[19F] Experiencing constant sneezing and nasal congestion with nostril redness and swelling

Patient Description

A 19-year-old female has been experiencing constant sneezing for 24 hours, which worsens at night and when breathing through the nose. Additionally, the patient reports a bright red swelling inside the left nostril that has been present for three to four days. The swelling has led to nasal congestion, but there is no associated pain or warmth. The patient has a clear nasal discharge but no itching, watery eyes, facial pain, or loss of smell. The symptoms started suddenly, and the patient has been using a nasal spray without relief. There is no known exposure to allergens, no family history of allergies or asthma, and no other symptoms reported. The patient is not on any medications and has no known drug allergies or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely causes include:

  • Rhinitis: This is inflammation of the nasal passages which can cause symptoms such as sneezing, nasal congestion, and clear nasal discharge. Rhinitis can be allergic or non-allergic. Allergic rhinitis is usually associated with exposure to an allergen such as dust mites, pollen, or pet dander, but you mentioned that you haven't been exposed to any known allergens. Non-allergic rhinitis can be triggered by certain medications, changes in weather, or foods.

    • Treatment typically involves avoiding triggers if they can be identified, and medications such as antihistamines, decongestants, and nasal sprays.
  • Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. It can cause symptoms such as nasal congestion, clear nasal discharge, and facial pain or pressure. However, you mentioned that you don't have any facial pain, which makes this less likely.

    • Treatment typically involves medications such as nasal sprays, decongestants, and sometimes antibiotics if a bacterial infection is suspected.
  • Nasal polyps: These are soft, painless, noncancerous growths on the lining of your nasal passages or sinuses. They can cause symptoms such as a runny nose, stuffiness, and sneezing. However, they're usually associated with chronic inflammation due to conditions such as allergies or asthma, which you don't have a history of.

    • Treatment typically involves medications to reduce the size of the polyps or surgery to remove them.

What you can do

  1. Continue using the nasal spray as directed by your healthcare provider. It may take some time to see the full effects.
  2. Try to identify any potential triggers for your symptoms and avoid them if possible. This could include certain foods, changes in weather, or irritants such as smoke or strong odors.
  3. Drink plenty of fluids and use a humidifier to help soothe your nasal passages and throat.
  4. Over-the-counter antihistamines or decongestants may help relieve your symptoms, but always check with a healthcare provider before starting any new medications.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing
  • Severe or worsening symptoms
  • Symptoms that don't improve after a week of home treatment
  • Blood in your nasal discharge

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate evaluation and treatment.

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1 yr ago

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People Also Ask


What are the common causes of constant sneezing without known allergen exposure?

Constant sneezing without known allergen exposure can be caused by non-allergic rhinitis, which may be triggered by factors such as changes in weather, strong odors, or certain foods. It can also be due to viral infections or irritants in the environment.


How can nasal swelling and congestion be treated if nasal sprays are not effective?

If nasal sprays are not effective, other treatments may include oral antihistamines, decongestants, or saline nasal rinses. Identifying and avoiding potential triggers, staying hydrated, and using a humidifier can also help alleviate symptoms.


What are the differences between allergic and non-allergic rhinitis?

Allergic rhinitis is triggered by exposure to allergens like pollen, dust mites, or pet dander and is often accompanied by itching and watery eyes. Non-allergic rhinitis does not involve the immune system and can be triggered by environmental factors, medications, or foods, and typically lacks the itching and eye symptoms.


When should I seek medical attention for nasal symptoms?

You should seek medical attention if you experience difficulty breathing, severe or worsening symptoms, symptoms that do not improve after a week of home treatment, or if you notice blood in your nasal discharge.


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