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Nasal congestion is a common symptom associated with viral upper respiratory infections (colds). Congestion is almost always viral and may be relieved by using nasal saline spray, suctioning, running a humidifier, and sitting in a steamy bathroom. Keeping the head elevated as much as possible throughout the day and when asleep at night can also be helpful. Decongestant medication such as phenylephrine or pseudoephedrine can be used in children 6 years and older. Most children with nasal congestion will start with clear nasal discharge for 2-5 days, then thicker, yellow or green discharge for 2-5 days, and finally it will go back to clear and runny. It is not uncommon for nasal congestion to last for 2 weeks or more.

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