HomeAnswersInfectious Diseasesnasal congestionI suffer from nasal congestion due to a cold. Please help.

How to ease nasal congestion due to a week-long cold?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At May 10, 2024
Reviewed AtMay 10, 2024

Patient's Query

Hello doctor,

I am a 22-year-old dealing with a week-long cold, and my nose is consistently blocked, impacting my daily routine. Please recommend remedies or medications to alleviate nasal congestion.

Thank you in advance

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Cold or common cold is caused by specific upper respiratory viral infections, resulting in symptoms like cough, nasal and paranasal sinus inflammation, postnasal drip, eye and throat irritation, and nasal congestion. Relief options include both medicinal and non-medicinal approaches. Non-medicinal solutions involve regular steam inhalation and warm water saline gargles.

Medicinal therapy comprises anti-inflammatory medications (for example, Paracetamol, Aceclofenac), antihistamines (for example, Bilastine, Levocetirizine), and decongestants (for example, Phenylephrine and Azelastine nasal spray).

I suggest that antiviral and antibacterial medications should be used based on a physician's assessment and symptoms to address the root cause.

Please inform us about any medications you have already taken, and we can discuss and suggest alternative options.

I hope this helps.

Kindly revert in case of any further queries so I can assist you further.

Thank you.

Investigations to be done

Investigations to be done are: 1. X-ray - nasal and paranasal sinuses, chest 2. CBC (complete blood count), ESR (erythrocyte sedimentation rate).

Treatment plan

I suggest the following treatment plan: 1. Azelastine nasal spray- Adults and children 12 years of age and older— one or two sprays in each nostril two times a day or twice in each nostril once a day. Each spray contains 137 or 205.5 micrograms (mcg) of Azelastine.  2. Tablet Levocetirizine 5mg and Montelukast 10mg, one tablet once daily for five days. 3. Ascoril D plus syrup (Syrup Phenylephrine 5 mg, Chlorpheniramine maleate 2 mg, and Dextromethorphan hydrobromide 10 mg) one tablespoon thrice daily for three days. 4. Tablet Paracetamol 650 mg one to two tablets SOS (when body temperature exceeds 100 F) (not more than 2200 mg/day).

Preventive measures

The preventive measures include: 1. Steam inhalation. 2. Warm saline water gargles.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shubadeep Debabrata Sinha
Dr. Shubadeep Debabrata Sinha

Infectious Diseases

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