Why Alcohol Causes Sinus Congestion

If you sometimes develop nasal stuffiness and sinus congestion associated with drinking alcohol, you are not alone. These relatively common symptoms occur for a variety of reasons, working alone or in combination.

In most people, this congestion clears relatively quickly. In some cases, rapid development of congestion and other symptoms associated with drinking represents acute alcohol sensitivity 1. This genetic condition most commonly occurs in people of East Asian descent.

Vasodilation

You've probably noticed that drinking often makes you feel warm. This occurs because alcohol triggers expansion of the blood vessels near you — body surfaces — including the lining of you nose and sinuses. This extra blood flow can lead to temporary swelling and increased mucus production, potentially provoking nasal and sinus congestion.

Dehydration

Alcohol Sensitivity Symptoms

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Alcohol acts as a diuretic, meaning you lose increased amounts of body water through your kidneys. This can potentially lead to dehydration with increased thickness of the mucus in your nose and sinuses that might lead to congestion.

Additionally, some research data from animal experiments suggest that alcohol itself might increase the thickness of the mucus secretions of your upper respiratory system independent of inducing dehydration. However, this has yet to be proven in humans.

High Histamine

Eating high-histamines foods while you're drinking can further boost the histamine level in your body and increase the likelihood of developing symptoms. Common high-histamine foods frequently paired with beer or wine include:

• aged cheese
  
• peanuts
  
• cured meats
  
• pickles
  
• olives
  
• guacamole
  
• sour cream

Vasomotor Rhinitis

Allergic Reaction Rash to Alcoholic Drinks

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Like many medical terms, vasomotor rhinitis sounds ominous but generally is not. The condition involves development of upper airway-related symptoms in response to environmental triggers, including drinking alcohol.

Other possible triggers include strong smells and exposure to cold air, among others. Typical symptoms include a runny nose and congestion, which might be accompanied by postnasal drip, headache and/or a dry cough.

Vasomotor rhinitis does not involve an allergic reaction, although the exact mechanisms leading to congestion remain incompletely understood. Some researchers speculate that the condition represents exaggerated sensitivity of the lining tissues of the nose and sinuses.

Genetic Causes

Your body primarily breaks down alcohol in two steps, each dependent on a separate enzyme. Genetic variations in these enzymes influence how your body metabolizes alcohol and related symptoms you might experience. People of Chinese, Japanese and/or Korean descent often have a variant of one or both enzymes that leads to an impaired ability to metabolize alcohol.

Those who have these variant enzymes typically experience pronounced facial flushing, a rapid heart rate, and nasal and sinus congestion shortly after drinking even a small amount of alcohol. Other genetically determined variations in the first enzyme involved in alcohol breakdown can cause similar symptoms in people of non-Asian descent, although this is less common.

Sinus congestion that clears up within a day or so after drinking alcohol typically poses no cause for concern. You might try switching the type or brand of alcoholic beverage you typically drink or the foods you eat along with your drink to see if you can avoid this unpleasant symptom.

See your healthcare provider if your sinus congestion persists or is accompanied by warning signs or symptoms, including wheezing, hives or facial pain, to rule out an underlying medical problem.