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Nasal congestion

From Wikipedia, the free encyclopedia
This article is about symptomatic nasal congestion. For natural partial congestion, seenasal cycle.
Partial or complete blockage of nasal passages
Medical condition
Nasal congestion
Other namesNasal blockage, nasal obstruction, blocked nose, stuffy nose, plugged nose
Medical products for the diminution of nasal congestion
SpecialtyOtorhinolaryngology

Nasal congestion is the partial or complete blockage ofnasal passages, leading to impairednasal breathing, usually due to membranes lining the nose becoming swollen frominflammation of blood vessels.[1]

Background

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In about 85% of cases, nasal congestion leads tomouth breathing rather thannasal breathing.[2] According to Jason Turowski, MD of theCleveland Clinic, "we are designed to breathe through our noses from birth—it's the way humans have evolved."[3] This is referred to as "obligate nasal breathing."[4]

Nasal congestion can interfere with hearing and speech. Significant congestion may interfere with sleep, causesnoring, and can be associated withsleep apnea orupper airway resistance syndrome.[5] In children, nasal congestion from enlargedadenoids has caused chronic sleep apnea with insufficientoxygen levels andhypoxia. The problem usually resolves after surgery to remove theadenoids andtonsils; however, the problem often relapses later in life due to craniofacial alterations from chronic nasal congestion.[6]

Causes

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Nasal obstruction

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Nasal obstruction characterized by insufficient airflow through the nose can be a subjective sensation or the result of objective pathology.[10] It is difficult to quantify by subjective complaints or clinical examinations alone, hence both clinicians and researchers depend both on concurrent subjective assessment and on objective measurement of the nasal airway.[11]

Prevalence ofkyphosis has been linked to nasal obstruction in a study.[12]

Treatment

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According toWebMD, congestion can be addressed through the use of ahumidifier, warm showers, drinking fluids, using aneti pot, using a nasal saline spray, and sleeping with one's head elevated. It also recommends several over-the-counter decongestants and antihistamines.[13] A 2012 study concluded that combining nasal sprays with "nasal breathing exercises" (NBE) led to improvement of symptoms. Though it may seem an odd recommendation, crying may also be helpful.[14]

TheCleveland Clinic also states that congestion may be a sign of adeviated septum, a condition that needs to be addressed by a doctor.[15]

See also

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References

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  1. ^"Nasal congestion".MedlinePlus Medical Encyclopedia. A.D.A.M., Inc.
  2. ^Rao A, ed. (2012).Principles and Practice of Pedodontics (3rd ed.). New Delhi: Jaypee Brothers Medical Pub. pp. 169, 170.ISBN 9789350258910.
  3. ^Turowski, Jason (2016-04-29)."Should You Breathe Through Your Mouth or Your Nose?".Cleveland Clinic. Retrieved2020-06-28.
  4. ^Bergeson PS, Shaw JC (October 2001). "Are infants really obligatory nasal breathers?".Clinical Pediatrics.40 (10):567–9.doi:10.1177/000992280104001006.PMID 11681824.S2CID 44715721.
  5. ^de Oliveira, Pedro Wey Barbosa; Gregorio, Luciano Lobato; Silva, Rogério Santos; Bittencourt, Lia Rita Azevedo; Tufik, Sergio; Gregório, Luis Carlos (July 2016)."Orofacial-cervical alterations in individuals with upper airway resistance syndrome".Brazilian Journal of Otorhinolaryngology.82 (4):377–384.doi:10.1016/j.bjorl.2015.05.015.PMC 9448996.PMID 26671020.
  6. ^Buschang PH, Carrillo R, Rossouw PE (March 2011)."Orthopedic correction of growing hyperdivergent, retrognathic patients with miniscrew implants".Journal of Oral and Maxillofacial Surgery.69 (3):754–62.doi:10.1016/j.joms.2010.11.013.PMC 3046301.PMID 21236539.
  7. ^abcdefgNasal congestion at MedlinePlus, a service of the U.S. National Library of Medicine, National Institutes of Health. Update Date: 8/2/2011. Updated by: Neil K. Kaneshiro. Also reviewed by David Zieve.
  8. ^"Blocked Nose, Restricted Air Flow".Aerin Medical. Archived fromthe original on 2016-08-26. Retrieved2016-07-12.
  9. ^Pacheco-Galván A, Hart SP, Morice AH (April 2011). "Relationship between gastro-oesophageal reflux and airway diseases: the airway reflux paradigm".Archivos de Bronconeumologia.47 (4):195–203.doi:10.1016/j.arbres.2011.02.001.PMID 21459504.
  10. ^Wang DY, Raza MT, Gordon BR (June 2004). "Control of nasal obstruction in perennial allergic rhinitis".Current Opinion in Allergy and Clinical Immunology.4 (3):165–70.doi:10.1097/00130832-200406000-00005.PMID 15126936.S2CID 20608574.
  11. ^Wang DY, Raza MT, Goh DY, Lee BW, Chan YH (July 2004). "Acoustic rhinometry in nasal allergen challenge study: which dimensional measures are meaningful?".Clinical and Experimental Allergy.34 (7):1093–8.doi:10.1111/j.1365-2222.2004.01988.x.PMID 15248855.S2CID 28523614.
  12. ^Šidlauskienė M, Smailienė D, Lopatienė K, Čekanauskas E, Pribuišienė R, Šidlauskas M (June 2015)."Relationships between Malocclusion, Body Posture, and Nasopharyngeal Pathology in Pre-Orthodontic Children".Medical Science Monitor.21:1765–73.doi:10.12659/MSM.893395.PMC 4484615.PMID 26086193.
  13. ^Swiner, Carmelita (2020-01-27)."'How to Treat Nasal Congestion and Sinus Pressure". WebMD. Retrieved2020-06-28.
  14. ^Nair, Satish (2011-04-12)."Nasal Breathing Exercise and its Effect on Symptoms of Allergic Rhinitis".Indian Journal of Otolaryngology and Head and Neck Surgery.64 (2). Indian J Otolaryngol Head Neck Surg:172–176.doi:10.1007/s12070-011-0243-5.PMC 3392338.PMID 23730580.
  15. ^"Is Your Nose Working Against You? 5 Signs of a Deviated Septum".Cleveland Clinic. 7 November 2019. Retrieved2020-06-28.

Further reading

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External links

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Classification
External resources
Viruses
Symptoms
Complications
Drugs
Upper RT
(includingURTIs,
common cold)
Head
Neck
Lower RT/
lung disease
(includingLRTIs)
Bronchial/
obstructive
Interstitial/
restrictive
(fibrosis)
External agents/
occupational
lung disease
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Obstructive /
Restrictive
Pneumonia/
pneumonitis
By pathogen
By vector/route
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IIP
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Pleural cavity/
mediastinum
Pleural disease
Mediastinal disease
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