Dear dr lm pregnant..8wks and l complain of blocked nose, sputum all the day which make me nueseated all the time.its diffecult to bring sputum out.?

Sinusitis: It sounds like you have a sinusitis. If the discharge (sputum or nasal drainage) is clear ot white, you can use over the counter decongestants and mucolytics, both are safe during pregnancy. However, if the discharge (sputum) is green or yellow, you should see your doctor for an antibiotic as well.

Irrigation: Since you are pregnant, you really cannot take any medications to help decongestant your nose. A good remedy is using over the counter saline irrigation. It is basically salt water that you use to flush out your nasal passages. This can help loosen up the nasal mucus and clean the area. Most of my patients find some benefit. Please use distilled water or boil the 1st (let it cool!).

Pregnancy and nose: Nasal congestion increases with pregnancy. The hormonal changes cause this. Saline nasal spray helps clean out nose and acts as a mild decongestant. Sudafed is also the preferrred decongestant during pregnancy. It is generally considered safe. I would only recommend using it though if one was miserable. Also, chlorphineramine is ok.