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What Causes Severe Nasal Congestion?

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Posted on Wed, 5 Oct 2016
Question: Hello,
I've had nasal congestion for a month now. Just congestion, no runny nose or other symptoms. I've tried using nasal spray (Afrin, twice daily for 3 days) which works for a couple hours but the congestion returns. I am 57 and don't have any history of allergies. Not sure if this will run its course or I need to get it checked out. XXXX
doctor
Answered by Dr. Harish Naik (2 hours later)
Brief Answer:
Steam inhalation, xylometazoline nasal spray, oral antihistamine

Detailed Answer:
Hi
Welcome
I have gone through your query.
I would have examined your nose & sinuses by doing diagnostic nasal endoscopy to see any chronic source of infection.
Provide additional information
Is it associated with sore throat?
Do you have sinusitis?

Changing weather fronts, cold temperatures, or excess dryness in the air, Certain foods (for example, spicy foods may trigger mucus flow) Fumes from chemicals, perfumes, cleaning products, smoke, or other irritants. These are the triggering factors, if present kindly try to avoid it.
Apart from the nasal spray I would suggest you
1.Drink plenty of water, especially warm, drink at regular intervals.
2. Steam inhalation with few drops of eucalyptus oil 3 to four times a day.
3. decongestant Nasal spray like xylometazoline. See to it you should use it not more than 10 days.
4. Wash your face with warm water in night before going to bed and gently blow your nose.
5. Oral antihistamine like cetirizine every night for 5 days.
6. Avoid cold food, air conditioned room if possible for few days.

This provisional advice provided by me is based entirely on the input provided to me. I would suggest examination by the doctor.

Hope this helps.
Take care
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Harish Naik (57 minutes later)
No sore throat or sinusitis. I will try xylometazoline and cetirizine. Thnank you.
doctor
Answered by Dr. Harish Naik (3 minutes later)
Brief Answer:
Welcome. Take care

Detailed Answer:
Hi
Welcome.
Try the measures. It should be helpful.
Wish you speedy recovery.
Take care
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Harish Naik

General & Family Physician

Practicing since :2008

Answered : 2635 Questions

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What Causes Severe Nasal Congestion?

Brief Answer: Steam inhalation, xylometazoline nasal spray, oral antihistamine Detailed Answer: Hi Welcome I have gone through your query. I would have examined your nose & sinuses by doing diagnostic nasal endoscopy to see any chronic source of infection. Provide additional information Is it associated with sore throat? Do you have sinusitis? Changing weather fronts, cold temperatures, or excess dryness in the air, Certain foods (for example, spicy foods may trigger mucus flow) Fumes from chemicals, perfumes, cleaning products, smoke, or other irritants. These are the triggering factors, if present kindly try to avoid it. Apart from the nasal spray I would suggest you 1.Drink plenty of water, especially warm, drink at regular intervals. 2. Steam inhalation with few drops of eucalyptus oil 3 to four times a day. 3. decongestant Nasal spray like xylometazoline. See to it you should use it not more than 10 days. 4. Wash your face with warm water in night before going to bed and gently blow your nose. 5. Oral antihistamine like cetirizine every night for 5 days. 6. Avoid cold food, air conditioned room if possible for few days. This provisional advice provided by me is based entirely on the input provided to me. I would suggest examination by the doctor. Hope this helps. Take care