Q. My nose is partially blocked for a long time and I sneeze a lot. Is it due to allergic rhinitis or nasal polyp?

Answered by
Dr. Shyam Kalyan N
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 04, 2019

Hello doctor,

My nose is blocked partly, one side is opened and the other side is blocked. It has been a long time like more than 10 years. When I consulted a doctor before they concluded that it is allergic rhinitis. I sneeze multiple times in one shot, like three to four times. When I consulted another doctor, they asked to get an x-ray of my nose and concluded that bones of the nose are not straight, so it needs an operation. Some doctors said it is polyp that needs to be removed. I did not do any operation, because I heard that it is better to treat without any operation. Now it is still blocked with itching and I sneeze several times. What is your advise? What I should do?

Dr. Shyam Kalyan N

Allergy Specialist Otolaryngology (E.N.T)


Welcome to icliniq.com.

Let us look at your problems in a systematic way. Nose block on and off and on different sides each time sounds more like a rhinitis problem. If it were deviated nasal septum then the block will be predominantly on one side. Such a block will not be that easily relieved. Deviated nasal septum if diagnosed and causes a severe block, snoring, mouth breathing and difficulties can be surgically corrected and placed in the center.

Allergic rhinitis can cause multiple sneezing, itching of nose and eyes, watering of eyes and nose block. The rhinitis can cause itching in the back of the throat and palate also. Allergic rhinitis is a genetic condition that does not have a complete cure. We advise allergen avoidance, taking antihistaminics and steroid nasal sprays. Last, nasal polyposis can be associated with allergy and sinusitis. They cause constant nose block and nasal discharge. They cause post nasal drip. Occasional or frequent headaches, especially in the facial region or brow region, are associated with polyps. Polyps if found to be of higher grades require surgical correction.

Coming to the diagnosis of each problem, we need to do the following on you.

1. A thorough clinical examination with anterior rhinoscopy.

2. Nasal endoscopy in OPD (out patient department), which will clearly show deviation or polyposis. Nasal endoscopy is done after adequate local anesthesia and decongestion. It typically is painless most of the time.

3. Non-contrast CT (computed tomography) scan of para nasal sinuses (coronal, axial and sagittal views). The CT is a superior investigation to x-rays and clearly shows the involvement of sinuses, the existence of polyps or sinonasal pathology, deviation of the nasal septum, condition of the lateral wall of the nose, mass in the nasopharynx, etc.

4. Serum IgE (immunoglobulin E), elevated levels signify atopy or allergy.

5. Complete blood count inclusive of but not restricted to absolute eosinophil count.

I trust you understand that there are clear treatment protocols for various conditions. Not all conditions can be cured by medicines alone and not all can be done by surgeries alone. Some nasal pathologies will require medical and surgical methods for adequate relief. If there are any reports from previous ENT doctor visits please attach those in the next query. This will help us unnecessarily repeat investigations and help us diagnose faster. Do attach the x-ray film as well as report in the next query. We do obtain some relevant information from x-rays which we can use here. Until we come out with a clear diagnosis and treatment plan, I would suggest you start on Mometasone spray two puff twice daily and tablet Allegra M once daily. If I were to get a patient in my OPD with these complaints I would give these medicines that I mentioned above. Do revert back so that we can help you.

Was this answer helpful?



This is a sponsored video. icliniq or icliniq doctors do not endorse the content/ad in the video.

Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

What could be the best medicine for allergic rhinitis?

Query: Hi, I am currently using Duonase nasal spray and Odimont LC for the allergic rhinitis. I am getting mild fever after taking Duonase. Is it safe to take Duonase? Can I take Paracetamol for fever while using Duonase? Is there any alternative for Duonase without steroids?  Read Full »

What can be done for blocked nose due to allergy?

Query: Hi doctor, I am suffering from a blocked nose. I have consulted a doctor and he told I am suffering from allergy and it is incurable. I am worried. Please guide me.  Read Full »

Can nasal polyps and inflammed sinus causing loss of smell be cured?

Query: Hello doctor, After a severe cold including heavy sneezing, runny nose that lasted 3 to 4 weeks, I seem to have gradually lost my sense of smell. To clear this severe cold I had to take Avamys. A couple of doctors I consulted said my nose and sinus seem to be inflammed, and there are some polyps in...  Read Full »



Ask your health query to a doctor online?

Ask an ENT Otolaryngologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.



Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.