How do you know if you have a deviated septum? 7 possible signs
You will become familiar with the main signs and symptoms of this condition and learn when it is time to contact an ENT specialist to identify the best solution for your individual case.
What is nasal septal deviation and how does it occur?
Septal deviation represents a bending or deformation of the nasal wall that separates the nostrils. This wall, called the nasal septum, can be deviated congenitally, meaning from birth, or following trauma or surgical intervention. Septal deviation can vary in intensity and can affect one or both parts of the nasal septum [1].
Septal deviation can be managed conservatively or, in some cases, surgery for septal deviation may be necessary. If you suspect such a diagnosis, contact your doctor – after an objective evaluation, they will offer you personalized solutions.
Common symptoms of septal deviation
Common symptoms of septal deviation can vary in intensity and can affect different aspects of respiratory health. Here are some of the most frequent symptoms:
1. Breathing difficulties: One of the most common symptoms of septal deviation is difficulty breathing through one or both nostrils. Septal deviation can partially or completely block airflow, making normal breathing difficult. This difficulty may be more pronounced during a cold or allergy, when the nose is already inflamed and congestion is more severe [2].
2. Frequent nosebleeds: Septal deviation can also affect the nasal mucosa, promoting its drying and the occurrence of frequent nosebleeds. Usually, these bleeds are minor, but they can be bothersome and may require treatment. Nosebleeds may be more frequent during winter, when dry air can aggravate the dryness of the nasal mucosa [3].
3. Facial pain: The pressure exerted by septal deviation can cause facial pain. This may appear especially in the morning, because the deviation can interfere with normal sinus drainage during the night. The pain may be localized in the sinus area and may be accompanied by a sensation of pressure or nasal congestion [4].
4. Sleep problems: People with septal deviation may experience sleep-related problems, such as snoring or sleep apnea. Septal deviation can affect airflow during sleep, which can lead to noisy breathing and breathing interruptions. These problems can affect sleep quality and can lead to fatigue or drowsiness throughout the day [5].
Lesser-known signs of septal deviation
Lesser-known signs of septal deviation can provide useful information in identifying this condition. Here are some of these signs:
5. Difficulties in perceiving smells: A less discussed sign of nasal septal deviation is difficulty or inability to perceive smells. A deviated nasal septum can obstruct the nasal passages and, consequently, can limit airflow, thus affecting the sense of smell.
6. Frequent sinus infections: If a person suffers from sinus infections more often than is considered normal, this may be a sign of septal deviation. The deviation can block normal sinus drainage, promoting mucus accumulation and thus increasing the risk of infections [3].
7. Frequent headaches: Another lesser-known sign of septal deviation may be represented by frequent headaches. These can be caused by pressure exerted by the deviated septum on the internal walls of the nose. Increased pressure can cause headaches and discomfort in the head area [2].
After a detailed examination of the symptoms and signs of septal deviation, it is clear that this condition can have a wide range of manifestations and can significantly affect quality of life. If you suspect you have septal deviation, it is essential to seek medical help for a correct diagnosis.
Bibliography:
1. Australia, Healthdirect. “Deviated Septum.” www.healthdirect.gov.au, 6 July 2021, accessed on 1.08.2023;
2. “Deviated Septum – Symptoms and Causes.” Mayo Clinic, 2019, accessed on 1.08.2023;
3. “Deviated Septum: What Is It, Causes, Treatment & Symptoms.” Cleveland Clinic, accessed on 1.08.2023;
4. Marks, Hedy. “Deviated Septum.” WebMD, WebMD, 13 July 2010, accessed on 1.08.2023;
5. Votel, Kaitlyn. “Are Your Nasal Symptoms Caused by a Deviated Septum? Learn How to Tell.” HealthPartners Blog, 16 Jan. 2023, accessed on 1.08.2023.
