When a child cannot breathe through the nose during nighttime sleep, it is usually related to factors such as a cold, nasal inflammation, or enlarged adenoids. Parents should first try using saline solution to clean the child’s nasal passages to remove secretions. If this measure does not improve the situation, prompt medical attention should be sought to identify the underlying cause through professional examination and then initiate targeted treatment based on the diagnosis.
Common reasons for nasal congestion include nasal mucosal congestion and swelling due to a cold, nasal inflammation such as chronic rhinitis, allergic rhinitis, nasal congestion caused by sinusitis, and adenoid enlargement obstructing nasal airflow. Positional nasal congestion is also a factor, especially when a child is lying on their side. Dry environments can also lead to the accumulation of nasal secretions, exacerbating the sensation of nasal congestion.
For relief, gently massaging the child’s outer nasal wings can help with nasal airflow. Depending on the specific condition, patients with chronic rhinitis may be advised to use specific nasal sprays and oral medications; allergic rhinitis patients may be recommended nasal corticosteroid sprays and antihistamines; while sinusitis treatment may involve nasal drops and oral granules. Mild cases of adenoid enlargement can be managed with nasal sprays and oral medications, but severe cases may require surgical intervention.
To prevent and alleviate nasal congestion, ensure that the child is adequately warm during sleep to prevent colds; maintain fresh air in the bedroom, and use a humidifier to regulate indoor humidity as needed. In cases where nasal congestion is affected by position, discomfort can be reduced by adjusting the sleeping position, such as elevating the pillow.
