Nostril blockage and breathing issues - #8471

Based on your symptoms of frequent nostril blockage, particularly worsening at night and switching sides throughout the day, several potential causes should be considered. These may include allergic rhinitis, chronic sinusitis, or even structural issues such as a deviated septum. It is not uncommon for nasal congestion to switch sides due to a phenomenon called nasal cycle, but persistent blockage may warrant further investigation. Given that you've mentioned the absence of recent cold symptoms, it's less likely to be an acute viral infection. Allergies are a common cause of intermittent nasal blockage, especially if you are exposed to allergens like dust, pollen, or pet dander. Sinus infections may also contribute but typically come with additional symptoms like facial pain or pressure. A deviated septum could lead to chronic congestion as well. For diagnosis, an in-person evaluation by an ear, nose, and throat specialist (ENT) is advisable. They may perform a nasal endoscopy, which allows for a visual examination of your nasal passages, or recommend imaging studies like a CT scan to check for structural abnormalities or chronic sinusitis. In terms of relief strategies at home, here are some specific steps you can consider: 1. Nasal Irrigation: Using a saline nasal spray or a neti pot can help clear mucus and allergens from your nasal passages. This may provide relief without the need for medications. 2. Humidity Control: Keeping indoor air moist with a humidifier can help relieve congestion, especially at night. Make sure to clean the humidifier regularly to avoid mold growth. 3. Sleep Position: Elevating your head while sleeping can help reduce nasal congestion. Try using an extra pillow or a wedge pillow. 4. Allergy Management: If allergies are suspected, consider over-the-counter antihistamines like cetirizine or loratadine. Be aware that they may cause sedation, so assess how you respond. Long-term use is generally safe, but you should discuss it with a healthcare professional if you find yourself relying on them consistently. 5. Decongestants: Oral decongestants like pseudoephedrine can be effective, but they should not be used for more than a few days at a time due to potential rebound congestion. Nasal decongestant sprays should also not be used continuously for more than three days. If a deviated septum is confirmed as a contributing factor to your breathing difficulties, the management might involve surgical intervention (septoplasty) in more severe cases where symptoms are significantly impacting your quality of life. However, many people explore conservative management strategies first. Be sure to monitor your symptoms closely and if you experience severe breathing difficulties, facial pain, or fever, seek medical attention promptly. It’s crucial to get a professional evaluation to determine the exact cause and appropriate treatment for your condition.