If adults are not present to see it, the first indication may be a foul-smelling nasal discharge caused by an infection and irritation from the foreign object. Adults with mental problems rarely put objects in their nostrils. When the effects of medication wear off, patients who use nasal decongestant sprays for more than 3 to 5 days commonly experience significant rebound congestion (the return of worse-than-before congestion). Then, in a never-ending loop of worsening congestion, they continue to take the decongestant. This scenario (rhinitis medicamentosa) may endure for a while if incorrectly understood as the continuation of the underlying condition rather than a side effect of medication. People suffering with vasomotor rhinitis experience recurring watery nasal discharge that appears without warning.
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