Blocked nose for years: what to know

Years of nasal obstruction may be present on both sides or may alternate, depending on the cause. Allergic rhinitis and house dust mite allergy can keep the lining inflamed. A deviated septum or other internal narrowing can make one side consistently worse. Chronic sinusitis may add facial pressure, discharge, or reduced smell. Snoring, dry mouth, poor sleep, or witnessed pauses in breathing are relevant details, not merely consequences to ignore.

Book a primary-care review, especially if you have never had the nose examined. Bring a list of sprays, tablets, allergies, and previous treatments. Note whether symptoms vary by season, room, position, or side. Saline care and reducing smoke or dust may provide comfort. Do not continue medicated decongestant spray indefinitely; ask a pharmacist whether your product could be maintaining congestion. An assessment may lead to allergy treatment, sinus care, or an ear, nose, and throat opinion.

Arrange prompt care for a persistent one-sided blockage with bleeding, bloody discharge, crusting, pain, or a visible growth. Seek urgent help for swelling around the eye, vision changes, severe headache, serious breathing difficulty, confusion, or fainting. If sleep is repeatedly interrupted or breathing pauses are observed, mention this promptly and read about Obstructive Sleep Apnoea.

Is the blockage more consistent with allergy, sinus disease, or a structural issue? Could my medicines be contributing? Would testing or specialist examination help, and what treatment should I try first?