Nasal Congestion: What helps, especially at night?
I have COPD, asthma, and a bit of emphysema and am using Trelegy and ipratropiam. Winter and summer about half way through the night a get extreme congestion sometimes totally blocking my nasal breathing.
Any tips?
Interested in more discussions like this? Go to the Asthma & Allergy Support Group.
Connect

Budesonide nose spray helped me a lot with nasal congestion,
i.e. in the evening.
With a delay of 1-2 days, so probably not local effects but
the corticosteroids.
There is some risk with longterm corticosteroids, though.
Drinking more may also help.
I use breath right strips every night and one spray of nasal stray per nostril. Works good.
Hi, @urjldjt22 - welcome to Mayo Clinic Connect. Glad you've found something that helps with nasal congestion, especially at night.
Do you know what was causing your congestion? Are you finding the breathing strips comfortable enough to get to sleep with them on?
Thanks for responding. Don't know what is causing the congestion. Might be smoking...I quit four days ago, wearing patch. Sofar, so good. I don't even notice breathing strips. They fit good.
-
Like -
Helpful -
Hug
1 ReactionI was taking generic Flonase for over 15 years and finally stopped as I did not see any benefit. I had a blood test for allergy. ENT wants to do a turbinate reduction. I finally sort of demanded they do some kind of imaging and they called for a CT scan. I will see one of the ENT docs in a week or so. Doctors don't seem to listen to the patient these days.
-
Like -
Helpful -
Hug
1 ReactionNever had a blood test from a ent
Been going to him
32 yrs
Just cannot figure out why I pay high insurance
Hx mid ear
Absus by tonsils
Pharhgeal issues 3 solid yrs
Had all respiratory vaccines
Allergy throats also- burning
Been to ER
Threw up fr medications
Hi, @chzuck, and welcome to Mayo Clinic Connect. I'm sorry you are not feeling listened to by your doctors.
How did you appointment with the ENT doctor go? What was suggested?
I use nasal prongs to open up nasal valves.
It is helpful but in spite of using the spray correctly it still runs down my throat when I put my head up.
-
Like -
Helpful -
Hug
1 ReactionI had bad congestion, nothing helped. My ear, nose & throat doctor recommended.
NeilMed Sinus rinse. Use it every night and morning. It cleans your nose. It works amazing!
The kit comes with a bottle and sample.
I also use Flonase to squirts after the nasal flush.
Hope this helps you to feel better soon.
-
Like -
Helpful -
Hug
2 Reactions