Ear, Nose and Throat Doctor (ENT) Questions Ear, Nose and Throat (ENT)

Nasal congestion?

I saw the allergist yesterday and she did a scope of my nose. She said that the nose looked good. But why am I still having congestion? I do have allergies.

Male | 54 years old

4 Answers

Did you have allergy test or not
Airflow through the nose is much more than simply allergic swelling and mucous production. Nasal airflow has a lot to do with the shape of the septum, as well as the strength and shape of the cartilage on the external portion of the nose. If you have allergies, maximize your treatment by using a combination of nasal steroids and nasal antihistamines. Antihistamine. You may be a candidate for allergy shots to decrease your symptoms. To breathe better through your nose, you may have an ENT. Evaluate your nose to see if you are a candidate for septoplasty and or rhinoplasty in order to improve your nasal anatomy and therefore nasal airflow.
Internally, nasal turbinates can also contribute a significant portion to nasal congestion. I suggest researching what nasal turbinates are in order to understand how they will affect your nasal breathing on a daily basis.
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First, what did the allergist say? There are several types of congestion: inflammatory, enlarged turbinates, post-traumatic, autonomic, hypersensitivity, vasomotor, etc. Best to see an ENT for evaluation.
Even with a normal exam of the nasal cavity, one can still perceive they are congested. Sometimes the congestion is higher up in the sinuses and the lower part of the nose may appear completely normal. I would suggest following your allergist's advice on which medications to take and what to do to minimize the congestion. 

Happy Holidays!

Monika Korff, MD