Nasal Congestion: What helps, especially at night?

Posted by patrick1000 @patrick1000, Feb 13 5:58pm

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?

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Good luck! Hope it goes well.

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Profile picture for Lisa Lucier, Moderator @lisalucier

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?

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I told him I feel like I am getting nowhere and pressed him for some kind on scan for my head. He agreed to do a CT scan. I go back soon to see what it showed.

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Profile picture for Lisa Lucier, Moderator @lisalucier

Hi - wanted to check in with some of you about how the nighttime nasal congestion was going.

@urjldjt22 - how is the congestion? Are the nasal strips helping? How is the effort to stop smoking? I've heard it's very hard.

@chzuck - did you do the turbinate reduction? If so, what did you think of it and did it help?

@patrick1000 - how are things going with congestion for you at night?

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Not yet. I plan to schedule it next month when I return to my ENT.

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This thread is long so sorry if someone already mentioned this, but Breathe Right strips also help as a non-drug alternative or as an adjunct to a medication.

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Hope you will be feeling better.
Since this is a new development, you should check with your ENT to make sure there is nothing that you are ignoring which may need a medical fix.
If there is nothing seen by the ENT, then I would suggest possibly using the following:
- a Neti pot to clean out the sinuses before bedtime.
- Flonase nasal inhaler (the MD could prescribe this in prescription if needed, and this should be discussed, as this is still a medication - even though it is OTC)
- Elevate the head of your bed - put a wedge or pillows/blanket under the top of your mattress. This will raise your bed allowing your sinuses to drain, without causing neck pain that more pillows under your head could cause.
Hope these suggestions will help you to feel better. Good luck.

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Hi - wanted to check in with some of you about how the nighttime nasal congestion was going.

@urjldjt22 - how is the congestion? Are the nasal strips helping? How is the effort to stop smoking? I've heard it's very hard.

@chzuck - did you do the turbinate reduction? If so, what did you think of it and did it help?

@patrick1000 - how are things going with congestion for you at night?

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Profile picture for orangetiger @orangetiger

It is helpful but in spite of using the spray correctly it still runs down my throat when I put my head up.

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A NetiPot always works for me. Cheap, easy, kind of messy, but very effective.

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I 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.

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Profile picture for Lisa Lucier, Moderator @lisalucier

@patrick1000 - I'm not the model saline rinser, but I do try to do it when I can. It does seem to clear out my nose (sometimes startlingly so, if you know what I mean - like a giant vacuum went through).

patrick1000 - Do you have any observations or theories as to why it works for you sometimes and not always?

@carculmer and @orangetiger - other than the taste that one of you didn't care for, do you find the azelastine helpful with your symptoms?

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It is helpful but in spite of using the spray correctly it still runs down my throat when I put my head up.

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I use nasal prongs to open up nasal valves.

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