A 32-year-old male with a history of hay fever presents with a persistent blocked nose and loss of smell. What could be causing these symptoms and how should they be managed?
The patient's symptoms suggest chronic nasal congestion and potentially nasal polyps, which are non-cancerous growths in the nasal or sinus passage that can occur with chronic inflammation such as in allergic rhinitis. Management typically involves corticosteroid nasal sprays or drops, and in some cases, a short course of oral corticosteroids. If medication is ineffective, the patient may require surgical removal of the polyps.