What are Signs of a Deviated Septum?

Chronically congested? Reduced sense of smell? Not-so-silent sleeping? Although these symptoms can have many causes, they could be linked to a deviated septum.

What is a Deviated Septum?

A deviated septum is a common condition that can have a surprisingly big impact on your comfort. The nasal septum is the thin wall of cartilage and bone that separates the two sides of the nasal passages. Ideally, it sits near the center in the nose, allowing air to flow in and out evenly. If the septum is significantly off center, it can make breathing difficult and contribute to a range of frustrating symptoms.

What are the Signs of a Deviated Septum?

One of the most noticeable signs of a deviated septum is chronic nasal congestion, especially if you notice it on one side more than the other. Many people with a deviated septum feel like they can’t fully breathe through their nose, even when they don’t have a cold or allergies. This may be worse at night or when lying down, making sleep uncomfortable.

Frequent sinus infections can also be a clue. When the septum is crooked, it can interfere with proper sinus drainage, allowing mucus to build up and creating an environment where bacteria can grow. If you deal with constant sinus pressure, facial pain, postnasal drip or recurring infections, a structural issue like a deviated septum may be part of the problem.

Another common symptom is noisy breathing or snoring. A narrowed nasal passage can restrict airflow during sleep causing snoring, mouth breathing, restless sleep or waking up feeling dry and tired.

Nosebleeds may happen more often as well. When airflow is uneven, one side of the nose can become dry and irritated, increasing the likelihood of bleeding. Some people also experience crusting, nasal discomfort or a feeling of pressure inside the nose.

Headaches and facial pain can sometimes be related to a deviated septum, particularly if the septum is pressing against sensitive structures inside the nose. While not everyone with a deviated septum has pain, chronic pressure or unexplained facial discomfort should be evaluated.

You may also notice a reduced sense of smell, especially if chronic congestion or inflammation is present. Over time, limited airflow and swelling can affect how well odors reach the smell receptors in the nose.

Do I Need Treatment?

It’s important to know that many people have a mildly crooked septum and never need treatment. But if symptoms are affecting your breathing, sleep, exercise or quality of life, it’s worth seeing an ENT specialist. A simple nasal exam can determine whether a deviated septum is contributing to your symptoms. Treatment may include medications to reduce swelling or, in more severe cases, a surgical procedure called septoplasty to improve airflow.

If you know or think you have a deviated septum and would like relief, request an appointment with Biltmore ENT today.