Congestion when lying down: What’s causing my blocked nose at night?
What’s causing my blocked nose at night?
8 common reasons for a blocked nose at night
Not only is a blocked nose uncomfortable but, if you suffer from the problem at night, it has the potential to disrupt sleep. Since lack of sleep can affect everything from our concentration to our mood, it is really important to figure out what’s causing your congestion and then tackle it.
There are a few things that often cause a blocked nose at night including:
- Dry and dusty air
- A physical obstruction
- Viral infection
- Heartburn/acid reflux.
In this piece, I’ll explain why these things may cause a blocked nose at night, plus I’ll offer some general tips to help ease congestion and improve sleep.
Allergies to the likes of pollen, animal dander, dust and mould spores can cause congestion at night. Allergies to these things can develop in adulthood which may explain the sudden onset of symptoms. Along with congestion, other allergy symptoms include itchy eyes, a runny nose and a skin rash.
There are a few reasons why allergies may get worse at night. Allowing pets to roam the bedroom, for example, allows dander to collect on clothing, bedding and carpets.
Anyone sensitive to dust mites may also experience congestion at night as dust mites thrive in warm, clean areas such as a mattress or pillow.
As temperatures cool in the evening, pollen particles drop down to the ground. At this level, they are easily breathed in through the nose and mouth. This may cause symptoms to develop in anyone with a seasonal pollen allergy. Pollen also collects on our clothing and hair so, by the time night comes around, levels are at their peak.
The sinuses are air-filled cavities in the face. We do not fully understand why they exist, but one possible reason is that they make our voices resonant and loud. Sinusitis occurs when these cavities become inflamed – this may arise as a temporary symptom of a cold or flu, but can become more prolonged or chronic.
Inflammation in the sinuses leads to an increase in the amount of mucus secreted and, as this collects in the upper nasal passages, a blocked nose can develop. Symptoms can be worse at night, and can be affected by posture or your sleeping position.
A normal bout of sinusitis only lasts a week or so and should clear on its own without any assistance from antibiotics or a GP.
3. Dry, dusty air
Air containing little or no moisture can be a cause of a blocked nose, especially at night. As your nasal passages become increasingly dry, the nasal tissues over-produce mucus in an effort to keep the area moist and this leads to a blocked nose.
Dry or dusty air is not a big problem for those of us who live in the UK but it could be an issue if you spend a lot of time in an air-conditioned environment or if you live in another country, particularly in those with desert or arid lands.
4. A physical obstruction
Nasal polyps are small growths of tissue in the nasal passages. They can arise as a result of chronic inflammation, such as with allergic rhinitis or sinusitis.
A deviated septum may also cause congestion at night. This basically means that the bones in the nose are not in the right place. It may arise as a congenital malformation or injury (typically a rugby injury) and leads to a blockage of the nasal passages.
In general, the long-term ‘cure’ for these two types of physical obstruction is surgery.
5. Hormonal changes
During pregnancy, levels of oestrogen and progesterone rise which can increase blood flow to different parts of the body. In the nasal passages, the delicate tissues are more prone to swelling and so this increase in blood flow can restrict air flow and cause a blocked nose.
As posture can worsen the situation, many symptoms can get worse at night. Also, if you suffer from asthma, a blocked nose during pregnancy will be something extra to cope with.
As with any health condition that occurs during pregnancy, use of any over-the-counter remedies is not recommended without first consulting a midwife or GP.
In addition, the hormonal changes that occur during the menopause and menstruation may also make it more likely for a blocked nose to occur.
6. Viral infection
Viral infections are the most common cause of a blocked nose at night, especially amongst children.
Children are much more likely to pick up bugs as their immune systems are still developing and, consequently, their resistance to infection is low. In addition, a child’s nasal passageways are narrow and are easily obstructed, so any swelling of the nasal tissues makes a blocked nose more likely.
During a viral infection such as a cold or flu, mucus production increases in order to trap and flush out pathogens (this includes viruses and bacteria). At the same time as this, inflammation can develop and, together, these things make it hard for the nose to stay well-drained. This results in that blocked nose feeling. This problem can persist even after the initial viral infection has passed thus making us more vulnerable to secondary infections such as middle ear infections. These can also give rise to further congestion in the ears, nose and throat.
A slight increase in mucus production might not be noticeable whilst you’re standing up as the nose is able to drain itself, however, it will certainly become noticeable at night when the normal draining function is removed. You may also notice your blocked nose gets worse in the evening if you are spending time lying down on the sofa.
When we lie down, the body is no longer able to drain mucus out of the nose through your throat – gravity simply isn’t working in the right direction anymore. As a result, a blocked nose could suddenly get worse at night when you lie down in bed.
Blood pressure changes, particularly in the head, also occur when we lie down. The more pressure that is put on the delicate blood vessels throughout the nasal passages, the more blocked up we end up feeling.
8. Heartburn/Acid reflux
In addition, other symptoms that come about as a result of the changes in gravity can aggravate a blocked nose. Acid reflux and heartburn, for example, can become worse at night if we have poor digestive functions. This, in turn, can damage the lining of the throat and surrounding areas (the ears, nose and throat are closely connected) and may make you more vulnerable to infections. Sleep apnoea can also contribute to increasingly blocked up nasal and respiratory passages.
Best sleep position for a blocked nose
Keeping your head propped up whilst you’re asleep will encourage mucus to flow from the nose and will help take some of the extra pressure away from your head. Simply add an extra pillow or two to do this. If you suffer from symptoms of acid reflux and are worried this could also be adding to your problems with congestion, this tip will also help with the issue!
Along with this, try to sleep on your side rather than on your back. Sleeping on your back allows mucus to build up which will not only make it harder to sleep, it could contribute to snoring as well.
A summary – What’s causing my blocked nose at night?
Many factors can cause a blocked nose at night, including allergies; sinusitis; dry and dusty air; physical obstruction; pregnancy; viral infection; posture, and heartburn/acid reflux. Treatments that can help unblock the nose at night include using a nasal spray and drinking lots of water. If your nose gets stuffy when you lie down, sleeping on your side rather than on your back can help ease the problem further. If your blocked nose gets worse at night and does not improve after a few weeks, visit your doctor.
My self-care tip: Try a nasal spray to ease congestion
If you are suffering from congestion, check out this video for information on what kind of nasal spray may be helpful.
How to ease a blocked nose before bed
1. Identify and remove any allergens
If you are able to recognise that an allergen such as animal dander or pollen is causing your blocked nose at night then you can begin to take steps to remove these things from your bedroom.
If pollen triggers your symptoms then shut your bedroom windows at night and take a shower or bath before bed to help remove any pollen which has accumulated on your hair and body during the day.
Should an animal be the trigger, pets should be kept away from bedrooms.
Dust mites are a common allergen but are often forgotten as a cause of a blocked nose at night. If this is an issue, it is important that bed covers and sheets are washed regularly. You can also use a dust mite protector on your mattress.
Our Luffa Nasal Spray rinses and cleans the nasal passages of allergens, whilst also helping to desensitise the delicate tissues that exist there. This can help the area to feel clearer and less irritated. This is another good way to ease congestion that is the result of allergies.
2. Rinse with a salt water solution
Rinsing the nose with a salt water solution helps liquefy mucus and, in doing so, it may help to ease a blocked nose. To do this, put ½ teaspoon of salt into the equivalent of two mugs of water. A small syringe can help to flush this solution through the nose. These can be purchased from a pharmacy.
3. Use a nasal spray
Our Sinuforce Nasal Spray provides relief from nasal congestion and catarrh.
This product contains all-natural ingredients such as chamomile, peppermint and eucalyptus oil which, together, have a soothing effect on the nose. The product reduces swelling in the mucous membranes but leaves their natural protective function intact.
Alcohol relaxes (dilates) the blood vessels and, therefore, causes the tissues in the upper nasal passages to swell. This isn’t something you want if you have a blocked nose so try to avoid alcohol if in the hours before bed.
4. Consider your drinks
Nutritionist Emma Thornton says:
“Other drinks that could be worth avoiding include dairy products such as milk, which are thought to be mucus-producing, and caffeinated beverages which act as stimulants and so could exacerbate symptoms.”
She goes on to add that:
“Whilst alcohol is definitely one to avoid, you might want to consider other drinks which may help your condition. Keeping hydrated is important so ensure you drink some water in the lead up to bedtime. If you suspect a viral infection is at the root of the cause, our comforting Echinacea Hot Drink may also help to support your recovery and is a nice option for the evening.”
If you’d like to read more about a blocked nose and food triggers just take a look at our blog ‘Can what you eat and drink affect your blocked nose?’.
5. Shower or bathe
Steam from a hot bath or shower will also help to relieve symptoms – this is a particularly good option for children who are struggling to sleep because of a blocked nose.
Breathing in the steam from a hot shower helps to liquefy mucus and, in turn, unblocks the nasal passages.
6. Apply a warm compress
Heat helps to open up the nasal passages and so can be another way to bring temporary relief from a blocked nose. Contrary to popular belief, continually blowing your nose may only worsen a blocked nose as it can encourage an increase in the pressure throughout the nasal passages.
7. Try Po-Ho oil
Place a few drops of Po-Ho oil on a tissue and breathe in gently. The vapours released from essential oils including peppermint, eucalyptus and juniper will be inhaled and this will help to relieve congestion.
For many children with a blocked nose, sleep will be disrupted and so keeping the bedroom humid will help to ease their discomfort. One easy way of doing this is to place several bowls of steaming hot water in a safe place around the child at bedtime. Again, it can help to place a few drops of Po-Ho oil into the water.
8. Use tea tree oil
Tea tree essential oil has anti-inflammatory and antibacterial properties and so it may calm any swelling in the nose and, in turn, reduce congestion.
Tea tree oil can be added to a diffuser a few hours before you go to bed – just remember to turn the diffuser off before you go to bed as, otherwise, the smell will be quite overpowering come morning!
9. Rinse with a neti pot
A neti pot rinses the nose of mucus and any debris so can be helpful for anyone experiencing congestion. Neti pots can be purchased from your local pharmacy and will come with instructions on how to use them safely.
10. Have a herbal tea
Peppermint tea is a good option here as it is known to work as a decongestant. On top of this, it can be a good way to ease headaches, plus it even benefits digestive health.
How do you get rid of a blocked nose while sleeping?
1. Use a humidifier
A humidifier may make a blocked nose more manageable as it adds moisture to the air. This soothes the nasal tissues and thins mucus, making it flow smoothly from the nose.
Put one of these in your bedroom to see if you feel a difference at night.
2. Apply nasal strips
Nasal strips allow the passageways to open slightly, thus assisting with breathing and congestion. This is a good option for anyone suffering from congestion on a longer-term basis, perhaps as the result of an allergy.
What gets rid of a stuffy nose fast?
1. Try a decongestant
Taken orally, over-the-counter decongestants can be helpful in easing a blocked nose. It is important to remember, though, that many of these products contain caffeine or other stimulants which may keep you awake.
2. Stay hydrated
As with so many other ailments, drinking plenty of fluid is also beneficial. This helps to keep mucus thin and reduce the swelling in your sinuses.
3. Use saline drops
These keep the nasal passageways moist and will also help to remove any mucus which may be stored.
When to see your doctor
A blocked nose is not usually a cause for serious concern and instead, it can be put down to things like flu and the common cold. These can be treated at home using some of the methods outlined above.
There are a few instances, however, when it is necessary to seek medical advice on a blocked nose:
- If the blocked nose is continually disrupting sleep
- If it restricts breathing
- If the problem persists longer than two weeks
- If additional symptoms occur including a high fever, sinus pain and bloody, yellow or pus-like discharge.
Originally published on 25th October 2018 (updated on 27 January 2020).
Results: Do you often suffer from a blocked nose at night?
Trouble Sleeping and Sinus Issues
How to Sleep with Allergies
There are several different things you can do at home to minimize allergies affecting your sleep at night. A clean home, room, and bed is important to maintain in order to reduce pollen, dust and pet dander from lingering in the air and on surfaces. Keep the home closed up if possible, bringing only filtered air into the house and keeping windows shut during the daytime especially. One of the best steps you can take is to make your room and bed a pet-free zone, particularly if your pet goes outside. Even if you don’t have a pet allergy, pollen and dust cling to fur and it’s best to keep those irritants out of your room.
Showering before you get into bed is another great way to make sure allergens don’t come into bed with you. This can also be relaxing which can help release stress and tension before trying to fall asleep. The National Sleep Foundation also recommends avoiding stressful activities before bed to help with insomnia, as well as setting a routine sleep schedule to get better sleep. Adding a humidifier to the home and bedroom can also help keep moisture in the air to reduce the dryness that causes irritation.
Oral Allergy Medications
Allergy medicines such as oral antihistamines can block the body’s histamine reaction and help reduce allergy symptoms for a period of time. For those with sleeping issues due to allergies, experts recommend taking these allergy medications at night, before bed. Allergy symptoms tend to peak in the morning, with sneezing, stuffy nose, and itchy eyes often flaring up just after waking. Taking the allergy pill at night will ensure that it is circulating in your bloodstream at the most crucial time when you wake up.
One of the best ways to stop allergies at the source and improve symptoms all around is to take daily allergy drops under the tongue. This is also called sublingual immunotherapy, which involves taking a few drops each day of a customized formula designed to combat your specific allergies. An allergy test can easily and accurately determine which allergies you are sensitive to. Allergy drops are just as effective as allergy shots but do not require monthly office visits and instead can be done from the comfort of your own home.
Why do I Keep Coughing Up Mucus at Night
You’re in the middle of restful snooze when that annoying hacking jolts you awake. You can’t help but wonder, why now? Coughing up mucus isn’t fun any time, but it’s especially bothersome when it interferes with much needed sleep. Learning more about the causes of nighttime coughing and ways to address your symptoms can help turn those disruptions around.
The main reason you’re likely to cough more at night comes a science class basic: the law of gravity. When you lay down, mucus naturally starts to pool in your throat purely because of your position. This causes the coughing reflex to kick in, as a means of moving that mucus out.
Frequent acid reflux, also known as GERD or gastroesophageal reflux disease, is common, affecting up to seven percent of the population. Acid from your stomach moves back up into your esophagus, causing coughing and other symptoms, such as heartburn, bad breath and a chronic sore throat. For most people with GERD, these symptoms increase while sleeping or trying to sleep. Lying down after eating is one potential reason, especially if you’ve eaten foods that may trigger flare-ups, such as spicy or acidic items
The air you breathe at night can also worsen a wet cough. This is because a dry environment can exacerbate an already irritated throat and nose and prevent mucus from loosening. When mucus gathers in your throat, rather than moving freely, it may start to clog your airways causing you to cough. These issues are particularly common during winter months, especially if you live in a cooler climate.
While there’s no instant fix for coughing up mucus at night, you can take steps to improve your symptoms.
- Use an extra pillow. Propping your head and neck up a bit counteracts the gravitational pull that allows mucus to pool in your throat.
- Avoid eating right before bed if you’re prone to acid reflux. This is especially true for hefty portions or foods that tend to trigger your symptoms.
- Take a steamy shower before bed. Warm mist can help ease mucus and cough symptoms by creating a moister environment.
- Use a humidifier. You can also add moisture to the air you breathe in with a humidifier, which releases steam. For best results and safety, follow product instructions and keep the device clean.
- Take an expectorant. Mucinex® DM can help by thinning and loosening mucus, minimizing chest congestion and the urge to cough for up to 12 hours.
- Stay well-hydrated. Drinking water and other fluids, such as broth or caffeine-free herbal tea, can help reduce dryness that may contribute to nighttime coughing.
- If your symptoms do not improve over a week or worsen suddenly, please consult a physician.
Help! Postnasal Drip Is Keeping Me Awake
Postnasal drip is a frustrating condition that will impact most people during their lifetime. Adults and children in Atlanta and across Georgia often suffer in silence, but there are treatments available to resolve postnasal drip problems from qualified ear, nose and throat (ENT) professionals.
Why Does Postnasal Drip Cause Sleeping Issues?
Many people find that postnasal drip is worse at night and can prevent them sleeping. There are various factors that could be to blame for this. One significant problem is that lying down in bed changes your elevation, draining mucus into the upper respiratory airway. The reaction is usually to start coughing and feel the need to frequently clear your throat.
Causes of Postnasal Drip
The root of the problem that causes postnasal drip is an overproduction of mucus. Mucus is a crucial substance for combating infections in the nose and throat. But an excessive amount of mucus will gather in the nose and drip down your throat.
There are various factors that cause postnasal drip to flare up. Since most will experience postnasal drip at some point (but not chronically), they won’t suffer too much. However, others will experience persistent postnasal drip, which can be very frustrating. To find what lies at the heart of excess mucus production, a doctor that treats ENT issues should examine the patient to determine the root problem.
Common Causes of Postnasal Drip
- Sinus infections
- Common cold or flu
- Deviated septum
- Spicy food
A one-off case caused by spicy food or an exposure to fumes is usually not something to worry about. But ongoing colds and infections indicate the need to identify the cause of nasal infections and sinus issues.
Postnasal Drip Treatments That Can Help You Sleep
If you suffer from regular occurrences of postnasal drip, it is important to speak to a medical professional for an accurate diagnosis. Some common postnasal drip treatments include:
Lifestyle Changes – Stay hydrated with plenty of water. Take a break from drinking alcohol or eating junk food. Lifestyle choices can influence health, and will either support or weaken your health.
Environmental Changes – Ensure your bedroom is dust-free and that your bed sheets are laundered regularly. You could also try a humidifier or air purifier to ensure the environment is optimal for your airways.
Medication – Clearing your sinuses of mucus before bed allows for easier breathing and a better night’s sleep. Your doctor that treats ENT issues may recommend a decongestant or saline nasal spray to clear your airways.
Allergy Treatments – Allergies are a common cause of postnasal drip. Some ENT treatment options like antihistamines, plus avoiding dust, mold and pet dander could help. For anyone with persistent sinus problems, treatments like immunotherapy offer better long-term results.
Don’t Lose Sleep Over Postnasal Drip
Are you trying to put an end to postnasal drip issues? Dr. Chacko can help treat the causes of the condition, offering fast relief from the many symptoms. You can request an appointment at one of our locations in Alpharetta, Atlanta, Canton, Cumming, Duluth and Johns Creek, or by calling us at 678-668-4688.
Sinus headaches – Symptoms and causes
Sinus headaches are headaches that may feel like an infection in the sinuses (sinusitis). You may feel pressure around your eyes, cheeks and forehead. Perhaps your head throbs.
However, many people who assume they have headaches from sinusitis, including many who have received such a diagnosis, actually have migraines.
Signs and symptoms of sinus headaches may include:
- Pain, pressure and fullness in your cheeks, brow or forehead
- Worsening pain if you bend forward or lie down
- Stuffy nose
- Achy feeling in your upper teeth
Sinusitis or migraine?
Migraines and headaches from sinusitis are easy to confuse because the signs and symptoms of the two types of headaches may overlap.
Both migraine and sinusitis headache pain often gets worse when you bend forward. Migraine can also be accompanied by various nasal signs and symptoms — including congestion, facial pressure and a clear, watery nasal discharge. These are due to involvement of the autonomic nervous system in a migraine attack. In fact, studies have shown that approximately 90% of people who see a doctor for sinus headaches are found to have migraines instead.
Sinusitis, however, usually isn’t associated with nausea or vomiting or aggravated by noise or bright light — all common features of migraines.
Sinusitis usually occurs after a viral upper respiratory infection or cold and includes thick, discolored nasal mucus, decreased sense of smell, and pain in one cheek or upper teeth. Headaches due to sinus disease often last days or longer, and migraines most commonly last hours to a day or two.
When to see a doctor
Consult your doctor if:
- Your headache symptoms occur more than 15 days a month or require frequent over-the-counter pain medicine
- You have a severe headache, and over-the-counter pain medicine doesn’t help
- You miss school or work because of frequent headaches or the headaches interfere with your daily life
Sinus headaches are usually associated with migraines or other forms of headaches.
Sinus headaches are associated with pain and pressure in the face and sinuses and can cause nasal symptoms. Most of these headaches are not caused by sinus infections and should not be treated with antibiotics.
Sinus headaches can affect anyone but may be more likely if you have:
- A previous history of migraines or headaches
- A family history of migraines or headaches
- Hormonal changes associated with headaches
Whether or not you take preventive medications, you may benefit from lifestyle changes that can help reduce the number and severity of headaches. One or more of these suggestions may be helpful for you:
Avoid triggers. If certain foods or odors seem to have triggered your headaches in the past, avoid them. Your doctor may recommend you reduce your caffeine and alcohol intake and avoid tobacco.
In general, establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress.
Exercise regularly. Regular aerobic exercise reduces tension and can help prevent headaches. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming and cycling.
Warm up slowly, however, because sudden, intense exercise can cause headaches.
Obesity is also thought to be a factor in headaches, and regular exercise can help you maintain a healthy weight or lose weight.
Reduce the effects of estrogen. If you’re a woman who has headaches and estrogen seems to trigger or make your headaches worse, you may want to avoid or reduce the medications you take that contain estrogen.
These medications include birth control pills and hormone replacement therapy. Talk with your doctor about the appropriate alternatives or dosages for you.
Non-allergic rhinitis – NHS
Non-allergic rhinitis is inflammation of the inside of the nose that is not caused by an allergy.
Rhinitis that is caused by something that triggers an allergy, such as pollen, is a separate health condition known as allergic rhinitis.
Symptoms of non-allergic rhinitis can include:
- a blocked nose
- a runny nose
- sneezing – although this is generally less severe than in allergic rhinitis
- mild irritation or discomfort in and around your nose
- reduced sense of smell
In rare cases, non-allergic rhinitis can also cause a crust to develop inside the nose, which may:
- produce a foul-smelling odour
- cause bleeding if you try to remove it
When to see your GP
See your GP if you have symptoms of non-allergic rhinitis and they’re affecting your quality of life.
Non-allergic rhinitis can be difficult to diagnose, as there is no test to confirm it. Your GP will first ask about your symptoms and medical history.
They may then carry out a blood test to check if you have an allergy, or they may refer you to a hospital clinic for more specific tests for allergies, including a “skin prick test”.
If the test results suggest you do not have an allergy, you may be diagnosed with non-allergic rhinitis.
Read more about diagnosing non-allergic rhinitis.
What causes non-allergic rhinitis?
In non-allergic rhinitis, the inflammation is usually the result of swollen blood vessels and a build-up of fluid in the tissues of the nose.
This swelling blocks the nasal passages and stimulates the mucus glands in the nose, resulting in the typical symptoms of a blocked or runny nose.
There are several possible causes of non-allergic rhinitis including:
- viral infections, such as a cold – these attack the lining of the nose and throat
- environmental factors – such as extreme temperatures, humidity or exposure to noxious fumes, such as smoke
- hormone imbalances – such as during pregnancy or puberty
- hormone-containing medicines such as HRT or the contraceptive pill
Read more about the causes of non-allergic rhinitis.
Treating non-allergic rhinitis
Non-allergic rhinitis is not usually harmful but it can be irritating and affect your quality of life. The best treatment depends on how severe the rhinitis is and what’s causing it.
In some cases, avoiding certain triggers and undertaking self care measures, like rinsing your nasal passages, may relieve your symptoms.
Rinsing your nasal passages, can be done using either a homemade solution or a solution made with sachets of ingredients bought from a pharmacy.
In other cases, you may need to take a medicine, such as a nasal spray containing steroids. Steroid nasal sprays help to relieve the congestion, but you need to use them over a number of weeks for them to work properly.
Read more about treating non-allergic rhinitis.
In some cases, non-allergic rhinitis can lead to complications. These include:
- nasal polyps – harmless sacs of fluid that grow inside the nasal passages and sinuses
- sinusitis – an infection caused by nasal inflammation and swelling that prevents mucus draining from the sinuses
- middle ear infections – infection of part of the ear located directly behind the eardrum
These problems can often be treated with medication, although surgery is sometimes needed in severe or long-term cases.
Read more about the complications of non-allergic rhinitis.
Page last reviewed: 03 May 2019
Next review due: 03 May 2022
6 Best Ways To Sleep With a Cold
By: SleepScore Labs
January 18th, 2021
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Despite the recent increase in global awareness about germs and hygiene, the winter months still breed the common cold and flu. If you’re one of the unlucky ones to contract these winter ailments, the best you can do is treat your symptoms and allow your immune system to do the rest. One of the primary reasons it’s so difficult to sleep with a cold is your body is actively fighting the virus with every tool available. Not only does this mean your systems aren’t focusing on their usual ‘maintenance’ as much, but it also means immune system responses such as a runny nose, sore throat, or even a fever. You may not get the best sleep you’ve ever had, but we’ve got some ideas to make your Zzzs a little better while battling a cold.
Explore Over-the-Counter Remedies
If you’re feeling stuffy, hot, achy, or all of the above, there are medications available from your local drug store you can try that may temporarily alleviate your symptoms. Always be sure to read the ingredients and dosages before consuming any medications. Some medications should not be taken together, and others may not improve your specific symptoms. If you have questions about what’s right for your illness, consult with the pharmacist before purchasing. Getting the right symptom reliever could mean quieting your cough, clearing your sinuses, and reducing your fever and feelings of achiness, so you can enjoy some much needed, uninterrupted rest. If your symptoms don’t improve soon, or if they seem to be getting worse, contact your doctor to find out if you would benefit from taking prescription medication.
Take a Steamy Hot Shower
If your sinuses are running like a leaky pipe, it can feel like a losing battle trying to get them clear. Taking a hot shower with lots of steam can help loosen up mucus and soothe your uncomfortable sinuses. Use this time to clear out your runny nose so you can lay off the tissues when you go to bed. The warmth will also relax your tired body, so you’ll be closer to the ideal sleeping temperature and sleep will come more swiftly. In addition, we recommend warming up your feet and keeping them warm and comfortable in bed to help speed up the process of falling asleep.
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Create an Optimal Sleep Environment
Winter illnesses can be made worse by certain environmental conditions. Investing in an air purifier to help remove irritants that may further worsen your cold symptoms, or investing in a good humidifier to add moisture in the air that will keep your nose and throat soothed and comfortable, are steps to creating a more ideal sleeping area. A common mistake that cold sufferers make is cranking up the heat when they go to bed. A cool bedroom temperature (around 60-68F) will help reduce sweating and waking up at night, which is particularly important if you’re experiencing a fever.
There’s a reason doctors commonly recommend lots of fluids and bed rest when you’re sick. When battling a cold, your body is losing water via sweat, mucus, and other immune responses, and therefore it’s important to increase the amount of water you’re taking in. Just be careful not to drink too much before bed or you may be making unwanted trips to the restroom throughout the night. A hot, caffeine-free tea or other caffeine-free beverage is a great way to give your sore throat some relief from cold symptoms in the evening.
Find a Good Sleeping Position
Experts suggest that particular positions can help or hinder sleep when you have a cold. When you sleep on your back, it can make congestion even worse. Try sleeping on your side, and prop up your pillows so you’re sleeping at a slight angle to help prevent congestion from disrupting your sleep.
Make Sure You’re Sleepy
If you find yourself tossing and turning in bed, unable to relax or get comfortable, get out of bed and do something else for a bit. Go into another room to read a book under dim light, listen to music or soothing sounds from a white noise machine, or try some other low-intensity activity until you feel sleepy. Waiting until you feel ready for sleep before getting into bed will promote healthier sleep habits year-round.
The good news is the common cold and flu generally only last a few weeks at most. They’re uncomfortable and irritating, but they’re just another part of life. Take steps to avoid getting sick like wearing a mask in public spaces, maintaining physical distance from others, frequently washing your hands with soap, using antibacterial hand sanitizer, and steering clear of sick friends and family. If you do get sick, try your best to implement these tips to help you get good sleep while keeping in mind that some things may work better or worse for your own body. Following these suggestions should put you on the fast track to recovery, so you’ll soon be feeling well-rested and ready to resume your regular activities.
Not sure if you’re getting the recommended amount of sleep for your age and gender, whether or not you’re feeling under the weather? Download the SleepScore App from the App Store or Google Play Store for free, to see how your sleep changes over time and to get personalized insights about your sleep.
90,000 Vasomotor rhinitis – symptoms, diagnosis, treatment – Axis medical center (Zelenograd)
With a disease such as vasomotor rhinitis, swelling forms in the turbinates, and the vascular tone of the nasal cavity is disturbed. This type of rhinitis is accompanied by a profuse discharge of mucus from the nose and a runny nose. However, this disease, although sometimes viewed as an inflammatory process, is in fact more of a functional disorder.
Causes of occurrence
A very common cause of vasomotor rhinitis is stress, since it is in a state of increased excitability that the activity of the nasal mucosa increases, and an excess amount of mucus is secreted.Hormonal disorders, the effect of infections on the body, the presence of curvature of the nasal septum and smoking are also some of the reasons for the appearance of this disease.
The main symptom of vasomotor rhinitis is respiratory failure. If, with classic rhinitis, a person’s nose lays for a certain time, then with vasomotor rhinitis, everything is much more complicated, because the violation of nasal breathing is unexpected and spontaneous. The person begins to sneeze and mucus flows profusely from the nose in the morning when he is in the supine position.At the same time, tears can begin to flow from the eyes, which are difficult to stop with an effort of will. The mucus is usually clear, but in some cases it may turn yellow or green if a bacterial infection occurs. In addition, those suffering from vasomotor rhinitis complain of a deterioration in the ability to perceive odors, a feeling of dryness in the nose, increased fatigue and insomnia.
Diagnosis of the disease
“If you have similar symptoms, we advise you to make an appointment with your doctor.You can also sign up by phone: +7 (499) 214-00-00
Any diagnosis of vasomotor rhinitis necessarily includes an examination by an otorhinolaryngologist. It is he who learns important nuances from the patient and can quickly distinguish between vasomotor rhinitis and chronic rhinitis, prescribing the correct examination and treatment. The nasal cavity is examined with an endoscope. Another diagnostic method also demonstrates high efficiency – fluoroscopy of the sinuses of the nose. A blood test and skin allergy tests allow you to establish which particular allergen led to the onset of the disease.It is very important to do this, since in the future the treatment prescribed by the doctor will depend on this.
If vasomotor rhinitis has not passed into an advanced stage, a conservative method of its treatment is used. This method includes the use of vasoconstrictors, nasal sprays, immunomodulatory agents (if an allergen has been identified). If neoplasms led to the disease and the conservative method of treatment did not give the desired results, doctors prescribe surgical or laser treatment.Correction of the nasal septum is a very popular procedure that also helps to get rid of the problem with surgery, if necessary.
When to see a doctor
It is recommended to consult an otolaryngologist when the first symptoms of the disease are detected, because it is easier and faster to treat it at an early stage.
Common cold or serious illness – the most important questions about the common cold
Any person periodically suffers from a cold, but the causes of its occurrence may be different, and each case requires an individual approach.Indeed, one can hardly name a more popular disease. Many try not to pay attention to a runny nose, and some, on the contrary, ask important questions, which are answered in the studio of the program “On the most important”, an otolaryngologist, professor, candidate of medical sciences Boris Starosvetsky.
If a runny nose is treated, it will go away in a week, and if left untreated, it will go away in seven days. According to the specialist, this statement is really true, but only if it is a question of a cold or local inflammation.Allergic rhinitis or other complex problems that cause rhinitis require a different approach.
Nasal congestion can be a persistent problem and cause serious concerns – sometimes well-founded ones. One of the most common causes of this condition is drug abuse. There is nothing easier than using vasoconstrictor drops or spray, however, it must be remembered that they are not recommended for use for more than seven days in a row. Otherwise, these drugs can be addictive and provoke the opposite effect.In addition, all of these funds are based on adrenaline, which has a negative effect on the heart.
Many people know that it is useful to rinse the nose with a cold, but not everyone does it right. According to the specialist, you need to sit down, tilt your head down, take a deep breath, then rinse your nose and only then exhale. It is important to remember that when washing, you should not throw your head back – this can lead to inflammation of the maxillary sinuses.
In case of nosebleeds, it is also recommended to lower the head down, because the blood supply to the nose comes from the carotid artery, and when tilting backward, the vessels narrow, the pressure increases, and the bleeding increases.But it is better to bury the spray or drops in the supine position, placing a roller under the head or throwing it back, since the process should open a communication between the sinuses and the nose. The specialist claims: there is no significant difference between drops and spray, just the spray acts more locally, and the drops mostly fall into the mouth.
Among the most common diseases of the nose that cause congestion and many other problems, Boris Starosvetsky named sinusitis, curvature of the septum, injuries and fractures of the bones of the nose or frontal sinus, polyps and tumors.
90,000 Nasal congestion
Dependence on vasoconstrictor drops
The symptom of nasal congestion brings great discomfort to a person and disrupts his quality of life.
The reasons that can provoke congestion are a bacterial and viral infection, an allergic reaction, vasomotor rhinitis, endocrine disorders, prolonged and uncontrolled use of vasoconstrictors (rhinitis medicamentosa).
Patients have been using vasoconstrictors for years and cannot refuse them on their own.Long-term use of these funds has a negative effect on the body as a whole (it thinns the mucous membrane of the nasal cavity, aggravates hypertension, ischemic disease and even affects the psyche – a person becomes irritable, easily excitable, fear arises in the absence of drops at hand).
Also, the causes of difficulty breathing through the nose can be mechanical reasons such as: curvature of the nasal septum, polyps of the nasal cavity, neoplasms.
Differential diagnosis of the causes of nasal congestion is performed using an objective method for studying the aerodynamics of the nose – rhinomanometry.
When congestion has arisen due to edema of the mucous membrane, the doctor prescribes conservative treatment depending on the cause (etiology), if it does not give a result, resort to non-drug methods of exposure to the lower turbinates (ultrasonic disintegration, cryosurgery or laser vasotomy of the mucous membrane of the lower turbinates).
If nasal congestion is associated with mechanical causes, surgical treatment will be required, for example: septoplasty (if a connection with nasal septum curvature is revealed during rhinomanomeric examination) or removal of nasal polyps and paranasal sinuses (if the cause is polyposis rhinosinusitis).
However, there may be other mechanical reasons leading to dysfunction of nasal breathing.
Laser vasotomy of the mucous membrane of the inferior turbinates
The most commonly used surgical technique for treating vasomotor rhinitis is laser vasotomy.
The technique of this intervention consists in the intersection of the vessels of the nasal conchas of the submucosa using an infrared laser.
Laser vasotomy maximally spares the main functional structures of the mucous membrane – the ciliated epithelium.This technique is highly effective.
To carry out such an operation, the patient needs to undergo an examination, which is prescribed by the doctor. Before the procedure, 30 min. the patient is administered drugs that reduce pain and edema in the postoperative period (premedication).
The procedure is performed in the supine position, the doctor performs application anesthesia using cotton swabs moistened with anesthetic, which are inserted into the patient’s nasal cavity for three minutes, after which they are removed and the articaine solution is injected into the mucous membrane of the lower nasal concha.After some time
, complete anesthesia occurs and the patient does not feel anything during the procedure.
However, during the procedure, the patient may smell an odor that appears due to exposure to high temperatures.
Within 30-40 minutes after the procedure, the patient is under observation, in the absence of bleeding, the patient can be released home.
Recommendations are given: within 3-4 days it is necessary to avoid physical activity, taking hot baths, visiting a bath, taking large doses of alcohol.
Re-examination is scheduled for the next day and 3-4 more times in the next 10-15 days. Hygiene of the nasal cavity is performed in order to prevent the appearance of synechiae (adhesions of the walls of the nasal cavity).
Laser vasotomy makes it possible to significantly reduce the volume of the inferior turbinates and to ensure normal nasal breathing and to lose dependence on the use of vasoconstrictor drugs.
Ultrasonic disintegration of the inferior turbinates
Ultrasonic disintegration of the mucous membranes of the turbinates is used by us to improve the function of nasal breathing, in most cases with allergic rhinitis or with ineffectiveness of laser surgery.
The technique of the intervention is similar to the laser one, but the physical effect on the tissues (the effect of cavitation) is more “rough”.
Cryodestruction of the lower nasal mucosa
Cryodestruction of the mucous membrane of the lower turbinates is used by us for all types of chronic edema of the mucous membranes of the nasal cavity.
Cryodestruction, as a method, is bloodless and the most gentle. Preferably, cryodestruction is used in patients with essential hypertension, patients taking anticoagulants for a long time, after a stroke, myocardial infarction, with genetic problems of the blood coagulation system, with systemic diseases.
This procedure is performed under local application of anesthesia. Cryotherapy on the nasal mucosa is performed alternately from each half of the nose. Between the procedures, a break of 3-4 days is maintained, this is necessary so that the mucous membrane that has undergone cryonecrosis has time to be torn away and this half of the nose breathes freely.
The choice of the method of treatment in each specific case remains the priority of the doctor and is discussed with the patient in advance.
90,000 Stuffs his nose while lying down at night without a runny nose: why, when you lie down on the side of an adult, what to do
Nasal congestion is not only a concomitant symptom of a cold, it is a rather complex process that occurs for many reasons.And the approach to its treatment should not be the same. One of the types of rhinitis is stuffing the nose in a horizontal position. At the same time, during physical activity, the nose breathes quite calmly. All possible causes of the phenomenon are discussed below. But why a stuffy nose can occur without a runny nose and what can be done with such a problem is indicated here.
The root causes of nasal stuffiness in the supine position are divided into 2 large groups: the presence of a runny nose and its absence.Depending on the accompanying additional symptoms or their complete absence, a diagnosis is made and the correct treatment is prescribed.
If such a problem arises, you should consult a doctor
If there is a runny nose
The easiest way to identify the cause of nasal congestion in a horizontal position is when, in addition, there are mucous nasal discharge, tickling, headaches and general fatigue. All signs indicate the development of an acute respiratory disease and require an integrated approach.
Night congestion is just one symptom of a broader health problem.
It is also worth learning more about what to do if your ear is blocked after a runny nose and what you can do with such a problem, detailed here.
If there is no runny nose
In the presence of a runny nose, it is simple to diagnose the disease and adjust the treatment, it is much more difficult when, apart from stuffing the nose at night, there are no other problems.
The disease is called vasomotor rhinitis and it can occur for a number of reasons:
- Vegetovascular dystonia. With involuntary vasoconstriction, especially at night, breathing problems may occur.
Be sure to consult a doctor if such a problem occurs
- Reaction to vasoconstrictor drugs . Unfortunately, with excessive use of these medications, addiction can develop, in which vasomotor rhinitis occurs.
- Hormonal jump . It is associated with several reasons: pregnancy, menopause, thyroid disease, adolescence.
- Regular use of antihypertensive drugs.
- Seasonal or permanent allergic reactions . The culprit can be a variety of reasons: dust, pet hair, the flowering of certain plants, or a reaction to outdoor reagents in winter.
If signs of allergy appear, you should consult a doctor and take the necessary tests
In case of allergic reactions, in addition to laying in a horizontal position, in the daytime there is itching, sneezing or redness of the eyes.External symptoms indicate that there is an internal inflammation of the mucous membrane.
But why ears can get blocked and what causes low pressure can be, is described in great detail here.
- Anatomical abnormalities: adenoids , polyps, displacement of the nasal septum. This is due to uncontrolled tissue growth as a result of the characteristics of the body or frequent acute respiratory infections. In addition to congestion at night, there is dull ear and hearing loss.With a crooked nasal passage, air does not pass fully, as a result of which difficulty breathing at night and snoring in men and women.
This is what adenoids may look like
- Incorrect room conditions : operation of the air conditioner, drying air; too hot air, low humidity. Dry air brings body fatigue, drowsiness, more rapid development of infectious diseases, and as a concomitant – swelling of the nose.
- Unbalanced nutrition .Unreasonable congestion at night can also be associated with an excess of sugar and preservatives in food. Poisonous substances accumulate in the blood and increase the size of the mucous membrane, causing discomfort at night.
- Foreign body in the nasal passage . A small object accidentally caught under the influence of the mucous membrane swells and interferes with the normal functioning of breathing.
On the video – the main causes of nasal congestion:
What to do
Different causes of nasal congestion at night require different treatment approaches.
Only an ENT doctor should understand and diagnose, you can only describe the symptoms and take some measures before discharging a recovery course.
With a runny nose
In case of congestion with acute respiratory infections, the following procedures must be performed before bedtime:
- Bury vasoconstrictor drugs. Thus, you can relieve swelling of the nasal mucosa.
It is best to choose high quality vasoconstrictor drugs
- In case of severe illness, take an antihistamine tablet or drops at night.
- Rinse nose with seawater medicine.
Excellent disinfectant for nasal cavity
- Ventilate the room before going to bed and, if possible, increase the humidity.
- To strengthen the immune system, drink more fruit drinks with vitamin C, and also take antiviral drugs.
All of the above procedures are aimed at reducing mucus in the nose and relieving swelling. It should be remembered that vasoconstrictor drugs are not recommended for more than 7 days.
No runny nose
Vasomotor rhinitis without additional symptoms, like a stuffy nose without snot, requires an individual approach in each case. The following are just general guidelines for reducing unpleasant nighttime conditions.
- It is very important to maintain a not too stuffy and at the same time humid microclimate in bedroom . To do this, regularly ventilate the room and install a steam humidifier. If it is not possible to put the device, then you can, as an option, hang the radiator with a wet towel.In winter, wash floors and remove dust as often as possible. A lot of reagents and other chemicals are brought in from the street.
It is important to maintain a good microclimate in the room, including in the bedroom
- Buy a high pillow or lay one on top of the other so that the body is raised to the shoulders . It will be easier to breathe in this position.
- In case of dependence on vasoconstrictors, hormonal drugs will have to be used that can relieve addiction to medications.
- Be sure to rinse your nose with saline solutions at night. This reduces swelling and removes dust and other possible allergens from the passages.
A very useful procedure that can be done every evening
- With a large proliferation of tissues (adenoids, polyps), with a curvature of the septum – it is recommended to contact the surgical department.
The link describes pills for the common cold.
Causes and treatment during pregnancy
Quite often during pregnancy, nasal congestion occurs at night, several factors are associated with this:
- Change in hormonal levels .The increased production of estrogen reduces the tone of the capillary vessels, which affects the looseness of the mucous membrane and, as a result, edema during rest.
- The longer the gestation period, the greater the volume of blood circulation, respectively, and nasal congestion can be permanent in the last months of pregnancy.
- Of course, viral diseases and allergic reactions are not excluded.
Follow the link to read about the use of Snoop drops.
During pregnancy, taking medications is contraindicated, as they can harm the health of the unborn child, therefore, the following rules should be adhered to, if the attending physician has not prescribed something else additionally.
- Do wet cleaning in the apartment every day.
- Be sure to ventilate the room at night, during the warm season keep an open window during sleep.
- Take daily evening walks of 30 minutes or more. This increases the elasticity of blood vessels and saturates the body with oxygen.
- Flush nose with Aquamaris or Aqualor to remove dust from the nose. Follow the link to read how to rinse your nose with Aqualor.
The manufacturer offers a wide range of different sprays
- Recommended humidity in the bedroom at night – not less than 50-55%.
- In the later stages, buy a special pillow for pregnant women – it will help you sleep comfortably on your side.
As can be seen from the above, nasal congestion in a horizontal position is just one of the body signals, which speaks of a more global problem.
Therefore, before treating sleep discomfort, it is worth contacting your doctor for a general examination.
But regardless of the recommendations of a specialist, it is worth adhering to a number of rules in the evening:
- Regular ventilation and wet cleaning.
- Salt water nasal irrigation.
- Installation of a humidifier in the bedroom.
- Changing the pillow to a higher height.
How to get rid of chronic rhinitis and nasal congestion
Most often, a runny nose (rhinitis) occurs in an acute form. However, it can also turn into a chronic course, which is characterized by the defeat of all layers of the mucous membrane. How to distinguish a chronic rhinitis from an acute one, why does it occur and how to cure it?
Causes of chronic rhinitis
Chronic rhinitis is when symptoms persist for four weeks or more.Most often it is a consequence of a prolonged runny nose with ARVI or a reaction to too long use of vasoconstrictor nasal drops. However, this disease may have other reasons: allergies, constant contact with irritants (tobacco smoke, varnishes and paints, aggressive chemicals, dust), operations on the sinuses, anomalies in the structure of the nose, deviated nasal septum, taking certain medications, etc. …
Symptoms of chronic rhinitis
- Prolonged nasal congestion.When a person lies on his left side, lays down the left nasal passage, on the right side – the right one. Breathing is difficult and in the supine position.
- Profuse mucus production. It often flows down the wall of the nasopharynx, which causes a cough.
- Deterioration of smell, nasal voice.
- Sneezing, itching and burning in the nose (with an allergic nature of the disease).
- Scabs on mucous membranes, dryness.
- Bad breath.
In this case, the general condition of a person in most cases does not suffer.
How to treat chronic rhinitis in adults?
If a runny nose does not go away for a long time or the condition worsens, the question of how to get rid of a chronic runny nose and nasal congestion should be asked to a doctor. To confirm the diagnosis, a specialist, in addition to a general blood test, will prescribe an X-ray and bacteriological examination of nasal discharge, and in some cases, rhinoscopy and computed tomography.Also, the adrenaline test helps to make the correct diagnosis, which shows the reaction of the mucous membrane to the application of adrenaline.
Treatment of chronic rhinitis depends on the cause, duration and severity of the manifestations.
1. Drug therapy
In case of chronic rhinitis, vasoconstrictor drops, antiseptics are not recommended. To facilitate breathing, you should regularly rinse your nose with sea water: it washes away viruses and bacteria that are on the mucous membrane, moisturizes it and restores its normal state.
For quick relief of breathing and to prolong the effect of rinsing, you can use the inhaler patch Dyshi ® (more information about the product can be found here). Evaporating from the surface of the patch, essential oils reduce the swelling of the mucous membrane, promote its regeneration and disinfect the respiratory tract. The patch lasts up to 8 hours, which means that it is convenient to use it at night, when a stuffy nose is particularly uncomfortable.
If rhinitis is caused by an allergen, antihistamines (oral tablets and topical sprays) are prescribed.
Conservative therapy is often complemented by physiotherapy. The most effective:
- UHF currents.
- UV irradiation.
- Helium-neon laser.
3. Surgical treatment
Surgery is indicated for rhinitis, which is caused by a violation of vascular regulation – for example, as a result of exposure to an allergen (vasomotor rhinitis).Also, the operation is prescribed for rhinitis, accompanied by thickening of the mucous membrane, which narrows the lumen of the nasal passages (hypertrophic rhinitis). Surgical treatment is used when other therapies do not work.
How to relieve chronic rhinitis at home?
To improve the condition of the mucous membrane in chronic rhinitis, regular ventilation of the room (at least twice a day) and humidification of the air will help.
If the disease is caused by an allergen, it must be eliminated.For this, regular wet cleaning is carried out, objects that accumulate dust (soft toys, curtains) are removed from the room.
Respiratory gymnastics is effective: air during forced inhalation through the nose expands the nasal passages, trains blood vessels, increases their tone. You can also massage the area of the external nasal concha.
People with chronic rhinitis are advised by doctors to sleep on a high pillow. And before going to bed, you can take a hot foot bath for 5 minutes. Due to this, the blood flow rushes to the lower part of the body – the filling of the vessels of the nose with blood decreases, which leads to a decrease in edema, expansion of the nasal passages.As a result, breathing becomes easier.
To strengthen the body’s defenses, hardening and moderate physical activity are recommended. For example, exercise normalizes the work of the nerve centers that perform the vasoregulatory function.
It is important not to ignore the signs of a chronic rhinitis, as lack of treatment can lead to serious complications: otitis media, sinusitis, tonsillitis, bronchitis, loss of smell, etc.
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90,000 Chronic rhinitis in adults, symptoms and treatment
Rhinitis (or, in medical terminology, rhinitis) in most cases develops acutely and is often one of the manifestations of acute respiratory infections.
But the chronic form of this disease is also not uncommon.
Chronic rhinitis has a protracted course and the patient has symptoms for at least 4 weeks.
How does a chronic rhinitis manifest?
Typical symptoms of chronic rhinitis include:
- Feeling of nasal congestion, difficulty in nasal breathing, which in some patients leads to a predominant inhalation through a constantly half-open mouth. Depending on the form of rhinitis, such complaints can be constant or intermittent, often worsening in the supine position.
- Prolonged nasal discharge of a watery, mucous or purulent character. They can come off when you blow your nose or run down the back of the throat, causing a sore throat and coughing.
- Dry nose, discomfort when inhaling air, occasional sneezing.
- Changing the timbre of the voice, nasal.
- Deterioration of smell.
Many patients report hearing loss and occasional ear congestion.These are secondary, optional manifestations of a chronic rhinitis.
When do people talk about chronic rhinitis?
The severity of symptoms can range, from significant weakening during remission to a noticeable increase and increase during an exacerbation. And in some patients, the manifestations of a chronic rhinitis are constant and practically unchanged.
What can cause a chronic rhinitis?
Chronic rhinitis is a polyetiologic pathology, which means that many reasons can lead to it, such as:
- Anatomical features of the structure of the nasal cavity: congenital and acquired curvature of the nasal septum, deformation of other anatomical structures.
- Irrational treatment of acute rhinitis, with unauthorized use of various drugs and folk remedies, non-compliance with the doctor’s recommendations. This leads to the addition of a secondary bacterial infection with the development of complications in the form of sinusitis and protracted rhinopharyngitis.
- Abuse of local vasoconstrictor drugs for a long time.
- Disruption of the autonomic nervous system, with a predominance of the activity of its parasympathetic link.This is considered as a key pathogenetic mechanism of vasomotor chronic rhinitis.
- Chronic endogenous intoxication and vascular disorders (with renal and hepatic failure, cardiovascular disease, diabetes, gout, etc.). Hormonal imbalance is especially highlighted during pregnancy.
Also predispose to the formation of chronic rhinitis living in an environmentally unfavorable area, working in dusty and high air pollution conditions, smoking.An excess of dust particles in the inhaled air paralyzes the work of the cilia of the epithelium of the nasal cavity, provokes excessive secretion of mucus, and injures the mucous membrane.
Specific infections are considered to be quite rare causes of chronic rhinitis if they occur with damage to the tissues of the nose and paranasal sinuses. It can be tuberculosis, syphilis and some other diseases.
How to get rid of a chronic rhinitis and why do it?
Chronic rhinitis, even with a sluggish course, requires compulsory treatment.Moreover, it is not symptomatic therapy that is needed, but really effective methods aimed at eliminating key pathogenetic mechanisms.
Prolonged nasal inflammation can have serious consequences:
- Propensity to frequent colds. The inflamed nasal mucosa is not capable of serving as an effective barrier for microorganisms, and constant oral breathing predisposes to the penetration of infectious agents into the upper respiratory tract.
- Persistent headaches, decreased performance.
- Gradual deformity of the bones of the facial skull associated with breathing through the mouth. This happens especially often in children.
- Formation of chronic sinusitis, which means the formation of a purulent focus in the paranasal sinuses. This is due to a violation of the drainage of the sinuses through the natural anastomosis and the addition of a secondary infection. It can lead to formidable complications, since the paranasal sinuses are in close proximity to the cavity of the orbit, the brain.
Treatment of chronic rhinitis should be comprehensive. Often, a combination of conservative therapy and modern minimally invasive surgical techniques is required to achieve the desired stable result.
Conservative therapy for chronic rhinitis
Traditionally conservative treatment of chronic rhinitis includes:
- Termination of contact with irritating factors, allergens. Rinsing the nose with isotonic saline solutions to “cleanse” the mucous membrane.
- Prescribing topical anti-inflammatory drugs. In some cases, a local hormonal spray is used as directed by a doctor.
- For the infectious nature of rhinitis – the use of antimicrobial agents.
- In atrophic forms of the disease – the use of local agents that moisturize, protect and soften the mucous membrane.
- Physiotherapy, balneological treatment, acupuncture.
Unfortunately, conservative measures are often not enough to cure a lingering rhinitis.They can help improve the condition of the nasal mucosa, alleviate symptoms, and sometimes achieve remission. But they cannot eliminate structural changes in the nasal cavity. Therefore, for many forms of chronic rhinitis, the basic method of treatment is minimally invasive ENT surgery.
Treatment of chronic rhinitis
Doctor Korenchenko’s Clinic is a specialized ENT center focused on modern diagnostics and competent full-fledged treatment of diseases of the ENT organs.
“Arsenal” of experienced highly qualified specialists of the Clinic of Dr. Korenchenko is wide.For chronic rhinitis, the following minimally invasive interventions can be used:
- Laser plastic surgery of the ostiomeatal complex, which helps to restore the patency of the anastomosis of the main paranasal sinuses in a bloodless way.
- Endoscopic removal of nasal polyps is an effective treatment for polyposis rhinitis.
- Molecular quantum reduction of hypertrophied inferior turbinates. One of the most modern methods. The innovative technique allows you to safely, without the risk of burns, reduce the volume of tissues even near large vascular plexuses and cavernous formations.
- Endoscopic removal of turbinate bulla.
- Endoscopic removal of maxillary sinus cysts.
Modern high-tech ENT operations at the Doctor Korenchenko Clinic are the best way to treat many forms of chronic rhinitis. Their undoubted advantages are high efficiency, minimally invasiveness, bloodlessness, and the possibility of performing intervention on an outpatient basis.
Chronic rhinitis can be eliminated if a competent comprehensive approach and modern effective minimally invasive operations are used for its treatment.
90,000 Causes, symptoms, treatment of scoliosis | Allegro
It is a progressive disease in which the entire spinal column is deformed.
Gradually, the curvature of the spine leads to twisting. At the same time, the whole body suffers: the shape of the chest and pelvis changes, the work of many internal organs is disrupted.
Thoracic scoliosis often begins in childhood and adolescence, during periods of the most intensive development of the body.Also, spinal deformity often develops during puberty (in boys – 11 to 14 years old, in girls – 10 to 13 years old). Girls are in the main risk zone; they are much more likely to develop the disease than boys.
If scoliosis is detected early, it can be prevented. An unfavorable prognosis most often occurs with a progressive disease and untimely treatment. Therefore, it is so important to make a timely diagnosis and restore health as early as possible.
To make a diagnosis, the doctor conducts an examination and a number of medical examinations, the main of which is X-ray.
Causes of scoliosis
The main cause of scoliosis is congenital deformity of the spine (20%). Among the other most common causes, there are severe traumas and connective tissue diseases.
The disease can develop as a result of metabolic disorders and against the background of diseases of the muscular system.Scoliosis can be reflex, when, when pain occurs, the patient is forced to take a comfortable posture, posture, when posture is disturbed, and compensatory due to different lengths of the limbs.
In most cases, the cause of scoliosis cannot be identified.
Scoliosis should not be confused with impaired posture, which can be dealt with with the help of physiotherapy exercises, special physical exercises and self-control methods.
Scoliosis, on the other hand, requires systematic and complex treatment for many years.
Symptoms of the disease
At the initial stage, scoliosis is visible only to a specialist. An experienced orthopedic surgeon can make a diagnosis based on the patient’s story and special examinations.
External signs that suggest the presence of scoliosis in a patient:
- the distance between the waist and the arm;
- asymmetrical arrangement of blades;
- when bending forward, noticeable curvature of the spine.
Timely referral to an experienced orthopedist and early detection of scoliosis is extremely important and
is necessary to effectively treat this disease and prevent its complications.
Grade of scoliosis
There are four degrees of scoliosis, depending on the severity. On the territory of Russia, a classification is used based on clinical signs and X-ray indicators:
- Scoliosis 1 degree. The angle of curvature of the spinal column is 10˚.Symptoms: different shoulder levels, stooped back.
- Scoliosis 2 degrees. Curvature angle 11-25˚. Symptoms: the contour of the neck and shoulders on the left and right is different, half of the pelvis is curved, protrusion in the thoracic region. The x-ray shows the deformity of the vertebrae.
- Scoliosis grade 3. Curvature angle 26-50˚. Symptoms of the first two stages, weakened abdominal muscles, sinking of the ribs, the appearance of a hump. The x-ray shows the twisting of the vertebrae.
- Scoliosis grade 4.Curvature angle from 50˚. Symptoms: significant skeletal deformities, the formation of a rib hump. The x-ray shows abnormal twisting of the vertebrae.
The diagnosis of the disease takes place in several stages.
The first stage is a physical examination. During the examination, the orthopedic surgeon examines the mobility of the spine, the symmetry of the shoulders, shoulder blades, examines the chest, abdomen, lower back, pelvis. The doctor measures the length of the spine, assesses the curvature of the spine, the location of the pelvis in different positions of the limbs, and measures the length of the legs.In the supine position, the doctor will determine the level of curvature of the arch of the spine, muscle tone.
The second stage of diagnosis is X-ray examination. Pictures allow you to determine the angle of curvature of the spine. The first X-ray is taken while standing, then in different positions, which allows you to determine the level of deformation.
The third stage is instrumental. To obtain new data on the patient’s condition, ultrasound is used. In some cases, the patient is assigned an MRI.
Consequences of the disease
If scoliosis is left unattended, the disease will progress. In the early stages, serious consequences are not noticeable. However, as the pathology progresses, deformation of the chest occurs. There are severe pains in the deformable spine during physical exertion and prolonged static position. The ribs begin to shift, putting pressure on the chest and heart muscle. The first signal will be shortness of breath and a change in heart rate.Patients often have pathologies of the pelvic organs, gastrointestinal diseases, impaired stool and urination.
Among the most likely consequences:
- pinched nerves,
- displacement of internal organs and tissues,
- metabolic disorders,
- diseases of various organs and systems.
Treatment should be mandatory, targeted and comprehensive.
In adolescence, the pathology can progress quite quickly, therefore, timely access to an experienced orthopedist and proper treatment of scoliosis can save the patient from disability.
Conservative treatment includes the use of an orthopedic corset, special gymnastics. The frequency, time, duration of wearing a corset (six months or more) are determined individually.
If the disease is caused by the consequences of an injury, it is necessary to eliminate its root cause. You can compensate for the difference in the length of the limbs with special insoles or other orthopedic structures. Sometimes the patient is observed in a hospital setting.
With progressive 3 and 4 degrees, the patient needs surgical treatment. The spinal column is straightened using special metal structures. After surgical treatment, the patient is under the close supervision of specialists.
An unfavorable prognosis most often occurs with a progressive disease and untimely treatment. In this case, disability occurs.If scoliosis is detected at an early stage, you can stop its development, prevent disability, and return the patient to the ability to lead a normal active lifestyle.