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What could be the underlying cause of my symptoms?
I've been dealing with chronic nasal congestion, pressure, and difficulty breathing through my nose that doesn't improve with over-the-counter remedies. What could be the underlying cause?
7 Answers
Chronic nasal congestion and pressure that doesnt improve with overthecounter remedies could have several possible causes. Some of the most common include
Chronic sinusitis Ongoing inflammation or infection in the sinuses can lead to pressure, congestion, and trouble breathing.
Nasal polyps These are noncancerous growths in the nose that can block airflow and cause a feeling of fullness or pressure.
Deviated septum If the wall between your nostrils is offcenter, it can make one side harder to breathe through.
Allergies even yearround Chronic allergies can cause persistent swelling and congestion, even if you dont always have sneezing or itching.
Nonallergic rhinitis Some people have symptoms triggered by things like weather changes, strong odors, or irritants, without it being a true allergy.
Since its ongoing and not responding to usual meds, it may be worth discussing further testinglike imaging or a referral to an ENT specialistto get a better look at whats going on and create a more targeted treatment plan.
Sounds like sinus infection..
Molly Eleise Snyder
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Nurse Practitioner Recruitment and Operations Manager, Allergy, Asthma, Immunology
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TN
Differentials that come to mind are chronic sinusitis, nasal polyps, rhinitis medicamentosa, and allergic rhinitis, just to name a few! Id recommend visiting your local ENT or Allergist for further diagnostic testing.
Based on the information you are provided, the most likely underlying causes of your symptoms are chronic rhinosinusitis inflammation of the nasal passages: , nasal polyps -these are soft, painless, noncancerous growths that can develop in the nasal passages or sinuses. They are often associated with chronic rhinosinusitis, or structural abnormalities within the nasal passages such as a deviated septum, enlarged turbinates. A deviated septum, where the cartilage and bone dividing the nasal cavity are displaced, is a common cause. Enlarged turbinates, which are structures inside the nose that warm and humidify air, can also contribute to congestion. Allergic Rhinitis allegies often can respond to OTC antihistamines and decongestants. Non-Allergic Rhinitis: this encompasses a variety of conditions that cause nasal inflammation and congestion without an allergic component. Triggers can include irritants smoke, strong odors, changes in weather, certain medications, or hormonal changes. Treatment to identify and avoid the triggers. In other cases, can be tumors, can cause obstructions, congestion or pressure.
There are several potential causes to your condition, you should consider discussing with your primary care provider and potentially a referral to ENT ear, nose, throat specialist.
Chronic nasal congestion, pressure, and difficulty breathing can be caused by rhinitis. Rhinitis is irritation andor inflammation in the mucous membrane. Allergies are the common cause of rhinitis. They can be seasonal or year round. Many people are affected by pollen, various types of grasses, dust, and mold. It is important to note that infections such as the common cold, the flu, and certain smells or chemicals can also trigger rhinitis.
It could be allergies or a deviated nasal septum. Allergy tests and an ENT exam will help with both. Flonase is OTC for allergy symptoms, try that.