Canada
A 73-year-old male asked:
Can there be chronic allergic sinusitis with only significant nasal congestion and malaise without any apparent mucus or nasal discharge?
4 doctor answers • 10 doctors weighed in
Dr. Albert Pizzoanswered
Family Medicine 60 years experience
Nasal congestion: Yes this is possible. You should see a doctor for an examination and proper treatment.
6.2k viewsReviewed >2 years ago
Dr. Patrick Melderanswered
ENT and Head and Neck Surgery 27 years experience
Yes: You are basically describing chronic sinusitis. Patients with chronic sinusitis typically don't have the nasal discharge that you get with allergies or acute sinusitis. But it can lead to chronic nasal stuffiness/congestion/malaise. Best study for diagnosis: coronal ct of sinuses without contrast - essential for diagnosis.
6.2k viewsReviewed >2 years ago
Dr. David Astrachananswered
ENT and Head and Neck Surgery 37 years experience
Yes: Chronic sinusitis can present in a multitude of ways including congestion and blockage in the absence of discharge. The clincher would be a decrease in your sense of smell and taste.
6.1k viewsReviewed >2 years ago
Dr. Gary Stevenanswered
Pediatric Allergy and Asthma 30 years experience
Generally not: Allergies usually cause a lot of mucus production, but typically aren't very important in people older than 70. Acid reflux that occurs during the night is a much more common cause of sinus inflammation at your age, and usually doesn't cause any nasal discharge. Work with your physician to make sure that your reflux (if present) is optimally controlled.
5.7k viewsAnswered >2 years ago
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Last updated Oct 8, 2019
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