nasal congestion
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Introduction
Excessive accumulation of fluid in the vessels & tissues of the nasal passages.
Etiology
- rhinitis
- nasal septal deviation
- nasal polyps
- pregnancy
- influenza
- pharmaceutical agents (see below) (see pharmaceutical agents associated with nasal congestion)
Management
- see rhinitis
- nasal saline irrigation
- decongestants:
- oral pseudoephrine
- topical oxymetazoline
- do not use for > 3-5 days to avoid rebound congestion & rhinitis medicamentosa
- oral phenylephrine no better than placebo[2][5]
- phenylephrine considered effective in a nasal spray[5]
- antihistamine sprays, such as Astepro (nasal azelastine) or NasalCrom (nasal cromolyn sodium) may be effective[5]
- nasal glucocorticoids, sold as Flonase, Nasacort, & Rhinocort
More general terms
Additional terms
References
- ↑ Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
- ↑ Jump up to: 2.0 2.1 Meltzer EO et al. Oral phenylephrine HCl for nasal congestion in seasonal allergic rhinitis: A randomized, open-label, placebo-controlled study. J Allergy Clin Immunol Pract 2015 Sep/Oct; 3:702 PMID: https://www.ncbi.nlm.nih.gov/pubmed/26143019
- ↑ MedlinePlus: Nasal Congestion http://www.nlm.nih.gov/medlineplus/ency/article/003049.htm
- ↑ Wikipedia: Nasal congestion http://en.wikipedia.org/wiki/Nasal_congestion
- ↑ Jump up to: 5.0 5.1 5.2 5.3 5.4 Associated Press FDA Says Decongestant in Many Cold Medicines Doesn't Work. So What Does? A look at the agency's recent moves on a leading decongestant MedPage Today. December 26, 2024 https://www.medpagetoday.com/infectiousdisease/generalinfectiousdisease/113526