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Why do I feel suffocated and unable to breathe through my nose when sleeping?

Jun 06, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
In general, nasal congestion during sleep that causes discomfort may be caused by physiological factors, or it could result from conditions such as rhinitis or adenoid hypertrophy. Besides these three common causes, it might also be due to nasal foreign bodies, nasal polyps, or nasopharyngeal fibrovascular tumors. Patients are advised to seek timely medical attention, identify the underlying cause, and follow treatment as directed by a physician.

Generally, nasal congestion during sleep that causes discomfort may result from physiological factors, or it could be caused by conditions such as rhinitis or adenoid hypertrophy. A detailed analysis is as follows:

1. Physiological Factors

The human body has a natural nasal cycle involving the turbinates, which may lead to temporary nasal congestion during sleep. This is considered normal. Changing sleeping positions often helps alleviate nasal blockage while sleeping.

2. Rhinitis

Patients with rhinitis may experience symptoms such as nasal discharge or swelling of the nasal mucosa. For those suffering from nasal congestion during sleep, applying a warm towel to the nose can effectively improve blood circulation in the nasal cavity and relieve congestion. It is also recommended to sleep on one's side to help reduce symptoms. Additionally, medications such as amoxicillin dispersible tablets or cefaclor dispersible tablets may be taken according to medical advice.

3. Adenoid Hypertrophy

Enlarged adenoids can obstruct the posterior nasal openings, leading to nasal congestion and breathing difficulties during sleep. Individuals experiencing nasal blockage due to adenoid hypertrophy should first undergo a CT scan at the hospital to assess the extent of enlargement. A doctor will then determine the appropriate treatment plan. Patients should maintain a balanced diet rich in nutrients, consume more fresh fruits and vegetables, increase protein intake, avoid spicy and irritating foods, ensure sufficient sleep, and refrain from staying up late to prevent lowered immunity, which could trigger colds and hinder recovery from adenoid hypertrophy.

Besides the three causes mentioned above, nasal obstruction during sleep might also be due to nasal foreign bodies, nasal polyps, nasopharyngeal fibrovascular tumors, or other conditions. It is recommended that patients seek timely medical evaluation to identify the underlying cause and follow medical guidance for treatment.


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