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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 answers10 doctors weighed in
Dr. Albert Pizzo
Family Medicine 61 years experience
Nasal congestion: Yes this is possible. You should see a doctor for an examination and proper treatment.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Patrick Melder
ENT and Head and Neck Surgery 28 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.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. David Astrachan
ENT and Head and Neck Surgery 38 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.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Gary Steven
Pediatric Allergy and Asthma 31 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.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Oct 8, 2019

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