How to clear a stuffy nose

Blockage usually reflects swelling of the nasal lining, mucus, or both. A common cold can cause short-lived congestion. Allergic rhinitis and house-dust-mite allergy may cause recurrent blockage with itching or sneezing. Sinusitis can add facial pressure and reduced smell; chronic sinusitis is considered when symptoms keep going or recur. Night-time blockage with loud snoring, pauses in breathing, or morning headaches deserves assessment for obstructive sleep apnoea rather than repeated use of decongestants.

Sip fluids, avoid smoke, and use saline spray or a suitable nasal rinse to moisten and clear the passages. Sleep with your head slightly raised if lying flat worsens the feeling. A pharmacist can explain whether allergy medication or another option fits your age, pregnancy status, blood pressure, and current medicines. Follow label directions carefully; some medicated decongestant sprays can worsen blockage when used for too long. Do not forcefully push fluid into a painful or fully sealed nose.

Arrange a review for blockage that lasts, repeatedly returns, is mainly on one side, or affects sleep or smell. Seek prompt care for severe facial pain, swelling around an eye, fever with marked illness, or a worsening headache. Emergency help is needed for serious breathing difficulty, confusion, or swelling of the face, lips, or tongue.

What is most likely causing the swelling? Should I use saline, allergy medication, or another treatment? How long should I use a nasal spray? Could snoring or night-time breathing changes be relevant?