Nasal congestion in the morning may be associated with vasomotor rhinitis, non-allergic rhinitis with eosinophilia syndrome, frontal sinusitis and other diseases. According to the cause of the disease and the characteristics of the disease, we need to choose the general treatment, drug treatment and surgical treatment.
1. Vasomotor rhinitis: mainly caused by autonomic dysfunction, endocrine disorders and other factors, nasal congestion occurs in the morning when the nasal cavity is stimulated by alternating hot and cold air, and the symptoms are relieved after the temperature stabilizes during the day. Nasal spray hormones such as budesonide and antihistamines such as loratadine can be taken orally. Surgery, laser and radiofrequency can also be used to cut and coagulate the anterior sieve nerve.
2. Non-allergic rhinitis with eosinophilia syndrome: this disease can be manifested as nasal itching, sneezing, nasal congestion and other symptoms after being stimulated by adverse physical and chemical factors, and the above characteristic nasal congestion manifestations can also occur after getting up in the morning. It is mainly treated with local and systemic glucocorticoid therapy, including nasal spray fluticasone propionate nasal spray and oral prednisone.
3. Frontal sinusitis: frontal sinusitis can appear mucopurulent secretion in the morning after getting up, from the sinus mouth flow through the nasal cavity, stimulate the nasal mucosa edema caused by nasal congestion, the secretion is reduced, the symptoms will be reduced. It is advisable to choose oral antibiotics such as amoxicillin and glucocorticoid therapy as mentioned above for bacterial infection. In the case of poor results of conservative treatment, the feasibility of functional sinus surgery under nasal endoscopy.
When the occurrence of morning nasal congestion daytime normal, can actively seek medical systematic examination, after a clear diagnosis, in accordance with the doctor’s instructions standardized treatment.