Nasal Sounds During Exercise: When to See a Doctor - Otolaryngology

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Nasal sounds or nasal congestion?


Recently, I've been experiencing a sound in my nose while running and jumping.
It happens occasionally and feels like a small ball is bouncing up and down inside.
I've had ongoing allergy issues, and the side with the sound tends to get more congested, but I don't have a cold or any other uncomfortable symptoms.
Should I see a doctor about this?

Huang, 20~29 year old female. Ask Date: 2016/03/25

Dr. Zheng Jueyi reply Otolaryngology


Hello: If you continue to feel unwell, please seek medical attention to determine the cause of your symptoms.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/25

More Info


When experiencing unusual nasal sounds during exercise, particularly if they resemble a ball bouncing inside the nose, it can be concerning. Given your history of allergies and nasal congestion, it’s understandable to wonder whether this warrants a visit to a healthcare professional.

The sounds you describe could be related to several factors. First, the sensation of a "ball" moving in your nose may be due to the presence of mucus or other debris that is being displaced during physical activity. When you exercise, your breathing rate increases, and this can cause changes in pressure within your nasal passages. If there is any blockage or excess mucus, it may create a sound as air moves past it. This is especially common in individuals with allergies, as they may have more mucus production and nasal congestion.

Additionally, the sounds could be related to the function of the Eustachian tube, which connects the middle ear to the back of the nose. If there is any dysfunction in this tube, it can lead to pressure changes that might create unusual sounds in the ear or nasal area during physical activity. This is often exacerbated by nasal congestion, which can occur with allergies or sinus issues.

While you mention that you do not have other symptoms such as a cold or significant discomfort, it is still important to monitor your situation. If the sounds persist, worsen, or are accompanied by other symptoms such as pain, significant nasal obstruction, or changes in your sense of smell, it would be wise to consult an ear, nose, and throat (ENT) specialist. They can perform a thorough examination to rule out any underlying conditions such as sinusitis, nasal polyps, or other structural issues that could be contributing to your symptoms.

In summary, while occasional nasal sounds during exercise may not be a cause for immediate concern, especially in the context of allergies, it is essential to listen to your body. If the sounds become bothersome or are associated with other symptoms, seeking medical advice is a prudent step. An ENT specialist can provide a comprehensive evaluation and recommend appropriate treatment options, which may include allergy management, nasal sprays, or other interventions to improve your nasal airflow and reduce congestion.

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