What to Do About Your Stuffy Nose

Congestion

Woman blowing her nose.
Congestion/Stuffy nose. Peter Dazeley/Getty Images

What Causes Congestion and Stuffy Nose

There are many underlying causes for a stuffy nose (also called congestion), but contrary to popular belief the nostrils are not clogged by mucous. A stuffy nose happens primarily because nasal tissues are inflamed. Often, this is from the common cold virus or allergies. It can also be caused by hormonal changes during pregnancy or even induced by exercise. Because infants do not know how to breathe out of their mouth, a stuffy nose can be quite serious, but for the rest of us it's usually just an annoyance that can interfere with our daily activities.

Sometimes children put things up their nose that can become lodged and cause congestion-like problems, this is called foreign object nasal obstruction. Children also can get a stuffy nose from enlarged adenoids, which often need to be surgically removed. Among adults, structural abnormalities, such as a deviated septum or enlarged turbinates, can cause congestion-like problems.

Medications for Congestion and Stuffy Nose

Over-the-counter medications that work to shrink the blood vessels inside of the nose can be effective. Nasal congestants such as Afrin (oxymetazoline) are commonly used. Afrin should not be used longer than 3 days in a row to avoid a condition called rebound congestion (nasal spray addiction). Nasal decongestants that are commonly used on a longer term basis (for chronic sinusitis or allergies) include Flonase or Nasonex.

Some medications work better for congestion caused by allergies than for congestion caused by a cold.

These include Allegra, Claritin, Zyrtec or Benadryl. These drugs are known as antihistamines because they block a chemical substance that is released in response to an allergic reaction called histamine.

Drugs that contain a medication called pseudoephedrine are also effective for relieving a stuffy nose.

(However, per the U.S. Food and Drug Administration, cough and cold medications are not recommended for children under six.)

You should consult your doctor or pharmacist and inform them of any other medications you are currently taking, any known allergies you have, significant health conditions and whether or not you are pregnant or breastfeeding before starting any new medication even if it is sold over-the-counter. Follow the directions included with the medication carefully. Consult your pediatrician before giving any new medication to your infant or child.

Treating Congestion and Stuffy Nose Without Medication

Also, while these medications can improve comfort they do have side effects, so here are some other things you can try before taking medication:

  • keep your head elevated
  • drink a lot of water
  • use a cool mist humidifier
  • use over-the-counter saline nasal sprays
  • try a neti pot
  • use a menthol cream on your chest
  • use over-the-counter adhesive strips that help keep your nostrils open
  • suck on a cough drop that has menthol in it
  • for infants, a bulb syringe can help remove secretions

Most of the time congestion will clear up in a week or so. You should see a doctor, however, if: you have a high fever, your symptoms last longer than a couple of weeks, your nasal passages become completely blocked, if your skin or lips develop a bluish tint (a condition called cyanosis) or if you breathing rate becomes very fast, you have noisy breathing or difficulty breathing.

Sources:

Medline Plus. Nasal Congestion. Accessed: November 12, 2009 from http://www.nlm.nih.gov/medlineplus/ency/article/003049.htm

University of Maryland Medical Center. Nasal Congestion - Overview. Accessed: November 12, 2009 from http://www.umm.edu/ency/article/003049.htm

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