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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@patrick1000

Mostly the same story, still need to find the allergy and see a specialist regarding the passages. I think not just uncomfortable but a bit dangerous to have these sleep problems. I'm going back for a breathing test this year and am amassing a checklist.

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I see others suggested making your home "allergy-friendly" - which we had to do for our kids. We found out we all breathed better.
Here's what our home looks like now:
No carpet except on stairs, no shoes in the house
Washable bedspreads, comforters, blankets and pillows, washed & dried frequently
HEPA air filtration in main living area and bedrooms in addition to whole-house air filter
All window coverings easily washed or dusted
No pets in sleeping areas and we had to get rid of birds and ban friends' cats (specific allergies)
Fragrance-free, allergy-friendly laundry and cleaning products
No scented candles or air fresheners

Our latest approach - adjustable bed with head raised about 20 degrees, has helped too.

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@lisalucier

Hi, @patrick1000 - Getting your nose plugged up when you're trying to sleep is not fun. I would like to tag some Connect members who've talked about nasal congestion to see if they have input for you on how you're getting so congested in the middle of the night and how you might proceed @collage @chzuck @celia16 @robbie44 @shooei @dedhambeth @pkalkstein @benchi300 @nrd1 @sueinmn and @pml.

I learned that I was not taking all the ipratropium spray I was prescribed when going through my medications with a nurse. I don't think to take it midday, but it might be helpful.

Is there any chance you are not taking the full prescription of anything?

Another thought is that I believe your nasal spray, which I also take, helps most with runny nose. The fluticasone spray helps most with congestion. Have you talked to your doctor about the congestion and if another spray or medication might help?

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I had similar issues and an air purifier greatly reduced the problem.

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Try an air purifier in your bedroom. It worked for me.

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@patrick1000

Must be allergies. I rinse before I go to bed completely clearing my nose but then can be plugged solid 2-3 hours later.

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Similar to my issue. Air purifiers pretty much fixed that problem. Apparently dust/dust mites is my problem. I spent a night in the hospital and noticed no nose plugging. This was after I had a conversation with a hearing aid tech who said she had similar issues and removed all of the carpet in her house and the problem with her nose was gone.

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@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

Mostly the same story, still need to find the allergy and see a specialist regarding the passages. I think not just uncomfortable but a bit dangerous to have these sleep problems. I'm going back for a breathing test this year and am amassing a checklist.

REPLY
@patrick1000

Must be allergies. I rinse before I go to bed completely clearing my nose but then can be plugged solid 2-3 hours later.

Jump to this post

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!

REPLY
@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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Must be allergies. I rinse before I go to bed completely clearing my nose but then can be plugged solid 2-3 hours later.

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@patrick1000

I'm doing the saline rinse which works but not always. My congestion is year round but could still be allergic.

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@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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@carculmer

That's funny because I use Asalastine from time to time and have never tasted anything!

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Lucky you!

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@jc76

@patrick1000
Have you been checked for allergies?

Seasonal my wife and I get severed congestion and it is from environment when tress and shrubs start blooming or dying and/or the wind picks up.

Also have your doctors mentioned doing saline rinses? The rinses can help clean out your sinuses.

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I'm doing the saline rinse which works but not always. My congestion is year round but could still be allergic.

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