Chronic Nasal Congestion: Causes and Effective Treatment Options

What Is Chronic Nasal Congestion?

Chronic nasal congestion is a condition where a person experiences persistent or recurring difficulty breathing through the nose for more than 12 weeks. It may be accompanied by symptoms such as headaches, nasal discharge, and a loss of smell. This condition significantly affects sleep quality and daily life.

Common Causes of Chronic Nasal Congestion

Dr. Ali Suleiman explains that several underlying conditions can lead to chronic nasal blockage, including:

1. Deviated Nasal Septum

A common anatomical issue where the cartilage dividing the nasal passages is misaligned, reducing airflow.

2. Nasal Polyps

Noncancerous growths in the nasal lining or sinuses that cause persistent congestion.

3. Chronic Sinusitis

Long-term inflammation of the sinuses leading to mucus buildup and nasal blockage.

4. Allergic Rhinitis

Exposure to allergens like dust, pollen, or pet dander can trigger ongoing nasal swelling and congestion.

5. Enlarged Turbinates

These are natural structures inside the nose that can become enlarged due to chronic inflammation or allergies.

6. Frequent Viral Infections

Recurrent colds or viral infections can weaken nasal lining over time.

Symptoms of Chronic Nasal Congestion

• Difficulty breathing through the nose

• Snoring or sleep apnea

• Forehead or facial pressure

• Decreased or lost sense of smell

• Thick nasal discharge

• Facial pain or discomfort

Diagnostic Methods

Dr. Ali Suleiman uses several diagnostic tools to assess the condition accurately, such as:

• Nasal endoscopy

• CT scans of the sinuses

• Allergy testing

• Comprehensive medical history

Treatment Options for Chronic Nasal Congestion

1. Medications

• Nasal corticosteroid sprays

• Antihistamines for allergies

• Decongestants (short-term use)

• Antibiotics (if a bacterial infection is present)

2. Surgical Treatment

For persistent or complex cases, surgical intervention may be recommended, such as:

• Septoplasty (correction of deviated septum)

• Polyp removal

• Endoscopic sinus surgery

3. Supportive Care

• Nasal irrigation with saline solution

• Avoiding environmental triggers (e.g., smoke, perfumes)

• Managing allergies with lifestyle changes or medications

When Should You See a Doctor?

Dr. Ali Suleiman advises seeking medical attention if nasal congestion lasts more than two weeks without improvement, or if symptoms interfere with sleep or daily activities.