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Nasal congestion can interfere with hearing and speech. Significant congestion may interfere with sleep, cause snoring, and can be associated with sleep apnea or upper airway resistance syndrome. [5] In children, nasal congestion from enlarged adenoids has caused chronic sleep apnea with insufficient oxygen levels and hypoxia.
A CT scan showing evidence of the nasal cycle: the more patent airway is on the right of the image, the swollen turbinates congesting the left. The nasal cycle is the subconscious [1] [2] alternating partial congestion and decongestion of the nasal cavities in humans and other animals.
Ethmoidal – may cause pain or pressure pain between or behind the eyes, along the sides of the upper nose (medial canthi), and headaches. [27] Sphenoidal – may cause pain or pressure behind the eyes, though it is often felt at top of the head, over the mastoid processes, or the back of the head. [27]
Paroxysmal sneezing in morning, especially in morning while getting out of bed. Excessive rhinorrhea – watering discharge from the nose when patient bends forward. Nasal obstruction – bilateral nasal stuffiness alternates from one site to other; this is more marked at night, when the dependent side of nose is often blocked. Postnasal drip. [10]
The history may begin with feelings of obstructed nasal breathing or "stuffy nose" with or without nasal discharge. [10] If allergic rhinitis is suspected, a family history of allergic conditions as well as a personal history of other associated conditions such as food allergy, asthma , and atopic dermatitis can be evaluated. [ 10 ]
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