Why does nasal congestion persist despite treatment?

Hello,

Welcome to icliniq.com.

I can understand your concern.

Thank you for the details. Based on your symptoms, it sounds like you may be dealing with either a viral sinus infection (viral rhinosinusitis) or a bacterial sinus infection (bacterial sinusitis).

A viral sinus infection often starts like a common cold, with congestion that worsens over time, and nasal sprays or rinses may not help much. Mild fever, dizziness, and thick congestion (yellow or green mucus) are common, and most viral cases improve in seven to ten days, although congestion can last longer.

A bacterial sinus infection, though less common, may occur if symptoms worsen after five to seven days or are very severe. Signs of bacterial sinusitis include facial pain or pressure, pus-like mucus, a bad smell, and a fever over 38.5°C (101.3°F). In such cases, oral antibiotics might be needed. To manage your symptoms, you can try steam inhalation three to four times a day to help loosen mucus and continue using a saline rinse twice daily.

However, avoid overusing decongestant sprays as they can worsen congestion if used too much. An oral antihistamine like Cetirizine or Loratadine can help if allergies are contributing to your symptoms. A mucolytic, such as Guaifenesin, may also help thin the mucus.

You should see a doctor if symptoms persist or worsen after seven to ten days, if your fever returns or spikes, or if you experience facial pain or swelling, or notice that your mucus is dark yellow or green and smells foul.

I hope this helps.

Thank you.