A stuffy nose now and then is normal, especially during allergy season or when you have a cold. But if your nose always feels blocked or you’re constantly reaching for tissues, you may be dealing with chronic nasal congestion. This ongoing stuffiness and inability to breathe normally can interfere with sleep, concentration, and overall quality of life. The good news is that it’s generally treatable.
What causes chronic congestion?
Chronic nasal congestion happens when the tissues inside your nose or sinuses become swollen or irritated for an extended period. This inflammation traps mucus and makes it harder to breathe through your nose. Several underlying issues can contribute to persistent congestion, including:
Allergies
Seasonal or environmental allergies are among the most common causes of chronic stuffiness. Pollen, pet dander, dust, or mold can trigger your immune system to release histamines, leading to nasal swelling and excess mucus.
Chronic sinusitis
When sinus inflammation lasts longer than 12 weeks, it’s considered chronic sinusitis. The sinus passages become blocked and unable to drain. This creates pressure, facial pain, and nasal congestion that doesn’t go away easily.
A deviated septum
The septum is the cartilage and bone that separates your nostrils. If it’s crooked or uneven, air can’t flow freely through both sides of your nose, resulting in chronic blockage on one side.
Nasal polyps
These soft, noncancerous growths form inside the nasal or sinus passages and can obstruct airflow or trap mucus, making you feel constantly congested.
How doctors identify the source of congestion
Because chronic congestion can stem from different causes, it’s important to pinpoint what’s behind your symptoms before starting treatment. Your ENT specialist may:
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Review your medical history and symptoms in detail
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Perform a nasal endoscopy to look inside your nasal passages
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Order allergy testing to identify potential triggers
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Recommend imaging studies (like a CT scan) to evaluate your sinuses
These diagnostic tools help determine whether your congestion is allergy-related, structural, or caused by infection or inflammation.
Treatment options for chronic congestion
Treatment depends on the cause, but most patients find relief once the underlying issue is addressed. Your ENT provider may recommend:
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Medications: Prescription nasal corticosteroid sprays, antihistamines, or decongestants can reduce swelling and inflammation.
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Allergy management: Immunotherapy (allergy shots or drops) can desensitize your immune system over time.
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Antibiotics: If a bacterial infection is present, antibiotics may be prescribed.
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Surgery: For structural issues like a deviated septum or nasal polyps, minor surgical procedures can restore proper airflow and drainage.
Lifestyle and home care tips to fight congestion
Certain habits can also make a difference in how well you breathe:
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Use a humidifier to add moisture to indoor air
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Rinse nasal passages with a saline solution
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Stay hydrated to help thin mucus
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Avoid known irritants like cigarette smoke and strong odors
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Manage allergies proactively with medications or filters
When to see a specialist
If your nasal congestion lasts more than a couple of weeks, keeps returning, or affects your ability to breathe or sleep, it’s time to seek medical care. Today’s diagnostic tools and treatment options can help you breathe clearly again.
Contact an ENT specialist in your area to schedule a thorough evaluation. We’ll provide you with a personalized treatment plan to help you achieve lasting relief from chronic congestion.
