Why does my nose feel blocked, but I can inhale normally? What should I do?

Jan 22, 2024 Source: Cainiu Health
Dr. Lu Cheng
Introduction
In general, a stuffy nose with normal inhalation may be caused by factors such as nasal foreign bodies, allergic rhinitis, sinusitis, nasal turbinate hypertrophy, or nasal polyps. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified physician. In daily life, maintain healthy habits and avoid consuming spicy or irritating foods.

Generally, a sensation of nasal congestion with normal inhalation may be caused by factors such as nasal foreign bodies, allergic rhinitis, sinusitis, hypertrophic nasal turbinates, or nasal polyps. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Nasal Foreign Body

If small objects are accidentally inhaled or inserted into the nasal cavity during eating or play, they may cause a sensation of a foreign body and nasal blockage, although airflow may remain unaffected. The object can often be expelled by blowing the nose forcefully or performing nasal irrigation, thereby relieving discomfort.

2. Allergic Rhinitis

Allergic rhinitis triggered by exposure to allergens such as pollen, animal dander, or dust may lead to symptoms including nasal congestion, runny nose, and sneezing, along with a feeling of nasal blockage. Under medical supervision, medications such as ephedrine-diphenhydramine tablets, cetirizine hydrochloride tablets, or loratadine tablets may be used for treatment.

3. Sinusitis

Sinusitis refers to infection or inflammation of the sinuses, often due to bacterial infection, which may cause mucosal swelling and obstruct normal mucus drainage, resulting in a sensation of nasal blockage—even though normal inhalation remains possible. Treatment may include antibiotics such as roxithromycin tablets, cefalexin dry suspension, or clindamycin hydrochloride tablets, as prescribed by a doctor.

4. Hypertrophic Nasal Turbinate

The nasal turbinates are tissues lining the inside of the nasal cavity. Their overgrowth may lead to a persistent feeling of nasal congestion, commonly due to chronic nasal inflammation. A submucous resection of the inferior turbinate may be performed under medical guidance. Additionally, medications such as naphazoline hydrochloride nasal drops, mometasone furoate nasal spray, or cetirizine hydrochloride tablets may be used to alleviate symptoms.

5. Nasal Polyps

Nasal polyps are soft tissue growths on the nasal mucosa that may obstruct normal airflow. Even if inhalation remains unimpaired, their presence can create a sensation of nasal blockage. Prompt medical consultation is advised. Under a doctor’s supervision, surgical removal of nasal polyps may be recommended to relieve symptoms.

Maintaining healthy lifestyle habits is important during recovery. Avoid consuming spicy and irritating foods such as Sichuan pepper, chili peppers, and garlic, as these may hinder healing.