ENT Nuffield Medical

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Nasal Polyps

1. What is the condition about?

Allergy testing and treatment focus on identifying and managing allergic reactions that can lead to various symptoms, including nasal congestion, sneezing, itchy eyes, and skin rashes. Allergies are the body’s immune response to harmless substances known as allergens.

2. What are the causes?

Allergic reactions are triggered by exposure to allergens, which can vary from person to person. Common allergens include pollen, dust mites, pet dander, mold spores, insect stings, and certain foods. Genetics and environmental factors can influence an individual’s susceptibility to allergies.

3. How common is the condition?

Allergies are a widespread health concern, affecting millions of people worldwide. Their prevalence varies by region and environmental factors. In Singapore, where humid and tropical conditions are common, allergies such as hay fever and dust mite allergies are prevalent.

4. What can an ENT Specialist do for you?

Consulting with an Ear, Nose, and Throat (ENT) specialist is crucial for individuals struggling with allergies. An ENT specialist can provide comprehensive evaluation, diagnosis, and treatment options tailored to your specific allergies.

The Role of an ENT Specialist:

Allergy Testing

ENT specialists can perform allergy testing to identify specific allergens that trigger your symptoms. Common tests include skin prick tests and blood tests (IgE testing).


Once allergens are identified, your specialist can diagnose the severity of your allergies and their impact on your overall health.

Treatment Options

ENT specialists can recommend a range of treatments, including medications, allergen avoidance strategies, and immunotherapy (allergy shots or sublingual tablets).

Long-term Management

They provide ongoing care to monitor your allergy symptoms, adjust treatment plans as needed, and ensure that you achieve long-term relief.

5. How can the condition be treated?

Allergy treatment aims to manage symptoms and reduce the body’s hypersensitivity to allergens. The choice of treatment depends on the type and severity of allergies.

Treatment Options for Allergies:


Antihistamines, decongestants, nasal corticosteroids, and leukotriene modifiers are commonly used to alleviate allergy symptoms.

Allergen Avoidance

Identifying and avoiding allergens in your environment, such as using allergen-proof bedding or keeping pets out of certain areas, can help reduce exposure.


Allergy shots or sublingual tablets are recommended for individuals with severe allergies. These treatments gradually desensitize the immune system to allergens, reducing the severity of allergic reactions over time.

6. Guidelines for Surgery

In most cases, surgical interventions are not the primary treatment for allergies. However, surgery may be considered in specific situations where other treatments have been ineffective or when structural issues contribute to allergies.

When Surgery May Be Considered:

  • Septoplasty: If a deviated septum is contributing to chronic nasal congestion and allergies, septoplasty may be recommended to correct the structural issue.
  • Turbinate Reduction: In some cases, enlarged turbinates can obstruct airflow and worsen allergy symptoms. Turbinate reduction surgery may be considered to improve nasal airflow.

7. Evaluation & Follow Up for Treatment

After undergoing allergy testing and receiving treatment, it is essential to have regular evaluations and follow-up care to ensure that your allergies are effectively managed.

Post-treatment Care
  • Medication Adherence: If prescribed medications, continue taking them as directed by your healthcare provider.
  • Allergen Avoidance: Follow allergen avoidance strategies recommended by your specialist.
  • Allergy Shots: If undergoing immunotherapy, adhere to the prescribed schedule of allergy shots or sublingual tablets.
Long-term Management:
  • Regular Check-ups: Attend scheduled follow-up appointments with your ENT specialist to monitor your progress and make any necessary adjustments to your treatment plan.
  • Lifestyle Modifications: Implement lifestyle changes as recommended to reduce allergen exposure and improve overall well-being.

8. Risks of Surgery

If surgery is recommended for allergy-related issues, it’s essential to be aware of potential risks and complications associated with surgical interventions.

Possible Risks and Complications:

  • Bleeding: Some bleeding is common during and after surgery but is typically temporary and manageable.
  • Infection: Infections are rare but possible; prompt treatment is essential to prevent complications.
  • Changes in Sensation: Some individuals may experience temporary changes in sensation, such as numbness or altered sense of smell, which typically improve over time.
  • Recurrence: Surgery may not always completely eliminate allergy symptoms, and they may recur, especially if allergen exposure continues.

Discuss any concerns or questions regarding potential risks with your ENT specialist before undergoing surgery.

9. Alternatives to Surgery

For individuals with allergies, surgery is typically not the first-line treatment. Alternatives to surgery include:
  • Medications: Over-the-counter and prescription medications can effectively manage allergy symptoms.
  • Allergen Avoidance: Implementing strategies to reduce allergen exposure in your environment can significantly alleviate symptoms.
  • Immunotherapy: Allergy shots or sublingual tablets are effective alternatives for individuals with severe allergies. These treatments gradually desensitize the immune system to allergens, reducing the severity of allergic reactions over time. Immunotherapy is a long-term approach to managing allergies and can provide lasting relief without the need for surgery.