Blocked Nose in Adults: Management and Treatment Options
A blocked nose is a common issue, often caused by colds, allergies, or sinusitis. In most cases, it resolves on its own, but if nasal congestion persists for more than 12 weeks, it could indicate a more serious underlying condition, such as chronic rhinosinusitis or nasal polyps. If chronic it may indicate a septal deviation.
Treatment for a blocked nose typically starts with conservative measures, such as nasal decongestant sprays (short-term, no longer than 7 days), saline rinses, or antihistamines for allergies. Steam inhalation and warm compresses can also help relieve discomfort. If these treatments don’t provide relief, an ENT consultant may recommend further options, such as nasal steroid sprays or, in some cases, surgery.
Surgical options include Septoplasty, which corrects a deviated septum, often the cause of chronic nasal congestion. Another option when there is sinus disease causing symptoms, including facial pain and nasal discharge, may be Functional Endoscopic Sinus Surgery (FESS), which can clear blocked sinuses and remove any obstructions like polyps.
While these surgeries are generally safe, they come with risks, including infection, bleeding, or a recurrence of symptoms. Most patients experience significant improvement after surgery and can return to normal activities within a few weeks.
If you’ve been struggling with a blocked nose for more than a few months, or if it’s affecting your sleep, smell, or quality of life, it’s important to see an ENT specialist for a thorough evaluation and personalised treatment plan.