1. < Asthma & Allergy

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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urjldjt22 | @urjldjt22 | Apr 1 6:49pm

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.

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Moderator
Lisa Lucier, Moderator | @lisalucier | Apr 1 2:41pm
In reply to @urjldjt22 "I use breath right strips every night and one spray of nasal stray per nostril. Works..." + (show)
@urjldjt22

I use breath right strips every night and one spray of nasal stray per nostril. Works good.

Jump to this post

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?

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urjldjt22 | @urjldjt22 | Mar 31 1:15pm

I use breath right strips every night and one spray of nasal stray per nostril. Works good.

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1 reply
bsi15 | @bsi15 | Mar 20 12:22pm

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.

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clj9821 | @clj9821 | Mar 20 10:23am

Essential oils ~ I diffuse peppermint and oregano and/or sniff it.

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jenicamom | @jenicamom | Mar 19 12:12pm

I have all of the same symptoms and use all of the same recommendations down below. The only thing I would add is Mucinex, sinus max nasal spray in the middle of the night the nose, the mucus in there is hard and the Mucinex kind of softens it so I can blow it out and then I’m fine for the rest of the night but yes, I use all of the Suggestions down below. It’s just one of those things I think you live with.

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Moderator
Lisa Lucier, Moderator | @lisalucier | Mar 17 10:40pm
In reply to @sueinmn "I personally have not tried them - maybe someone here can share their experiences." + (show)
@sueinmn

I personally have not tried them - maybe someone here can share their experiences.

Jump to this post

Hi, @sueinmn - my experience with allergy shots is that they helped a lot with my cat allergy and helped very little with my house dust allergy.

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Mentor
Sue, Volunteer Mentor | @sueinmn | Mar 17 10:35pm
In reply to @petrullo "do allergy. shots. help" + (show)
@petrullo

do allergy. shots. help

Jump to this post

I personally have not tried them - maybe someone here can share their experiences.

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1 reply
petrullo | @petrullo | Mar 17 8:26pm
In reply to @sueinmn "I don't often jump in here, but WOW I had a stuffy nose big time this..." + (show)
@sueinmn

I don't often jump in here, but WOW I had a stuffy nose big time this morning - in the dentist's chair; every time he laid the chair back, it was like my nasal passages slammed shut and I could only breathe through my mouth. It brought back memories of childhood, where I breathed fine all day, and got completely stuffed up when I laid down. Needless to say, he was not happy with a mouth-breathing patient while he was drilling.

Step one - my Dad found the first culprit - my beloved, squishy down pillow. (He couldn't use them either, or even have feathers or down in the bedroom.) That helped, but I still got stuffed up about halfway through the night.

One night I realized that whenever I woke up I had turned from sleeping on my side to my back. If I turned on my side, gradually the upper nasal passage would clear enough to breathe. I did that for at least 30 years, suffering chronic sinus & ear infections along the way. As an adult, I finally saw the same ENT who was treating my kids, he found very narrow passageways, eustachian tube dysfunction (he assumed these were narrow too) and a deviated septum as well as crud and scar tissue in my sinuses. He cleaned it all out, reset my nose, and my breathing has been more or less normal for a number of years.

Now, my ancient airways are haunting me again - closing up at crazy times, and I have sleep apnea. I'm working with the ENT on a solution.

Azalastine spray at bedtime has helped, and during allergy season I use it mid-morning as well.

I hope you can find a solution - air hunger in the middle of the night is not conducive to sound sleep!

Jump to this post

do allergy. shots. help

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1 reply
esco | @esco | Mar 8 3:07pm

It is 1 of 2 things. CRS or Rhinitis. Sprays really don't do much but that's what you have to do before a procedure. Other solution is Biologics. Dupixent Xolair Nucala. That's what's being pushed heavily rite now by Allergists n ENTs. No guarantees but its gonna be alot of trial and error. Been thru it for last 4 years.

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