Yes — nasal congestion is a common concern that can often be evaluated and treated through telemedicine, depending on the suspected cause and severity.
👍 Telemedicine is usually appropriate when congestion seems mild-to-moderate or routine
A virtual clinician can help assess:
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Cold-like symptoms
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Seasonal or environmental allergies
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Post-nasal drip
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Non-infectious rhinitis (irritants, dryness, weather changes)
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Early or uncomplicated sinus congestion
During a telehealth visit, the provider can:
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Review your symptoms and timing
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Ask about fever, facial pain, or discharge type
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Look for red-flag signs that need in-person care
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Recommend or prescribe treatment when appropriate
Typical treatments that may be managed via telemedicine include:
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Antihistamines (loratadine, cetirizine, fexofenadine)
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Nasal steroid sprays (fluticasone, budesonide, mometasone)
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Antihistamine nasal sprays (azelastine)
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Saline rinses / irrigation
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Short-term decongestants (if safe)
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Symptom-relief guidance
🟡 Telemedicine may be appropriate but could require follow-up if you have:
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Symptoms lasting >10 days without improvement
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Thick yellow/green discharge with facial pressure
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Recurrent sinus infections
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History of nasal polyps or chronic sinusitis
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Asthma or significant allergies
In these situations, the clinician may recommend:
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In-person exam or sinus evaluation
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Possible imaging or ENT referral
🔴 Seek in-person or urgent care if you develop:
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High fever or severe facial/tooth pain
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Vision changes or orbital swelling
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Severe headache or stiff neck
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Persistent unilateral swelling
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Shortness of breath or wheezing
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Signs of allergic reaction or anaphylaxis
These are not typical for simple nasal congestion.
