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Why is my nose blocked every morning?

Published in Nasal Health 3 mins read

Waking up with a stuffy nose can be caused by a variety of factors, primarily relating to your environment and body's response during sleep.

Here's a breakdown of potential causes:

Common Causes of Morning Nasal Congestion:

  • Allergies:

    • Dust mites, pet dander, mold, and pollen are common allergens found in bedrooms. Exposure overnight can trigger an allergic reaction, leading to inflammation and congestion in your nasal passages.
    • Solution: Regularly wash bedding in hot water, use allergen-proof covers for mattresses and pillows, vacuum frequently, and consider an air purifier with a HEPA filter.
  • Irritants:

    • Dry air, smoke, perfume, or cleaning products can irritate your nasal passages and cause them to swell. Central heating and air conditioning can often contribute to dry air.
    • Solution: Use a humidifier in your bedroom, especially during dry seasons. Avoid using harsh chemicals or strong fragrances in the bedroom.
  • Infections:

    • A lingering cold or sinus infection (sinusitis) can cause persistent nasal congestion, which may be more noticeable in the morning as mucus accumulates overnight.
    • Solution: Consult a doctor if you suspect a sinus infection or cold lasting longer than a week. Saline nasal sprays and steam inhalation can help alleviate symptoms.
  • Positional Congestion:

    • When you lie down, blood flow to your head increases, which can cause the nasal passages to swell and become congested.
    • Solution: Elevate your head with an extra pillow to promote drainage.
  • Rhinitis Medicamentosa (Rebound Congestion):

    • Overuse of decongestant nasal sprays can paradoxically lead to increased congestion when the medication wears off.
    • Solution: Discontinue the use of decongestant nasal sprays gradually under the guidance of a doctor or pharmacist.

Other Potential Contributing Factors:

  • Non-Allergic Rhinitis: This condition causes nasal congestion and other symptoms without an identifiable allergen. Triggers can include changes in weather, strong odors, and certain medications.
  • Deviated Septum: A deviated septum (a displacement of the cartilage dividing the nostrils) can restrict airflow and contribute to nasal congestion.
  • Pregnancy: Hormonal changes during pregnancy can cause nasal congestion, known as pregnancy rhinitis.
  • Medications: Certain medications, such as those for high blood pressure, can contribute to nasal congestion.

When to See a Doctor:

  • If your nasal congestion is severe or persistent.
  • If you have a fever, facial pain, or thick nasal discharge.
  • If you have difficulty breathing.
  • If over-the-counter remedies are not providing relief.

A healthcare professional can help determine the underlying cause of your morning nasal congestion and recommend the appropriate treatment.

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