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Why is One Nose Always Blocked?

Published in Nasal Health 3 mins read

One side of your nose might feel consistently blocked due to a variety of reasons, ranging from structural issues to natural nasal cycles.

Common Causes of a Peristently Blocked Nostril

Several factors can contribute to the sensation of one nostril being more blocked than the other. Here are some of the most common:

  • Nasal Cycle: This is a natural physiological process where the congestion alternates between nostrils throughout the day. One nostril becomes more congested while the other clears, and then the roles reverse. You may not always notice it, but it's happening.

  • Deviated Septum: The nasal septum is the wall of cartilage that separates the two nasal passages. A deviated septum means this wall is shifted to one side, making one nasal passage smaller than the other. This can cause chronic stuffiness on the narrower side.

  • Nasal Polyps: These are soft, painless, noncancerous growths on the lining of the nasal passages or sinuses. They can block the nasal passage, leading to congestion, difficulty breathing through the nose, and a reduced sense of smell. They often grow in both nostrils, but may be larger on one side.

  • Turbinate Enlargement: Turbinates are structures inside the nose that humidify and filter the air you breathe. They can become enlarged due to allergies, infections, or irritants, leading to nasal congestion, often more pronounced on one side.

  • Sinus Infections: A sinus infection can inflame the nasal passages and sinuses, leading to congestion. While often affecting both sides, inflammation can be more severe on one side, creating the perception of a blocked nostril.

  • Foreign Object: Especially in children, a foreign object lodged in one nostril can cause significant blockage and discharge.

  • Tumors: Although rare, nasal or sinus tumors can cause unilateral nasal obstruction.

Identifying the Cause and Finding Relief

If you frequently experience a blocked nostril, it's a good idea to consult with a doctor, preferably an Ear, Nose, and Throat (ENT) specialist (otolaryngologist). They can perform a physical examination, possibly including nasal endoscopy (using a small camera to view inside the nasal passages), to determine the underlying cause.

Treatment options will depend on the cause:

  • Nasal Cycle: Usually, no treatment is needed as it's a normal process.
  • Deviated Septum: A septoplasty, a surgical procedure to straighten the septum, may be recommended if the deviation is severe and causing significant breathing problems.
  • Nasal Polyps: Treatment can include nasal corticosteroids (sprays or pills) to shrink the polyps or surgery to remove them.
  • Turbinate Enlargement: Treatment options include nasal steroids, antihistamines (if allergy-related), or surgical reduction of the turbinates.
  • Sinus Infections: Antibiotics may be prescribed for bacterial infections, along with decongestants and nasal rinses to relieve symptoms.
  • Foreign Object: Removal by a medical professional is necessary.
  • Tumors: Treatment depends on the type and stage of the tumor and may involve surgery, radiation therapy, or chemotherapy.

By identifying the specific reason behind your blocked nostril, you can take steps to address the underlying cause and improve your breathing comfort.

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