Differential Diagnosis for Sleep Disturbance without Sleep Apnea but with Nasal Obstruction
- Single most likely diagnosis:
- Allergic rhinitis: This condition is characterized by nasal congestion, itching, and sneezing, which can lead to sleep disturbances due to nasal obstruction. The symptoms can be exacerbated at night, leading to poor sleep quality.
- Other Likely diagnoses:
- Deviated septum: A deviated septum can cause nasal obstruction, leading to breathing difficulties and sleep disturbances.
- Nasal polyps: These are growths in the nasal passages that can cause obstruction, leading to sleep disturbances and other respiratory issues.
- Chronic rhinosinusitis: This is a condition characterized by chronic inflammation of the nasal passages and sinuses, leading to nasal congestion, facial pain, and sleep disturbances.
- Environmental allergies: Allergies to dust, mold, or pet dander can cause nasal congestion and sleep disturbances.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.):
- Nasopharyngeal cancer: Although rare, nasopharyngeal cancer can cause nasal obstruction and sleep disturbances. Early detection is crucial for effective treatment.
- Granulomatosis with polyangiitis (GPA): This is a rare autoimmune disorder that can cause nasal obstruction, sinusitis, and other systemic symptoms.
- Rare diagnoses:
- Sarcoidosis: This is a rare autoimmune disorder that can cause granulomatous inflammation in the nasal passages, leading to obstruction and sleep disturbances.
- Primary ciliary dyskinesia: This is a rare genetic disorder that affects the cilia in the nasal passages, leading to chronic respiratory infections and nasal obstruction.
- Nasal tumors (e.g., adenocarcinoma, squamous cell carcinoma): These are rare tumors that can cause nasal obstruction and sleep disturbances.