Nasal Congestion and Obstruction

A congested, stuffy nose is a nuisance that can affect your child’s ability to smell, taste, and breathe with mouth closed. It is one of the most common complaints, especially when it persists or is accompanied by nasal discharge. Referrals often come for how children sound during sleep, because of drooling, or from orthodontic sequelae of mouth breathing.

Congestion occurs when nasal tissues and blood vessels become swollen and inflamed. Anything that irritates the nasal tissues can cause congestion. The list of possible causes is lengthy and includes infections (colds, influenza, and acute or chronic sinusitis), allergies, structural abnormalities (deviated septum, enlarged adenoids/tonsils, nasal polyps or tumors), non-allergic rhinitis, dry air, cold temperatures, bright lights, cluster headaches, hormonal changes, medications, thyroid problems, spicy foods, tobacco smoke, and stress. 

Treating congestion depends a lot on the cause.  If congestion is from frequent colds, some kids just need a little time to grow out of the problem.  Nasal steroids can be used, depending on brand, down to ages 2-4.  Identifying the allergens can assist with  avoidance strategies.  Children without allergies may need to be treated for sinusitis or have their adenoids evaluated.