Blocked nose, itchy throat and ears: what to know

Allergies can inflame the lining of the nose and cause congestion, throat irritation and an itchy feeling around or inside the ears. Sneezing, a runny nose, watery eyes, or symptoms that return around dust, pets or pollen support this pattern. Allergic rhinitis and house dust mite allergy are examples.

A common cold can also block the nose and irritate the throat. Cough, tiredness or a mild temperature may occur, and symptoms often change over several days. Sinusitis may be considered when facial pressure, thick nasal mucus or reduced smell accompanies congestion. Ongoing nasal blockage, especially with disrupted sleep or loud snoring, deserves assessment rather than repeated self-treatment.

Drink fluids, rest, and avoid smoke, strong fragrances and other triggers that make the nose or throat sting. Saline nasal spray or a saline rinse can loosen mucus; use sterile, distilled or previously boiled and cooled water for a rinse, and clean the device as directed. A pharmacist can explain whether an antihistamine or another allergy medication fits your symptoms and other medicines.

Do not put cotton buds or objects into an itchy ear. If congestion keeps returning, note where you were, what you were exposed to, and whether symptoms include sneezing or watery eyes. That record can help a clinician distinguish allergy from infection and choose treatment.

Seek urgent help for trouble breathing, swelling of the lips, tongue or throat, faintness, or a rapidly spreading itchy rash. Arrange prompt medical review for severe facial pain, swelling around an eye, marked ear pain, ear discharge, or symptoms that are worsening rather than settling. A blocked nose that persists, repeatedly disturbs sleep, or affects hearing should also be assessed.

Ask: Could this be an allergy, a cold, or sinus inflammation? Which symptoms would make infection more likely? Is a nasal spray or allergy medication suitable with my health conditions and current medicines? Should my ears, hearing or breathing during sleep be checked?