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Nasal Congestion

Suffering from a stuffy nose? Looking for ways to get some relief? We’ve got you covered! In this article, we’ll be discussing the causes and treatments of nasal congestion, as well as providing tips on how to prevent it.

What is Nasal Congestion?

Nasal congestion, more commonly referred to as a stuffy nose, occurs when the flow of air in and out of the nose is blocked or restricted due to swollen nasal and adjacent tissues and blood vessels. This can be caused by a variety of issues, ranging from temporary illnesses such as a cold or flu, to more long-lasting medical conditions like a deviated nasal septum or nasal polyps. When the tissue in the nose becomes inflamed, it produces excess mucus which further blocks the airways and causes the familiar congested feeling. Nasal congestion can be accompanied by other symptoms such as a runny nose, sneezing, and headaches. It can also cause difficulty breathing through the nose and a decrease in smell and taste.

Causes of Nasal Congestion

Nasal congestion can be caused by a variety of different factors, ranging from allergies and colds to structural problems in the nose. In some cases, it can also be caused by certain medications. The most common causes of nasal congestion are:


  • Acute sinusitis (nasal and sinus infection)
  • Allergies
  • Chronic sinusitis
  • Common cold
  • Decongestant nasal spray overuse
  • Deviated septum
  • Rhinitis (both allergic and nonallergic)
  • Nasal polyposis
  • Environmental irritants, such as smoke and air pollution
  • Certain medications, such as blood pressure medications or oral contraceptives


It's important to note that many of these causes have overlapping symptoms, so it’s best to consult a doctor if you are experiencing any of these issues. They can help determine the underlying cause of your nasal congestion and provide the best treatment options.

How to Prevent Nasal Congestion

Nasal congestion can be prevented by taking certain steps such as avoiding allergens, maintaining good hygiene, and staying hydrated. If you suffer from allergies, keep your environment free of dust, pet dander, and other potential irritants. Keep your nasal passages clean by regularly washing your hands and face and using a saline solution to rinse your nose.



Staying hydrated is also important in preventing nasal congestion. Drink plenty of water throughout the day, as well as other fluids like herbal teas. This will help thin out mucus and reduce inflammation in the nasal passages. You should also use a humidifier or vaporizer to add moisture to the air, which can help break up mucus and soothe inflamed tissues.

Natural Remedies for Nasal Congestion

Nasal congestion can be a very uncomfortable experience and many people are looking for natural remedies to help relieve their symptoms. Fortunately, there are some natural remedies that can help alleviate nasal congestion. Some of these include drinking more fluids, steam baths, hot showers, Neti Pots or saline nasal irrigation, and aromatherapy.



Drinking lots of fluids is important for helping to loosen mucus in the nose and chest. Taking a hot shower or steam bath can help to thin out the mucus in the nose and chest, making it easier to breathe. Neti pots and saline irrigations are other popular natural remedies for nasal congestion as they help to flush out any excess mucus from the nose and sinuses. Aromatherapy can be used in conjunction with steam baths or other forms of inhalation therapy to help reduce inflammation and open the nasal passages.

Over-the-Counter Medications for Nasal Congestion

A variety of over-the-counter medications are available for nasal congestion, including:


  • Nasal steroid sprays
  • Nasal antihistamine sprays
  • Decongestant pills
  • Decongestant nasal sprays
  • Decongestant nasal spray overuse


The most effective medicines for nasal congestion are nasal steroid and antihistamine sprays. Decongestants such as pseudoephedrine work to reduce swelling and shrink the blood vessels in the nasal passages. Be aware that decongestants can raise blood pressure. Long-term use of decongestants can also cause other side effects such as headaches, jitteriness, dizziness, or trouble sleeping. Nasal sprays and drops containing decongestants such as oxymetazoline or phenylephrine can help to open up the nasal passages locally and reduce swelling quickly; however, these medicines can cause rebound congestion if overused. Lastly, essential oils like eucalyptus oil, peppermint oil, and lavender oil can be beneficial for nasal congestion.

Avoiding Allergens

When it comes to avoiding nasal congestion, one of the best things you can do is to avoid allergens. Allergic rhinitis involves the avoidance of relevant allergens, such as dust mites, pet dander, and pollen. You can reduce your exposure to these allergens by keeping your home clean and dust-free, using air filters and dehumidifiers, and washing bedding frequently. Additionally, wearing a protective mask when outdoors and avoiding mowing the lawn can help minimize your exposure to pollen. Furthermore, it may be wise to limit outdoor activities on days when pollen is high.

When to See an ENT Doctor About Your Nasal Congestion?

When your nasal congestion persists for more than 3 months, it may be best to seek medical attention from an ear, nose, and throat (ENT) specialist. An ENT will examine your ears, nose, and throat to determine the cause of your congestion. They may use a tiny nasal endoscope to look for signs of infection or inflammation. An ENT, also called an otolaryngologist, can identify allergic/immunological issues, chronic sinus infections, or areas of anatomic nasal congestion such as nasal septal deviations, nasal polyps, or deformities of the nose.

Surgery for Nasal Congestion

When nasal congestion becomes chronic and other treatments fail to help, surgery may be recommended by an ENT doctor. Several surgical options are available depending on the cause of your symptoms. In these surgeries, a thin, rigid tube with a camera and a light is often used to access the nose and sinuses. 



Sinus surgery is designed to improve the flow of air and mucus in the sinuses and reduce swelling in the nasal and sinus passages. Nasal polypectomy may be necessary to remove nasal polyps. Septoplasty is a procedure designed to straighten a deviated nasal septum. For more extensive nasal architecture issues, a larger surgery like septorhinoplasty may be recommended. Inferior turbinate surgery is performed to reduce the size of the inferior turbinates, which can block the nasal airway.

Conclusion

Nasal congestion is a common symptom that can be caused by a variety of underlying conditions. It is important to understand the cause of your nasal congestion in order to treat it effectively. Treatment options range from natural remedies, over-the-counter medications, and surgery. It is important to seek medical advice if your symptoms become worse or persist. An ENT specialist can help diagnose and treat chronic or severe cases of nasal congestion.

Medical Reviewers

ENT Care Centers | ENT Health Library


Last Review Date: March 2023


Content Reviewers:

  • Dr. Jeffrey Nau, MD
  • Dr. Joseph J. Creely, MD
  • Dr. Bryan Murphy, MD
  • Dr. Thomas Higgins, MD, MSPH


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