Congestion
Types of Nasal Obstructions: Why They Happen and How to Treat Them
April 22, 2025
•
6 minutes
Reviewed by Michael Kaplan, MD

Struggling to breathe through your nose can be frustrating at best and debilitating at its worst. Nasal obstructions can stem from a variety of causes, ranging from temporary swelling due to allergies to more persistent structural issues that require medical intervention. While occasional nasal congestion is common, a long-term blockage may indicate an underlying condition that needs professional evaluation and treatment.
Understanding the symptoms and types of nasal obstructions can help you determine the best treatment options, including whether procedures like balloon sinuplasty may be necessary. If nasal obstruction is affecting your daily life, Kaplan Sinus Relief is here to provide expert diagnosis and treatment to restore your breathing and overall sinus health.
Symptoms of nasal obstruction
While nasal obstructions often present similar symptoms, they can manifest in a number of different ways. Some of the most common symptoms of nasal obstruction include:
- Persistent difficulty breathing through one or both nostrils
- A feeling of fullness or pressure in the nasal passages
- Frequent snoring or sleep disturbances due to blocked airflow
- Sore throat and postnasal drip leading to irritation or coughing
- Chronic sinus infections due to poor sinus drainage
- Reduced or lost sense of smell
- Headaches or facial pain related to sinus pressure
These symptoms can range in intensity and how long they last, depending on what’s causing the blockage. Finding the underlying cause is key to choosing the right treatment.
What are the red flags of nasal obstruction?
Or, in other words, when do you know a nasal obstruction is a serious matter? While occasional nasal congestion is common, certain symptoms may indicate a more serious condition and may require a specialist, including:
- Chronic or recurring nasal blockages
- Nosebleeds
- Facial pain or pressure
- Difficulty breathing during sleep (potential sleep apnea)
- Frequent sinus infections
Why is my nose blocked, but nothing comes out?
Because clearing blockages is the most common way to deal with nasal obstructions, seeing little-to-know movement on the mucus front can be unnerving. While many people experience blocked noses without the presence of mucus, it can be especially uncomfortable and frustrating. This type of nasal obstruction can be caused by structural abnormalities, inflammation, or other underlying conditions.
The difference between nasal obstruction and nasal congestion
Nasal congestion typically involves swelling of the nasal passages due to inflammation or excess mucus production, often triggered by colds, allergies, or infections. In contrast, nasal obstruction refers to a physical blockage that prevents airflow, which may be due to structural issues, polyps, or growths. While congestion often resolves with over-the-counter medications, nasal obstructions may require medical intervention.
Common nasal obstruction causes
Common causes of nasal obstruction include the following:
- Deviated septum: A structural issue where the nasal septum is misaligned, causing airflow blockage in one or both nostrils.
- Nasal polyps: Noncancerous growths in the nasal passages that can obstruct airflow and contribute to chronic sinus infections.
- Enlarged turbinates: The turbinates are structures inside the nose that help filter and humidify air, but when swollen, they can restrict airflow.
- Chronic sinusitis: Inflammation of the sinuses that leads to persistent swelling and blockages.
- Allergies: Seasonal or environmental allergens can cause nasal swelling and congestion, sometimes leading to long-term obstruction.
- Nasal valve collapse: Weakness in the nasal valve area can cause the nasal passages to collapse during breathing, making airflow difficult.
- Foreign objects: In children, nasal obstructions can sometimes be caused by small objects accidentally inserted into the nostrils.
Nasal obstruction treatment options
As outlined in the table below, treatment for nasal obstructions varies depending on the cause and severity. Some cases can be managed at home, while others require professional medical care.
Cause | Level of seriousness | Recommended intervention |
Deviated septum | Moderate to severe | Surgery (septoplasty) |
Nasal polyps | Moderate | Medication or surgery |
Chronic sinusitis | Moderate to severe | Medication, balloon sinuplasty |
Enlarged turbinates | Moderate | Medication, turbinate reduction |
Allergies | Mild to moderate | Antihistamines, nasal sprays |
Nasal valve collapse | Severe | Surgery |
Foreign object (in children) | Moderate to severe | Removal by a specialist |
Nasal tumors | Severe | Surgery, further evaluation |
Environmental allergens, smoking, and poor air quality can also contribute to nasal inflammation, making breathing difficulties worse. Regularly cleaning your home, using air purifiers, and staying hydrated can help reduce symptoms. Additional home remedies for mild types of nasal obstructions include the following:
- Using a humidifier to add moisture to the air — particularly at night
- Avoiding allergens and irritants
- Sleeping with your head elevated to reduce swelling
However, some obstructions may require actual intervention; nasal irrigation, such as saline rinses and neti pots, is designed to flush the sinus cavities of potential blockages. Additionally, over-the-counter antihistamines or decongestants can help reduce nasal swelling and inflammation.
That said, more severe types of nasal obstructions may require professional help:
- Prescription-strength medications: Steroid nasal sprays, antihistamines, or decongestants
- Balloon sinuplasty: A minimally invasive procedure that opens blocked sinus passages
- Surgery: Procedures such as septoplasty (for a deviated septum), turbinate reduction, or polyp removal
If symptoms persist despite home remedies, seeking professional evaluation can prevent long-term issues. Untreated nasal obstructions can lead to complications such as sleep apnea, recurring sinus infections, and even a diminished sense of smell. Don’t ignore persistent nasal blockage — early intervention can improve your breathing and overall quality of life!
How do you know if you need balloon sinuplasty?
Balloon sinuplasty is a highly effective, minimally invasive procedure that helps open blocked sinus passages without cutting or removing tissue. You may be a good candidate for balloon sinuplasty if you:
- Experience chronic sinus infections
- Have persistent nasal obstruction despite using medication
- Suffer from facial pressure or sinus headaches
- Have difficulty breathing due to blocked nasal passages
If you are unsure whether balloon sinuplasty is right for you, consulting a sinus specialist can help determine the best course of action.
Nose blocked? Call Kaplan Sinus Relief for a closer look.
Persistent nasal obstruction can impact your daily life, making it difficult to breathe, sleep, and function comfortably. If you are experiencing ongoing symptoms that don’t improve with medication or home remedies, it’s time to seek professional help.
At Kaplan Sinus Relief, we specialize in diagnosing and treating the various types of nasal obstructions with personalized care. Whether you need medication management, surgical intervention, or balloon sinuplasty, our team is here to provide effective solutions tailored to your needs.
Don’t let nasal obstruction interfere with your well-being — schedule a consultation with Kaplan Sinus Relief today and take the first step toward clear, comfortable breathing.
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