Published on: 2025-06-25 | Written by: Dr. Amr Khalifa, Consultant and Lecturer of Otorhinolaryngology
Dr. Amr Khalif, Consultant and Lecturer of Otolaryngology (ENT), treats numerous cases of chronic nasal congestion—a common complaint that affects breathing, sleep quality, and overall comfort. It can be caused by structural or inflammatory issues that require proper medical attention.
Nasal congestion is the sensation of restricted airflow through one or both nostrils. Dr. Amr Khalif explains that it can be temporary or long-term and may be accompanied by symptoms like facial pressure, nasal discharge, or a reduced sense of smell.
According to Dr. Amr Khalif, the most frequent causes include:
Deviated nasal septum
Chronic or acute sinusitis
Nasal polyps
Seasonal or chronic allergic rhinitis
Irritation or inflammation due to infection or dry air
Benign or rare nasal tumors
Dr. Amr Khalif recommends seeking medical evaluation if:
Congestion persists for more than two weeks
You experience thick yellow or green discharge
There are sleep disturbances or frequent snoring
You feel pressure or pain around the face or eyes
There is frequent nosebleeding or loss of smell
Diagnosis is based on a physical examination, nasal endoscopy, and sometimes CT scans.
Dr. Amr Khalif notes that treatment depends on the underlying cause and may include:
Nasal sprays (decongestants or corticosteroids)
Antihistamines for allergy-related congestion
Antibiotics if a bacterial infection is present
Corticosteroid treatments for polyps
Surgical intervention for structural issues like deviated septum or large polyps
Dr. Amr Khalif emphasizes that surgery is not always the first solution. It is usually considered when medication fails or when there is a clear anatomical issue obstructing airflow.
Avoid exposure to dry or polluted air
Use saline sprays to keep the nasal passages clean
Treat allergies early to prevent complications
Avoid smoking and strong odors