[57F] Experiencing persistent nasal congestion

Patient Description

A 57-year-old female presents with persistent nasal congestion, which she rates as moderate in severity (5/10). The symptom is described as a constant issue, with some relief obtained from the use of nasal spray. The patient reports no accompanying fever, chills, or additional symptoms. The type and duration of nasal spray use were not specified, and whether it is prescribed or over-the-counter is also not mentioned.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Chronic Sinusitis: This is a common condition where the spaces inside your nasal passages and sinuses (the hollow spaces in the bones around your nose) become inflamed and swollen for at least 12 weeks, despite treatment attempts. This can interfere with drainage and cause mucus buildup. Chronic sinusitis can be triggered by an infection, growths in the sinuses (nasal polyps) or a deviated nasal septum. The condition most commonly affects young and middle-aged adults, but it also can affect children.

    • Treatment typically involves a combination of medications to help reduce inflammation and manage the cause. In severe cases, surgery may be necessary.
  • Rhinitis: This is inflammation of the nasal lining, often due to allergies (allergic rhinitis) but can also be non-allergic. It can cause symptoms such as a stuffy nose, sneezing, and post-nasal drip.

    • Treatment typically involves avoiding the allergen if possible, and medications such as antihistamines, decongestants, and nasal sprays.

What you can do

  1. Continue using your nasal spray as directed. If it's over-the-counter and you've been using it for more than 3 days, it's important to stop as it can actually worsen your symptoms (rebound congestion).
  2. Try using a humidifier in your bedroom at night, this can help keep your sinuses moist and relieve congestion.
  3. Stay hydrated and avoid irritants like smoke and strong odors.
  4. Over-the-counter saline nasal spray or rinse can help clear your nasal passages.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve with treatment.
  • You develop a high fever.
  • You have severe headache or facial pain.
  • You notice any changes in your vision or swelling around your eyes.
  • You have difficulty breathing.

Please remember that 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 examination, testing, and care recommendations.

Show More

1
 Hugs
0
 Comments

Save

9 mo ago


People Also Ask


What are the common causes of chronic sinusitis?

Chronic sinusitis can be caused by infections, nasal polyps, or a deviated nasal septum. It involves inflammation and swelling of the nasal passages and sinuses, leading to mucus buildup.


How can I differentiate between allergic and non-allergic rhinitis?

Allergic rhinitis is typically triggered by allergens like pollen, dust, or pet dander and is often accompanied by sneezing and itchy eyes. Non-allergic rhinitis does not involve an immune response and can be triggered by irritants like smoke or strong odors.


What are the potential side effects of using nasal sprays for an extended period?

Using nasal sprays for more than 3 days can lead to rebound congestion, where symptoms worsen after stopping the spray. Long-term use can also cause irritation and damage to the nasal lining.


When should I seek medical attention for nasal congestion?

You should seek medical attention if your symptoms worsen, do not improve with treatment, or if you experience a high fever, severe headache, facial pain, vision changes, or difficulty breathing.

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback