Alternating Nasal Congestion: Causes and Remedies

Q: Alternating Nasal Congestion: Causes and Remedies

Hello： Common causes of nasal congestion include a deviated septum or hypertrophic inferior turbinates, which can lead to reduced airflow. <br>You may start by self-monitoring or applying warm compresses to your nose. <br>If discomfort persists, it is advisable to visit an otolar

Alternating nasal congestion

I often experience alternating nasal congestion without any nasal discharge.
There is a slight amount of nasal crusting, mostly clear to light yellow, but it doesn't completely block my nose throughout the day; rather, it comes and goes.
I don't experience difficulty breathing, but it feels like my breathing isn't quite smooth.
Recently, wearing a mask has made me uncomfortable at times, and removing the mask occasionally helps.
Taking a shower or wetting the area around my nostrils also alleviates the nasal congestion somewhat.
Additionally, my throat feels dry, and I often feel thirsty, leading to clear phlegm production.
I've also developed eczema recently (which I've never had before), and I'm unsure if there's a connection.

s, 20~29 year old female. Ask Date: 2021/06/30

Dr. Zheng Jueyi reply Otolaryngology

Hello: Common causes of nasal congestion include a deviated septum or hypertrophic inferior turbinates, which can lead to reduced airflow.
You may start by self-monitoring or applying warm compresses to your nose.
If discomfort persists, it is advisable to visit an otolaryngology clinic for evaluation.
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: 2021/06/30

More Info

Alternating nasal congestion can be a frustrating and uncomfortable experience. It is characterized by episodes of nasal blockage that can switch from one side to the other, often without the presence of significant nasal discharge. Understanding the underlying causes and potential remedies can help alleviate this condition.

Causes of Alternating Nasal Congestion
1. Vasomotor Rhinitis: This is a non-allergic condition where the blood vessels in the nasal passages become overly reactive to various stimuli, such as changes in temperature, humidity, or even stress. This can lead to alternating nasal congestion without the presence of mucus.

2. Allergic Rhinitis: Even if you do not have significant nasal discharge, allergies can cause inflammation in the nasal passages, leading to congestion. Allergens such as pollen, dust mites, or pet dander can trigger this response. The recent development of eczema may suggest a broader allergic tendency, which could be contributing to your nasal symptoms.

3. Structural Issues: Conditions like a deviated septum or nasal polyps can cause one side of the nose to become blocked at different times. These structural abnormalities can lead to chronic congestion and may require medical evaluation.

4. Environmental Factors: Wearing a mask can sometimes exacerbate feelings of nasal congestion, especially if the mask is not breathable or if it traps moisture. Additionally, dry air, especially during colder months or in air-conditioned environments, can lead to nasal dryness and congestion.

5. Sinus Issues: While you mentioned that you do not have significant nasal discharge, sinusitis can still cause intermittent congestion. Inflammation of the sinuses can lead to a feeling of pressure and congestion, even if mucus production is low.

Remedies for Alternating Nasal Congestion
1. Nasal Irrigation: Using a saline nasal spray or a neti pot can help clear out any irritants and moisturize the nasal passages. This can be particularly effective if you are experiencing dryness or irritation.

2. Humidifiers: Adding moisture to the air with a humidifier can help alleviate dryness in the nasal passages, especially in winter months or in dry environments.

3. Hydration: Staying well-hydrated can help thin mucus and keep the throat moist, which may alleviate the dry throat sensation you are experiencing.

4. Avoiding Irritants: If you suspect that wearing a mask is contributing to your discomfort, consider using a different type of mask that allows for better airflow or taking breaks when safe to do so.

5. Allergy Management: If allergies are suspected, over-the-counter antihistamines or nasal corticosteroids may help reduce inflammation and congestion. Consulting with an allergist for testing and tailored treatment options could be beneficial.

6. Consultation with a Specialist: If symptoms persist or worsen, it may be wise to consult an ear, nose, and throat (ENT) specialist. They can evaluate for structural issues, perform imaging studies if necessary, and provide more targeted treatments.

Conclusion
Alternating nasal congestion can stem from a variety of causes, including vasomotor rhinitis, allergies, structural issues, and environmental factors. Implementing remedies such as nasal irrigation, using humidifiers, and managing allergies can provide relief. If symptoms persist, seeking professional medical advice is essential for proper diagnosis and treatment. Understanding your body’s responses and triggers is key to managing this condition effectively.

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