Nose - congested; Congested nose; Stuffy nose
INFANTS AND YOUNGER CHILDREN
For babies or infants who are too young to blow their nose:
- Buy saltwater (saline) nose drops or make your own by stirring 1/4 teaspoon of salt into 1/2 cup lukewarm water (make this fresh every day).
- Lay your child on his or her back, placing a rolled towel underneath the shoulders. Put 2 or 3 saline nose drops into each nostril. Wait 30 - 60 seconds.
- Turn the child on the stomach to help the mucus drain. Try to catch the discharge outside the nostril on a tissue or swab. Roll the tissue or swab around, and pull the discharge out of the nose. Do not insert a cotton swab into the child's nostrils.
- You can use an infant nasal bulb (aspirator) to help remove the mucus. Squeeze the air out of the bulb and then gently place the tip into the nostril. Let the air come back into the bulb, pulling the mucus out of the nose with it. Squeeze the mucus onto a tissue.
Other tips to help infants and younger children include:
- Raise the head of your child's bed. Put a pillow underneath the head of the mattress. Or, place books or boards under the legs at the head of the bed.
- Encourage your child to drink plenty of fluids. Breast-feed or formula-feed young infants often. Older children may drink extra fluids, but those fluids should be sugar-free.
- You can try a cool-mist vaporizer, but avoid putting too much moisture in the room. Clean the vaporizer every day with bleach or Lysol®.
- You can also steam up the bathroom shower and bring your child in there before bed.
- Nasal sprays and cough and cold medicines are not recommended for children under age 2. They also do not seem to be effective in older children.
OLDER CHILDREN AND ADULTS
Over-the-counter medicines may help relieve a stuffy nose and can make breathing more comfortable.
- Decongestants shrink the blood vessels in the lining of the nose. These medicines only relieve stuffiness, not a runny nose or other symptoms. Decongestant nasal sprays and drops should not be used for more than 3 days, because after that time they can make the congestion worse.
- Antihistamines may reduce the amount of mucus. Be careful, because some antihistamines make people drowsy.
These medicines do not treat the underlying condition. Many over-the-counter allergy and cold medicines contain multiple ingredients, so look carefully to see what is in the one you choose.
Medicines are not the only way to relieve a stuffy or runny nose. Often, gentler solutions are better. Try these steps to thin the mucus, which can help you breathe easier and get nasal secretions back to normal:
- Use gentle saline nasal sprays.
- Increase the humidity in the air with a vaporizer or humidifier.
- Drink extra fluids. Hot tea, broth, or chicken soup may be especially helpful.
Review Date: 11/02/2009
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.