Why do I always have a stuffy nose during every massage?

Generally, nasal congestion occurring during each massage may be caused by factors such as nasal mucosal congestion, follicular reflex, or sinus blockage. The specific causes are analyzed as follows:

1. Nasal Mucosal Congestion

During nasal massage, stimulation may cause the blood vessels in the nasal mucosa to dilate, leading to nasal mucosal congestion. Swollen mucosa narrows the nasal passages, resulting in a sensation of nasal obstruction. This discomfort can be relieved by covering the head with a warm towel and slowly inhaling steam.

2. Follicular Reflex

Massaging the nose may stimulate follicles within the nasal cavity, triggering a follicular reflex. These follicles are sensory receptors located in the nasal cavity; when stimulated, they can induce sneezing and nasal congestion. Nasal irrigation with saline solution can help, and under medical guidance, intranasal corticosteroid sprays—such as budesonide nasal spray, fluticasone propionate nasal spray, or mometasone furoate nasal spray—may be used to reduce symptoms of nasal congestion.

3. Sinus Blockage

Nasal massage may exert pressure on the sinuses, causing sinus blockage. The sinuses are air-filled cavities connected to the nasal passages. When obstructed, mucus and air cannot flow freely, leading to nasal congestion. Under a doctor’s supervision, medications such as loratadine tablets, epi-cromastine hydrochloride capsules, or montelukast sodium tablets may be taken to alleviate symptoms.

In addition, other possible causes include allergies, worsening rhinitis, or nasal polyps. It is recommended to consult a physician for a nasal examination and related diagnostic tests to determine the exact cause and receive appropriate treatment recommendations.