-like. The extra help allows me to rest and fuel back up after the treatment.

I have the option to be on more medications to control my symptoms. But I try to shy away from those and manage it on my own because I don’t want to be on medicine for every single thing.

Before I had my son, I was more willing to try different medications. But while I was pregnant, I could barely be on any of the Crohn’s medicines. After I had him, it didn’t make sense to be reliant on them.

Crohn’s, Pregnancy, and Motherhood

Crohn’s affected me throughout my pregnancy. I got very sick in my third trimester because I went off my immunosuppressive drug to avoid passing any on to the baby. I ended up having to be induced early so I could get back on the medication as soon as possible.

My son, Maddox, is 1 now. Crohn’s changed my expectation of what I thought motherhood would be.

I’ve learned that I’d rather be present and able to enjoy him in the good moments than push it when I’m sick. It’s been difficult. But if I’m not well, I can’t be there for my child. I try to be with him as much as I can, but there are times when I need to step back and take an hourlong nap.

I have a great support system: My husband, mom, or mother-in-law can step in and help out for a little while, and when I feel better, I can be a better mom. There are also days when I don’t have accessible help. In those situations, I’ll do lower-key activities that I can enjoy with him but that aren’t physically demanding on me.

Schedule and Adjust

Right now I’m in a pretty good spot. I work from home now, as a recruiter for a tech company, and that makes a huge difference. A lot of my anxiety in the past was around being in an office and being sick. Now that I can work remotely, it’s such a game changer.

But Crohn’s still affects my day-to-day. I have days where I’m feeling sick, and need to rest and change my plans so I’m home and not out somewhere.

No matter how planned-out I have my day or week, if I’m not feeling well that takes precedence. I like to be a very scheduled person. But I have to roll with the punches and have a plan B.

The biggest challenge is managing my sleep and stress. They’re both very influential in symptom flare-ups. I have to get at least 8 hours of sleep, no matter what. And I try to incorporate time to de-stress, like reading a book or relaxing at the end of the day.

Going to therapy helps offset stress as well, and is now part of my ingrained self-care schedule.

Social Life Strategies

My co-workers, family, and friends are very understanding. But that wasn’t the case at first. The more open I’ve been about Crohn’s, the more people understand that I’m not flaking out if I have to change plans; there’s an underlying reason.

I only have a certain amount of energy, so now I pick and choose. I know I need to work and be with my family, which means I have less energy to put into social situations.

I plan out what I’m comfortable doing, but have also become comfortable with changing plans. Even if I’m excited to go out to dinner with a friend, I don’t push it if I feel terrible that day.

Food in Flux

I’ve followed a gluten-free diet for years. I started with an elimination diet and realized that gluten was bothering me.

Other foods aren’t as black and white. I can eat a salad one day and it’s fine, and eat the same salad the next day and it makes me sick. I repeat the safe foods that don’t make me sick and stick to a general schedule of three meals a day that are pretty much all gluten free.

Sometimes the timing matters: I’ll wake up and feel nauseated and need a starchy food like dry cereal. If I’m going on a road trip, or have a big event, like a wedding, I plan it out and try to be careful about what I eat leading up to it because I don’t want to be sick. But it’s hard because you never really know. It’s kind of a gamble.

Flexibility Is Key

I’ve learned to be as flexible as possible. I never know what each day is going to bring, I just have to trust that my body is telling what it needs for that specific day. That’s my priority, and everything else can wait.

 



Source link

Continue Reading
Advertisement

Trending

Copyright © 2024 World Daily Info. Powered by Columba Ventures Co. Ltd.