Why Does the Nose Swell During Pregnancy?

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Why Does the Nose Swell During Pregnancy?
Pregnancy is a special period in which expectant mothers go through many physical and emotional changes. One of the most common complaints during this time is swelling of the nose. Many mothers-to-be, especially in the second and third trimesters, notice significant changes in the shape of their nose. So, why does the nose swell during pregnancy? Let’s take a closer look at the causes, duration, and possible precautions.

What Is Nasal Swelling in Pregnancy?
Nasal swelling during pregnancy occurs when hormonal changes cause edema in the nasal tissues and dilation of the nasal blood vessels. The nose may appear larger, fuller, and sometimes redder than usual. While most women experience this as a temporary change, it can still be bothersome from an aesthetic point of view.
The increase in estrogen and progesterone hormones during pregnancy leads to fluid retention in the body. This fluid buildup shows itself not only in the hands and feet but also in the nose. Therefore, the most fundamental answer to the question “Why does the nose swell during pregnancy?” is hormone-induced edema.

Why Does the Nose Swell During Pregnancy?
This question can be approached from several angles:
- Hormonal Changes: The rise in estrogen during pregnancy causes dilation of blood vessels in the nose. This leads to swelling in the nasal tissues, making the nose look larger.
- Fluid Retention (Edema): The body retains more fluid during pregnancy. This edema is especially visible in the face. Hence, fluid retention is another reason why the nose swells during pregnancy.
- Increased Blood Volume: A pregnant woman’s blood volume increases by about 30–50%. This also fills the nasal blood vessels with more blood, contributing to swelling.
- Allergic Reactions and Infections: Since the immune system works differently during pregnancy, allergic rhinitis and upper respiratory infections are more common. These can cause nasal congestion and swelling.
In short, the answer to “Why does the nose swell during pregnancy?” lies in both natural physiological processes and environmental factors
Is Nasal Bleeding and Congestion Normal During Pregnancy?
Along with nasal swelling, congestion and occasional nosebleeds can also occur. As blood vessels dilate, the nasal mucosa becomes more sensitive. This makes nosebleeds common, especially in dry or hot environments.
Nasal congestion is also a natural result of hormonal changes and edema. However, if breathing becomes severely difficult, consulting a doctor is recommended. Still, in most cases, congestion and nosebleeds are considered a normal part of pregnancy.
When Does Nasal Swelling Start and How Long Does It Last?
Nasal swelling usually becomes noticeable in the middle of the second trimester, around weeks 16–20, when hormone levels peak.
After birth, as hormones return to normal, swelling gradually decreases. Most women notice their nose returning to its original state within a few weeks postpartum, though for some it may take longer.

Ways to Reduce Nasal Swelling in Pregnancy
In addition to asking “Why does the nose swell during pregnancy?”, many expectant mothers also wonder how to reduce it. Here are some tips:
- Reduce Salt Intake: Too much salt increases fluid retention, worsening edema.
- Drink Plenty of Water: Staying hydrated helps reduce swelling.
- Mind Your Sleeping Position: Keeping your head slightly elevated can ease congestion.
- Steam Inhalation: Inhaling warm steam helps open nasal passages and reduce swelling.
- Exercise and Walks: Regular activity improves circulation and decreases edema.
- Use a Humidifier: Especially in winter, a humidifier prevents nasal dryness and irritation.
These methods may not eliminate swelling completely but can significantly relieve it.
When to See a Doctor?
Although nasal swelling during pregnancy is usually harmless, medical advice is needed in some cases:
- If swelling increases suddenly and excessively,
- If it’s accompanied by high blood pressure, headaches, or vision problems,
- If congestion severely affects breathing,
- If there are frequent or heavy nosebleeds.
Such symptoms could indicate preeclampsia (pregnancy toxemia) or other health issues.
Pregnancy-related nasal changes may surprise mothers-to-be, but it’s important to remember that the main causes are usually natural and temporary—hormonal changes, edema, and increased blood volume.
Swelling generally subsides after childbirth. Still, lifestyle adjustments and simple precautions can help ease discomfort. If swelling becomes abnormal or occurs alongside other symptoms, consulting a doctor is the safest choice.
Swelling generally subsides after childbirth. Still, lifestyle adjustments and simple precautions can help ease discomfort. If swelling becomes abnormal or occurs alongside other symptoms, consulting a doctor is the safest choice.
Why Does the Nose Swell During Pregnancy? Frequently Asked Questions (FAQ)
The main reason is hormones. Increased estrogen and progesterone dilate nasal blood vessels and cause fluid retention, which leads to swelling.
Usually no. It often resolves naturally after delivery. But if swelling comes with high blood pressure, headaches, or vision problems, a doctor should be consulted.
It typically becomes noticeable in the second trimester, after week 16–20, and usually decreases a few weeks after birth.
Cut back on salt, drink enough water, walk regularly, try steam inhalation, and sleep with your head slightly elevated.
Yes, it is. Because the blood vessels in the nose are dilated, the mucosa becomes more sensitive. Occasional bleeding is normal, but if it’s frequent or heavy, a doctor should be consulted.