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Nasal congestion without rhinitis - causes and treatment

Almost everyone knows the state when the nose stops breathing. Almost immediately there is a bad mood, headache and annoying every little thing. When the nasal congestion is accompanied by a runny nose and other cold symptoms, the person knows - it will take 3-4 days and everything will be normal.

Worse, when there is no cold and health is all right, but for some reason he refuses to breathe normally. Consider the main causes of this phenomenon and what can be done in each specific situation.


Causes of nasal congestion without rhinitis

Causes of nasal congestion without rhinitis

There are several causes of nasal congestion without rhinitis. Let us dwell on the most common:

1. Allergy. In allergic rhinitis, contact with the causative allergen causes swelling of the mucous membranes. Swollen mucosa interferes with normal breathing, up to the complete cessation of physiological breathing. What other symptoms may be associated with this condition:

  • lacrimation;
  • sneezing;
  • runny nose;
  • nasal congestion;
  • watery discharge (may be absent);
  • loss of smell;
  • ear congestion;
  • headaches, etc.

Allergic rhinitis can be seasonal, in these cases, congestion and other symptoms appear only during the flowering period of certain herbs or trees. With persistent allergic rhinitis, this swelling bothers almost constantly, leading to persistent difficulty in breathing.

2. Curvature of the septum. Most people have ridges, cartilage and curvature of the nasal septum. This is due to the fact that in the process of development, the cartilaginous and bony parts of the septum grow unevenly and various ridges and thickenings form at their junction.

In addition, children's bones are very fragile, easily broken when bruised and then incorrectly fused. Curvature of the septum can make breathing difficult on one or both sides.

3. Chronic hypertrophic rhinitis. Nasal conchae are located in each nostril, they can grow in size and cover the entire cavity. The cause may be allergies, chronic inflammation, foreign body and other factors.

4. Polyps. Benign neoplasms that can fill the entire lumen. They look like round, gray-white, smooth formations and, upon reaching significant sizes, may extend beyond the limits of the nasal cavity.

5. Adenoids. It is believed that this problem occurs predominantly in children, but the development of diagnostic methods has proved that adults are often disturbed by adenoids.

With this pathology, normal breathing is disturbed, snoring appears, nasal and frequent colds can disturb the patient.

6. Malignant and benign neoplasms of this area. Juvenile nasopharyngeal fibroma can occur in children, and in adults there is cancer or another pathology.

constant nasal congestion without rhinitis

constant nasal congestion without rhinitis

7. Foreign body (rhinolite). This problem is faced, above all, by young children who love to put small objects (beads, peas) into their nostrils for themselves and their peers.

Over time, a restrictive shaft forms around such a foreign body and breathing is interrupted by one half of the nose. In addition, the unpleasant smell joins and the sense of smell is disturbed on one side.

8. Violation of the microclimate in the residential and industrial premises. To complete the work of the nasal mucosa need a certain humidity and temperature.

If the air in the room is dry and dusty, the mucous membrane begins to dry, stick together, crusts dry on it, which interfere with breathing and cause constant nasal congestion without a cold.

9. Inflammation of the paranasal sinuses. Sinusitis, sinusitis and other inflammatory processes in the sinuses are traditionally accompanied by purulent secretions.

But with blockage of excretory fistula such secretions may not be, and the disease will be accompanied by nasal congestion and headache.


To diagnose some of the causes and prescription of the treatment of nasal congestion without a cold, a specialist needs only a visual inspection with the help of special tools. So you can detect the presence of a curved septum, hypertrophic rhinitis, adenoids and polyps .

To determine the allergic nature of the problem, it will be necessary to take a thorough history and carry out a number of specific allergy tests.

To detect the presence of an inflammatory process in the sinuses, an x-ray, CT scan or MRI can be performed. In some situations, a specialist may order a biopsy, endoscopy and other diagnostic procedures.

Treatment of nasal congestion without rhinitis

Treatment of nasal congestion without rhinitis

To get rid of the cold and nasal congestion is possible only by identifying the cause of these symptoms. Depending on the results of the diagnosis, the doctor selects the necessary treatment:

  1. If the cause of the symptoms is a curved septum, then surgery (septoplasty) will be necessary, after which full breathing will be restored.
  2. In case of allergic rhinitis, drops and antihistamines are selected.
  3. Polyps are treated conservatively or surgically, depending on their size.
  4. Inflammation of the sinuses is treated with antibiotics and anti-inflammatory drugs.
  5. For the treatment of neoplasms, specific therapy is required depending on the type of tumor.
  6. Adenoids, both in childhood and in adulthood, are removed or treated conservatively, given their degree and the patient's complaints.
  7. Foreign bodies must be removed.

How to get rid of nasal congestion at home?

To get rid of nasal congestion at home, you need to find out what causes this symptom. If the reason is a violation of the microclimate or there are sluggish inflammatory processes in the nose, then the following measures can be taken:

1. Washing with saline solutions or decoctions of herbal antiseptics (chamomile, string, calendula). Such washes clean the cavity, remove mucus and dust, partially remove the swelling and moisturize the mucosa.

How they are made: freshly prepared solution is poured into a container with a narrow neck (for example, a teapot). The solution draws one nostril, and it pours out through the other or through the mouth.

At the same time, the head is slightly tilted in the opposite direction to the flushed nostril. What solutions are used: mineral water without gas, house salt solution, furatsilin, septomirin, etc. Such washings are contraindicated in diseases of the ears and purulent processes in this area.

get rid of nasal congestion at home

2. Irrigation (Salin, Aqualore, Humer). These salt solutions partially relieve swelling and clean the nasal cavity. Can be used for a long time, in children from birth, pregnant and lactating women.

3. Inhalation using saline and herbs. You can conduct a course of steam or hardware (nebulizer) inhalation.

4. Aromatherapy. Essential oils of coniferous trees, citrus, tea tree oil have a beneficial effect on the mucous and reduce congestion.

In addition, you need to monitor the temperature in the room (20-22 degrees), maintain optimum humidity (40-50%) and regularly ventilate the room.

The effects of prolonged nasal congestion

Many patients underestimate the effects of a long-stuffed nose. Let's see what happens if you constantly breathe through your mouth:

  • due to the fact that the pharyngeal mucosa is not adapted for inhalation of untreated, cold, non-humidified air (this is usually the nose), atrophic inflammatory processes in the pharynx (pharyngitis, stomatitis, laryngitis) begin to develop. A person begins to be disturbed by dry mouth, a feeling of a lump in the throat, dry, irritating cough;
  • the infection more easily penetrates the body, and the patient often suffers from colds and viral diseases;
  • snoring and nasalism appear, the timbre of the voice changes. This is especially important for persons of vocal professions (announcers, singers, etc.);
  • due to the violation of the processes of physiological respiration decreases the flow of oxygen to the tissues. The brain suffers first. A person becomes lethargic, drowsy, loses his appetite and is easily irritated.

The absence of normal breathing is especially pronounced in children. Because of the stuffy nose, the child lags behind in development, his formation of the tooth-jaw system, facial bones and chest is disturbed. Such a child is often long and ill, eats poorly, sleeps and lags behind peers.


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