Nasal congestion is incredibly common and rarely due to nose cancer, especially at age 22. Typical signs of nasal cavity cancer include persistent blockage on one side, frequent nosebleeds, or a lump in the neck. Nasivion (oxymetazoline) can provide temporary relief by reducing swelling in your nasal passages. However, it should only be used for a maximum of 3 to 5 consecutive days to prevent worsening congestion. If your symptoms persist or worry you, please consult a doctor for a proper evaluation.

Long-term nasal pain and itching are commonly due to Allergic rhinitis or chronic irritation of the nasal lining. Try to avoid dust, smoke, and strong smells, use saline nasal spray or steam inhalation for relief, and an antihistamine like Cetirizine may help reduce symptoms. Avoid picking or scratching the nose, as it worsens irritation. If symptoms persist for a year, it?s best to see an ENT specialist for proper evaluation and long-term treatment.

What you are describing sounds like chronic Eustachian tube dysfunction, which can start after flight-related pressure changes. Since the oxymetazoline (Nasivion) spray didn't provide lasting relief, the tube that equalizes pressure in your ear remains restricted. Please be reassured that this is a very common issue. I highly recommend following up with an ear, nose, and throat specialist. They can evaluate the tube directly and discuss other helpful options, such as prescription steroid sprays, specialized pressure exercises, or minor procedures to finally bring you relief.

Septoplasty and functional endoscopic sinus surgery (FESS) are excellent, highly effective procedures. They physically correct your deviated septum and improve sinus drainage, which should significantly and long-lastingly reduce your symptoms. While these surgeries address the structural causes, they may not completely eliminate future mild allergies or colds. Additionally, long-term use of Nasivion (oxymetazoline) can cause rebound swelling. Over time, reducing this spray under your doctor's guidance will be key to your recovery. I highly recommend discussing realistic expectations and post-operative care with your ENT specialist to ensure the best possible long-term outcome.

Your chronic nasal congestion may be related to vasomotor rhinitis, where temperature changes from cold drinks trigger sensitive nasal blood vessels. Additionally, regular use of decongestant sprays can cause a cycle of rebound congestion. Regarding your sleep, while alcohol might help you fall asleep, it disrupts your sleep architecture. As your body metabolizes it, alcohol reduces deep REM sleep and triggers a rebound effect in the second half of the night, leading to lighter sleep and early waking. I highly recommend speaking with a healthcare professional to help you safely transition off the nasal sprays and find lasting relief.

It is very common to experience mild ear discomfort and itching during a cold, as congestion can block the tube connecting your nose and ears. Since you are using Nasivion (oxymetazoline), please ensure you limit its use to no more than 3 to 5 consecutive days to avoid rebound congestion. To ease your ear symptoms, try applying a warm compress over your ear and stay well-hydrated. If needed, simple over-the-counter pain relievers like paracetamol can help. Please consult a doctor in person if your ear pain worsens, or if you develop a fever or discharge.