Nasal blockages occur when airflow through the nasal passages is restricted, leading to symptoms such as congestion, difficulty breathing, and a reduced sense of smell. While temporary blockages may result from infections or allergies, persistent nasal obstruction can significantly impact daily life, affecting sleep, exercise, and overall well-being.
Nasal blockages
Causes of nasal blockages?
Common causes of nasal blockages include:
- Structural issues such as a deviated septum or nasal valve collapse.
- Inflammatory conditions like allergic or non-allergic rhinitis.
- Nasal polyps, which are benign growths obstructing airflow.
- Chronic sinus infections, leading to swelling and mucus buildup.
- Enlarged turbinates, which can occur due to allergies or chronic irritation.
Diagnosis
To determine the underlying cause of nasal blockage, I conduct a thorough evaluation that includes:
- Medical History: Understanding your symptoms—such as congestion, facial pressure, or mouth breathing—can help to pinpoint the cause.
- Physical Examination and Endoscopy: In my clinic, I use a nasal endoscope to examine the nasal passages and assess structural concerns or inflammation. Many patients find it helpful to see real-time images of their nasal anatomy on the screen.
- CT Scan: If structural abnormalities or chronic sinus disease are suspected, a CT scan may be recommended.
- Allergy Testing: If allergies are contributing to nasal obstruction, skin prick tests or blood tests can identify triggers.


Treatment Options
As an expert in nasal function, tailored treatment options can be explored once the exact cause of the nasal blockage(s) has been identified, such as:
- Nasal Sprays: Corticosteroid nasal sprays help reduce inflammation, while decongestant sprays provide temporary relief but must not be used for more than 5 days
- Medications: Depending on the cause, antihistamines, antibiotics (for infections)may be prescribed.
- Lifestyle Adjustments: Managing allergens, using saline nasal rinses, and avoiding irritants like smoke can help in many cases.
Surgical Intervention: If medical treatments and lifestyle modifications are ineffective, procedures such as septoplasty (to correct a deviated septum), turbinate reduction or endoscopic sinus surgery may be considered.
Nasal blockages can lead to many other health issues and affect patients quality of life. Once diagnosed I will work with you to decide if surgery is right for you or if the condition can be improved or managed with medication. Click here to make an enquiry.