Chronic Congestion in Cats: When a Stuffy Nose Won’t Go Away

Updated September 25, 2026. Fact-checked against veterinary sources; review by a licensed veterinarian is in progress. See our editorial policy.

Quick answer: Most stuffy noses in cats are from upper respiratory infections and clear within a couple of weeks. When congestion lasts for weeks or keeps coming back, it’s called chronic rhinitis, and it often has an underlying cause: long-term damage from feline herpesvirus, dental disease, nasal polyps, fungal infection, foreign objects, or tumors. Finding the cause, sometimes with a CT scan and rhinoscopy, guides treatment. For short-term colds, see nasal congestion in cats.

Signs of chronic congestion

  • Nasal discharge or sneezing lasting more than 2–3 weeks, or recurring
  • Noisy breathing or snoring
  • Discharge from one nostril only
  • Nosebleeds
  • Swelling over the nose or face
  • Reduced appetite (cats rely on smell to eat)

Common causes

  • Chronic rhinitis after herpesvirus: permanent damage to the nasal lining, with recurring flare-ups and secondary bacterial infections
  • Nasopharyngeal polyps: benign growths, often in young cats, causing noisy breathing
  • Dental disease: tooth root infections draining into the nose
  • Fungal infection: cryptococcosis can cause a swelling over the nose
  • Foreign bodies, such as grass blades
  • Nasal tumors, such as lymphoma, especially in older cats

Diagnosis

  • Exam, including the mouth and teeth
  • FeLV/FIV testing and fungal blood tests
  • CT scan and rhinoscopy under anesthesia
  • Biopsy and culture

Treatment

  • Removal of polyps or foreign bodies
  • Dental treatment
  • Antifungal medication for cryptococcosis
  • Radiation or chemotherapy for nasal lymphoma
  • For chronic rhinitis: humidity, saline nebulization if recommended, antibiotics during bacterial flare-ups, and anti-inflammatory medication in some cats

Home care

  • Steam or humidifier sessions
  • Gently wipe discharge
  • Warm, strong-smelling wet food
  • Reduce stress, which can trigger herpes flare-ups

What to avoid

  • Human decongestants and nasal sprays
  • Essential oils
  • Repeated antibiotics without looking for a cause

Sources

  • Merck Veterinary Manual: Rhinitis and sinusitis in cats
  • Reed N. Chronic rhinitis in the cat. Vet Clin North Am Small Anim Pract. 2014
  • Cornell Feline Health Center: Feline upper respiratory infection
  • Merck Veterinary Manual: Cryptococcosis

This article is for general education and is not a substitute for care from your own veterinarian. Learn about The Pet Vet and our editorial policy.

Scroll to Top