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[Sticky] Nasal Congestion


Michael Gray MD JD
Posts: 108
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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:

  • Cold-like symptoms

  • Seasonal or environmental allergies

  • Post-nasal drip

  • Non-infectious rhinitis (irritants, dryness, weather changes)

  • Early or uncomplicated sinus congestion

During a telehealth visit, the provider can:

  • Review your symptoms and timing

  • Ask about fever, facial pain, or discharge type

  • Look for red-flag signs that need in-person care

  • Recommend or prescribe treatment when appropriate

Typical treatments that may be managed via telemedicine include:

  • Antihistamines (loratadine, cetirizine, fexofenadine)

  • Nasal steroid sprays (fluticasone, budesonide, mometasone)

  • Antihistamine nasal sprays (azelastine)

  • Saline rinses / irrigation

  • Short-term decongestants (if safe)

  • Symptom-relief guidance


🟡 Telemedicine may be appropriate but could require follow-up if you have:

  • Symptoms lasting >10 days without improvement

  • Thick yellow/green discharge with facial pressure

  • Recurrent sinus infections

  • History of nasal polyps or chronic sinusitis

  • Asthma or significant allergies

In these situations, the clinician may recommend:

  • In-person exam or sinus evaluation

  • Possible imaging or ENT referral


🔴 Seek in-person or urgent care if you develop:

  • High fever or severe facial/tooth pain

  • Vision changes or orbital swelling

  • Severe headache or stiff neck

  • Persistent unilateral swelling

  • Shortness of breath or wheezing

  • Signs of allergic reaction or anaphylaxis

These are not typical for simple nasal congestion.


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