How is a blocked nose treated?

Written in association with: Mr Pavol Surda
Published: | Updated: 22/10/2024
Edited by: Conor Lynch

In this article below, experienced consultant ENT surgeon, Mr Pavol Surda, provides a comprehensive insight into what causes a blocked nose, and how this can be effectively managed and treated. 

What is a blocked nose?

A blocked nose, or nasal congestion, is a common condition where the nasal passages become swollen or inflamed, making it difficult to breathe through the nose. This uncomfortable sensation can occur for various reasons, ranging from colds and allergies to sinus infections or even structural issues like a deviated septum. Understanding the underlying cause of nasal congestion is key to finding effective relief.

 

Causes

One of the most frequent causes of a blocked nose is the common cold. Viruses irritate the nasal lining, causing inflammation and an increase in mucus production, leading to congestion. Allergies, particularly to pollen, dust, or pet dander, can also trigger a similar reaction.

 

When an allergen is inhaled, the body’s immune system responds by releasing histamine, which inflames the nasal passages and leads to a blocked or runny nose. In cases of seasonal allergies, the condition is known as allergic rhinitis.

 

Sinus infections, or sinusitis, are another common cause of a blocked nose. Sinusitis occurs when the sinuses, which are air-filled spaces around the nose, become inflamed, typically due to an infection.

 

The swelling blocks the normal flow of mucus, causing pressure and congestion. Sinusitis can be acute, lasting a few weeks, or chronic, lasting several months, and may require different types of treatment depending on the cause.

 

Structural issues within the nose can also contribute to chronic nasal congestion. A deviated septum, where the nasal septum (the cartilage that divides the nostrils) is off-center, can make one or both sides of the nose feel blocked. Nasal polyps, small growths inside the nasal passages, can also obstruct airflow and require medical attention.

 

Treatment

Treating a blocked nose depends on its cause. Over-the-counter decongestants or saline nasal sprays can provide short-term relief by reducing swelling. If allergies are the culprit, antihistamines or nasal corticosteroids can help manage symptoms. For more chronic conditions like sinusitis or a deviated septum, medical interventions such as antibiotics, steroid treatments, or even surgery may be necessary.

 

If nasal congestion persists for more than a couple of weeks, or if it’s accompanied by other symptoms like facial pain or fever, it’s important to consult a healthcare provider for a proper diagnosis and treatment plan.

By Mr Pavol Surda
Otolaryngology / ENT

Mr Pavol Surda is an award-winning consultant ENT and rhinology surgeon based in central London, serving at Guy's and St Thomas' Hospital and London Bridge Hospital. As the clinical lead of ENT at Guy's Hospital, he specialises in advanced sinus surgery, skull base surgery, nasal deformities, and the management of sleep-disordered breathing.
 
Mr Surda completed his medical education in Slovakia before advancing his postgraduate training and specialisation in ENT surgery across the UK, Czech Republic, and the Netherlands. His extensive European training equipped him with a broad spectrum of experience. He further honed his expertise through a year-long fellowship in rhinology and facial plastics at St. George's University Hospital in London, followed by another fellowship at the Academic Medical Centre University Hospital in Amsterdam, focusing on anterior skull base surgery.
 
In his clinical practice, Mr Surda has been a consultant ENT surgeon at Guy's and St Thomas' NHS Foundation Trust and London Bridge Hospital since 2017 and 2019, respectively. He consults private patients at both London Bridge Hospital and 120 Old Broad Street in central London.
 
In addition to his clinical roles, Mr Surda is deeply involved in academic and educational endeavours. He co-authors for SurgTech, a pioneering company offering crowdsourced surgical training videos, and serves as a faculty member on various instructional courses. His academic contributions include authoring or co-authoring 34 peer-reviewed papers and five book chapters. He frequently presents his work at international conferences and is an esteemed member of the executive board of the European Rhinology Society.
 
Mr Surda's research contributions have earned him notable accolades, including the European Rhinology Society travel grant and the Ilorin Award of Excellence. His expertise and insights have been featured in prominent publications such as The Times, The Telegraph, and The Daily Mail.
 
A former professional triathlete, Mr Surda brings the dedication and perfectionism from his sporting career into his medical practice. His commitment to excellence was recognised with the 'Fair Play' prize awarded by the Olympic Committee.

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