9 doctors weighed in:
Can there be chronic allergic sinusitis with only significant nasal congestion and malaise without any apparent mucus or nasal discharge?
9 doctors weighed in

Dr. Patrick Melder
ENT - Head & Neck Surgery
5 doctors agree
In brief: 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.

In brief: 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.
Dr. Patrick Melder
Dr. Patrick Melder
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Dr. David Astrachan
ENT - Head & Neck Surgery
2 doctors agree
In brief: 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.

In brief: 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.
Dr. David Astrachan
Dr. David Astrachan
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Dr. Albert Pizzo
Family Medicine
2 doctors agree
In brief: Nasal congestion
Yes this is possible.
You should see a doctor for an examination and proper treatment.

In brief: Nasal congestion
Yes this is possible.
You should see a doctor for an examination and proper treatment.
Dr. Albert Pizzo
Dr. Albert Pizzo
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Dr. Gary Steven
Internal Medicine - Allergy & Immunology
In brief: 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.

In brief: 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.
Dr. Gary Steven
Dr. Gary Steven
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