If you have nasal or sinus congestion while you’re pregnant, talk to your doctor about what’s safe for you. While they might suggest some nonprescription remedies, those recommendations can differ depending on your health and stage of pregnancy.
For example, pseudoephedrine — the main ingredient in Sudafed — isn’t recommended during the first three months of pregnancy due to a potential link to serious birth defects. Ask your doctor about safe nondrug remedies, such as nasal rinses.
Whether your doctor recommends any prescription medicines for your nasal congestion and sinus pressure will depend on the cause, how long you’ve been sick, and how severe your symptoms are.
There’s no prescription remedy for the common cold, which is caused by viruses. However, if your doctor thinks your cold-like symptoms are caused by bacteria, you might get an antibiotic.
Most sinus infections are also caused by viruses and aren’t helped by antibiotics, which treat bacteria. Most cases will go away within two weeks without antibiotics. But if your symptoms last more than a week, get worse after getting better, or come with thick mucus that’s green or yellow, your doctor will be more likely to prescribe an antibiotic.
If you have chronic sinus infections, you might need additional medications or even surgery to deal with underlying causes.
If you have the flu or COVID-19, you might get an antiviral drug to speed up your recovery and reduce symptoms.
If you have allergies, your doctor might recommend prescription versions of some steroid nose sprays and antihistamines.
When you’re stuffed up, one of the best things you can do is keep your nasal passages and sinuses moist. People sometimes think that dry air might help clear up a runny nose, but it actually has the opposite effect. Drying out the membranes will irritate them further.
To keep your nasal passages moist, you can:
Drink lots of fluids. This will thin out your mucus, which could help prevent blocked sinuses.
Use a nasal saline spray. It’s salt water, and it will help keep your nasal passages from drying out. Unlike decongestant nasal sprays, you can use these every day for a long time.
Try a neti pot , nasal irrigator, or bulb syringe. Use distilled, sterile water or water that’s been boiled and cooled to make the solution you pour or squirt into your nose. Rinse the device after each use and let it air dry.
Try some steam. Take long showers.Or breathe in steam from a pot of warm (but not too hot) water.
Other ways to ease sinus congestion:
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