Hello. I am a 34-year old male, suffering from nasal polyps for the past 14 years. I have had multiple surgeries (1993 - polypectomy and septopasty; 1999 - endoscopic sinus surgey and another septoplasty which the doctor had to cut short due to severe bleeding (something happened but this was the only time I used this doctor, as I had moved to a different city); 2001 - endoscopic sinus surgery and reduction / opening of turbinates; 2004 - polypectomy). Well, now just 18 months after my last surgery, along with the springtime conditions of north dakota, I have noticed that my breathing passage has been clogged each morning and I can actually see nasal polyps in the far back of my nasal passage again. These things literally have popped up in the past two months.
I am desperately looking for some alternative guidance. I have moderate allergies, and have been on a regimine of allergy shots since my 2001 surgery. I also flush my sinuses regularly with sinusrinse and use two puffs of nasonex in each nostril each day. I have been on a few runs of prednisone since 2001, but prednisone really gives me some nasty anxiety / sleep disturbances / palpitations / blood pressure issues. I don't have asthma but I do have an intolerance to aspirin and asas. Finally, it seems that if I drink even a single beer, I get unbelieveable colored discharge and severe congestion ~ therefore I have now eliminated alcohol as it appears I am intollerant to some ingredient in this. I have had no sense of smell since 1999, except for immediately following my 2001 and 2004 surgeries (but this only lasts for a couple of weeks at best), oddly enough except for one or two days out of the blue in the past year and a half (no idea why), or after a few days on prednisone.
I am looking for alternatives. I have done as much research as I can, but things seem pretty unclear about these polyps. Does my case seem severe enough where I should now consider seeing a specialist at one of the top ent clinics in the country (ie. Mayo)? Is there any credibility to homeopathic treatments? Has the recent nasonex study moved some ent specialists to prescribing a higher dose (ie. 2 puffs twice per day), and if so, side effects? I am nervous about the prednisone. It clearly is not good. Does a one-week course a couple times per year add significant risk of serious side effects?
As you can see, I really would like some guidance here. Living in north dakota, medical options are quite good, but limited. Any information, new studies, or trial studies which you could share with me would be extremely appreciated. Thank you for your time.