Nasal Congestion 

at Allergy & ENT Associates of Middle TN

A congested, stuffy nose is a nuisance that can interfere with your ability to smell, taste, and breathe. Nasal congestion is one of the most common complaints, especially when it persists or is accompanied by nasal discharge.



At Allergy & ENT Associates, we evaluate the underlying cause of congestion to help patients find lasting relief.

What Nasal Congestion Can Affect

Nasal congestion may impact:


  • Breathing through the nose


  • Sleep quality


  • Ability to smell and taste


  • Daily comfort and focus


  • Sinus pressure and drainage


Congestion is often temporary, but chronic or recurring congestion may indicate an underlying condition that requires treatment.

What Causes Nasal Congestion?

Congestion occurs when nasal tissues and blood vessels become swollen and inflamed. Contrary to what many people believe, congestion often has little to do with excess mucus. The swelling itself leads to obstructed breathing.


Anything that irritates nasal tissues may cause congestion. Common causes include:


  • Infections (colds, influenza, acute or chronic sinusitis)


  • Allergies


  • Structural abnormalities (deviated septum, enlarged adenoids/tonsils, nasal polyps, tumors)


  • Non-allergic rhinitis


  • Dry air



  • Cold temperatures


  • Bright lights


  • Cluster headaches


  • Hormonal changes


  • Medications


  • Thyroid problems


  • Spicy foods


  • Tobacco smoke


  • Stress

Treating Nasal Congestion

Home remedies are often effective in treating congestion. Decongestants (which shrink blood vessels in the nasal passages) and antihistamines (which reduce mucus) may provide quick relief, but they should only be used for a few days. If used longer, they can actually worsen congestion.



Saline nasal sprays are often a better long-term option, especially when used with a humidifier to keep the air moist and prevent nasal passages from drying out. Drinking plenty of fluids may also help, including hot tea, broth, or chicken soup.

Nasal Congestion in Infants and Children

For infants and younger children—who rely heavily on nasal breathing—a stuffy nose can be dangerous.


Helpful strategies include:


  • Removing mucus using a nasal bulb (aspirator)



  • Having your child lie on their stomach to help mucus drain


  • Using saline nose drops (store-bought or homemade)


Homemade saline drops can be made by mixing:


  • ¼ teaspoon salt


  • ½ cup lukewarm water

Frequently Asked Questions

  • What is the most common cause of nasal congestion?

    Common causes include colds, allergies, sinus infections, and inflammation of the nasal tissues.

  • Can decongestants make congestion worse?

    Yes. Decongestants may work well short-term, but using them longer than a few days can cause rebound congestion and worsen symptoms.

  • When should I see a doctor for nasal congestion?

    If congestion persists, worsens, or is associated with ongoing nasal discharge, sinus infections, breathing issues, or sleep disruption, an ENT evaluation is recommended.

Call Allergy & ENT Associates at (615) 889-8802 to learn more or schedule an appointment.