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Doctor insights on: Why Does Nasal Congestion Get Worse At Night

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Dr. John McMahan
465 doctors shared insights

Congested Nose (Definition)

Congested nose = stuffy nose. Partial or full blockage of nasal passages due to swelling of blood ...Read more


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Nasal congestion for the past 02 year and was using inhaler at night. For the past 02 months, getting worse congestion/blockage at day time as well.

Nasal congestion for the past 02 year and was using inhaler at night. For the past 02 months, getting worse congestion/blockage at day time as well.

Use steroid spray: I am assuming that the nasal spray you are using is over the counter decongestant spray. You should see a md who can prescribe a corticosteroid nasal spray. If you have tried this, then azelastine nasal spray, instead or in addition may help. You md will also check to see if you have a chronic sinus infection that needs treating. Finally, your md may need to order oral corticosteroids. ...Read more

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I get nasal congestion almost every night. Is it OK to use the nasal spray of 0.05% oxymetazoline in the morning several times about 3X week?

I get nasal congestion almost every night. Is it OK to use the nasal spray of 0.05% oxymetazoline in the morning several times about 3X week?

Yes: I know about the cautions to minimize the use of oxymetazoline, due to its propensity to result in addiction. However, I also know that it's essential to be able to breath. I've known a number of people who used it for years, due to their chronic allergies. Sure, they were addicted to it, and couldn't breathe without it--but it didn't cause them any other problems. It's much safer than steroids ...Read more

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I am experiencing fever (severity: moderate) , cough (quality: blood in phlegm, barky, hoarse, or hacking sounds, with phelgm or mucus) (worsened by: worse at night) , sneezing, nose itch, runny nose and nasal congestion. The following also describe me:

I am experiencing  fever (severity: moderate) , cough (quality: blood in phlegm, barky, hoarse, or hacking sounds, with phelgm or mucus) (worsened by: worse at night) , sneezing, nose itch, runny nose and nasal congestion. The following also describe me:

Need to examine: It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. If your symptoms have lasted more than a week, it is imperative that you see a doctor. ...Read more

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I am experiencing cough (quality: barky, hoarse, or hacking sounds, no phlegm or mucus, chronic cough) (worsened by: lying flat, worse at night) . The following also describe me: Fatigue, Sore throat, Chest congestion, and Nasal congestion. What should I

I am experiencing  cough (quality: barky, hoarse, or hacking sounds, no phlegm or mucus, chronic cough) (worsened by: lying flat, worse at night) . The following also describe me: Fatigue, Sore throat, Chest congestion, and Nasal congestion. What should I

Mgt.: A virtual appointment may be useful to you and to your PCP. You may have a flu like illness, the flu or another illness. Mostly likely this is a viral illness which should resolve in about three weeks. If you are experiencing fever, chills or respiratory difficulty, please see acute care. in the meantime, rest, fluids and monitor your temperature. The use of nasal saline may also be used. ...Read more

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Why might someone get nasal congestion when lying down?

Why might someone get nasal congestion when lying down?

Gravity: Gravity can play a role. Just to illustrate this, it is physiologically normal for even the dependent side of the nose to become more swollen than the other when lying on that side. The fact that is has crossed the threshold of become noticeable means that something is going on in there. Could be allergies, polyps or other conditions. ...Read more

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I have nasal congestion due to a cold, how can I get relief?

I have nasal congestion due to a cold, how can I get relief?

Nasal or oral: For simple nasal congestion after a cold, you can use: oxymetazoline nasal spray, over the counter oral decongestants, or a saline irrigation solution. If you have high blood pressure or other heart issues, the oral decongestant is not the best choice as it is a potential stimulant to the heart. Then the nasal spray might be the better choice. Personally i always recommend the topical solutions. ...Read more

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Why might someone get nasal congestion every time they lay down?

Why might someone get nasal congestion every time they lay down?

Normal: One's nose is meant to be a little congested. So assuming no medical issues that would cause nasal congestion, when one lays down typically the side of the nose that is closest to one's bed will congest and the side that is "up" will decongest. ...Read more

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How can I get rid of nasal congestion?

How can I get rid of nasal congestion?

Food allergies: Try looking into the idea that certain foods may be irritating yo your system, causing you to react with the chronic drip. ...Read more

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What are some ways to get rid of nasal congestion.?

What are some ways to get rid of nasal congestion.?

Many: Over-the-counter saline sprays, over-the-counter Pseudoephedrine decongestants, prescription nasal steroids, or other nasal medications such as astelin. If these are partially due to allergies, then over-the-counter or prescription antihistamines may help. Increasing humidity in the room can also help. ...Read more

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What is the fastest way to get rid of your nasal congestion?

Need diagnosis: I truly enjoy answering questions on health tap. As an ENT I am impressed by the number of questions that focus on quick fixes for the person's symptoms. I can not emphasize enough the need for an accurate diagnosis. Most physicians treat diseases, not symptoms. Having said this, you need to rule out nasal allergy, sinusitis with or without nasal polyposis. Reflux is a remote possibility. ...Read more

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How to avoid reoccuring nasal congestion? And how to get rid of it once it settles in?

How to avoid reoccuring nasal congestion? And how to get rid of it once it settles in?

Depends on cause: First we need to find out what causes the nasal congestion before we can treat it. Having said that, it is likely that your problem is from allergies. Nasal steroid often works. If not, consult an allergist. ...Read more

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How do I get rid of nasal congestion for a few hours?

This may help.: Neti pots can reduce nasal congestion. Mix ¼ tsp salt w 1 cup lukewarm water. More salt can also be used. Place solution in neti pot. Tilt head & pour solution into 1 nostril. Blow nose lightly & spit out any liquid that drains into throat. Repeat on other side. This can be done in the evening before you go to bed & again in the morning. Afrin is quite strong but can only be used briefly. ...Read more

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How can I get rid of nasal congestion naturally without medicines?

How can I get rid of nasal congestion naturally without medicines?

Neti pot, steam: A steamy shower works great to get rid of nasal congestion. So does salt water irrigation of the nose, like a neti pot. They're available at most drug stores now. ...Read more

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Will neo-synephrine make my nasal congestion worse if I keep using it all week?

Will neo-synephrine make my nasal congestion worse if I keep using it all week?

Yes: The use of this drug which constricts blood vessels may eventually lead to rebound. That is, the blood vessels in the lateral wall of the nose will actually produce more congestion. Neo-synephrine should be used for a maximum of 2-3 days. It is very important to know if the congestion is the result of a viral infection or nasal allergy or more seriously, nasal polyps. Get a diagnosis. ...Read more

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I've been having nasal congestion for almost 3 weeks. Haven't taken any medicine because I'm pregnant. What can I do to get better??

I've been having nasal congestion for almost 3 weeks. Haven't taken any medicine because I'm pregnant. What can I do to get better??

Meds in Pregnancy: I would start with salt water gargle, steam showers to loosen things up, and saline rinses 1-2 times per day. There are a number of prescription and over-the-counter Category B medications that are safe to take during pregnancy for rhinitis and allergies if that is a condition you suffer from. Talk to your doctor about appropriate options. ...Read more

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My boyfriend isn't sick but he has really bad nasal congestion with snoring, what can he do to get rid of it?

See his MD or ENT: Make an appt to see his md who will do several things.... Discuss potential allergens, physically inspect his nose and throat for abnormalities, and possibly recommend a sleep study to check for sleep apnea. ...Read more

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I need an over-the-counter medicine that will get rid of nasal congestion for 6 hours or so (maybe reapplication in between)?

Afrin (oxymetazoline): Oxymetazolin is an over the counter nasal spray that will open the nose for up to 12hours. However, it can be habit-forming and in the long run can stop working. It can affect the nose in such a way that no other spray will work and you will end up needing surgery. That is why this spray 'afrin' should never be used more than 3 consecutive days.
You can use sudafed pill which is not habit-forming. ...Read more

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Please tell me if there is a way to get out nasal congestion without using Otrivin sprays?

Nasal congestion?: Stop Otrivin, use Flonase spray ; get yourself tested for allergies and get desensitized. ...Read more

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My pituitary gland is bulky can it cause nasal congestion? What other symptoms should I be worried about? I get headaches a lot too

My pituitary gland is bulky can it cause nasal congestion? What other symptoms should I be worried about? I get headaches a lot too

Pituitary Gland: The gland is not in proximity to the nasopharyngeal region to cause congestion. Symptoms of pituitary dysfunction due to size can be visual problems and headaches as well as possible endocrine problems, if you have concerns, take it over with your doctor. ...Read more

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I always get a slight headache+nasal congestion after my 1st beer.this goes away by the 3rd beer. Same with wine. Why? How to make this go away?

Gustatory Rhinitis: Non-allergic or gustatory rhinitis is acute onset of running and congestion after exposure to certain foods or drinks. Your symptoms might be explained by your exposure to alcoholic beverages. Certain nasal spray's can dry the nasal passages and can be used prior to exposure to decrease frequency and severity of symptoms. Ask your Allergist for more details. ...Read more

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I heard that hormonal changes can lead to rhinitis with nasal congestion in women. Pls can u advice which harmones lead to this problems so can get hrt?

I heard that hormonal changes can lead to rhinitis with nasal congestion in women. Pls can u advice which harmones lead to this problems so can get hrt?

Seek help asap: Please find a physician in your area that specializes in hrt for women. There are too many variables to answer your question adequately on this forum. ...Read more

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How do I tell the difference on whether I have a cold or allergies? And how to get rid of nasal congestion?

How do I tell the difference on whether I have a cold or allergies? And how to get rid of nasal congestion?

Fever: The main difference between allergic congestion and a virus is that allergies don't cause fever. If you don't have a fever, look at the duration — congestion from a virus typically lasts less than a week. Nasal steroid sprays work best for the congestion of allergies; if severe, the use of decongestant nasal sprays for 5 days or fewer will offer the best relief. ...Read more

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I always get horrible nasal congestion and depending on the amount and on the alcohol, my neck and shoulder blades get extreme body aches... Why?

I always get horrible nasal congestion and depending on the amount and on the alcohol, my neck and shoulder blades get extreme body aches... Why?

Sensitivity: Alcohol is a typical cause for non-allergic symptoms, and that could explain the nasal congestion you're experiencing. The other symptoms are troubling as well, especially considering the medications you're using. Alcohol can influence the effect of those medications and can cause muscle pain. ...Read more

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I have a 10 months baby, who have an absess in her leg, the docto, give her amocixillin... She have cough and nasal congestion, that's help or worse her?

I have a 10 months baby, who have an absess in her leg, the docto, give her amocixillin... She have cough and nasal congestion, that's help or worse her?

Abscess: A 10-month old with infection needs to be monitored very carefully. Hopefully the treatment with Amoxicillin was based on the sensitivity of the causative organism isolated by culture of the abscess and not empirically. The cough and nasal congestion may be an entirely different issue. Make sure the doctor is familiar with the care of infants or is a pediatrician. ...Read more

Dr. Jack Mutnick
1,167 doctors shared insights

Nasal (Definition)

NaSal is a nasal preparation which is a kind of ...Read more


Nocturnal (Definition)

This term is used to note that something ...Read more