A young boy came to OPD with the complaints of difficulty in breathing. On examination, bilateral polyps were found. On aspiration, bleeding was seen. What will be the initial management?

1. Early polypoidal changes with oedematous mucosa may reve to normal with antihistaminic and control of allergy. 2. A sho course of steroids may prove useful in case of people who cannot tolerate antihistaminic and/or in those with asthma and polypoidal nasal mucosa. 3. Contraindications to use of steroids, e.g. hypeension, peptic ulcer, diabetes, pregnancy and tuberculosis should be excluded. 4. Surgical: Endoscopic sinus surgery.