Beyond the sniffles: How untreated sinus problems impact your sleep, mood and mental health
- Dimpho Ditsebe
- Aug 1
- 4 min read
August may be a month of crisp mornings and dust-laden winds, but for many South Africans, especially in areas like Johannesburg and Soweto, it’s also the season of blocked noses, heavy heads, and poor sleep. We often brush off sinus issues as minor annoyances. But persistent nasal congestion, post-nasal drip and facial pressure can do more than interrupt your day; they can disrupt your sleep cycle, drain your energy, and affect your mental health.
What are sinus issues, really?
Explore the sinuses in 3D: For a more interactive understanding of sinus anatomy, visit the BioDigital Human model to see how these cavities are structured and how inflammation affects them. Sinuses are hollow cavities in your skull that help regulate airflow and protect against infections. When these cavities become inflamed due to allergies, infection, or irritants like dust, it leads to symptoms such as:
Constant throat clearing
Blocked or runny nose
Facial pain or pressure
Itchy ears, eyes, or throat
That "piggy scratch" sensation behind the palate
Sleep, Interrupted
Sinus congestion makes it difficult to breathe freely at night. You might:
Wake up often to clear your throat or blow your nose
Sleep with your mouth open, leading to dry throat and disturbed rest
Struggle to fall asleep due to pressure or discomfort
When airflow through the nasal passages is obstructed, the body's oxygen intake can decrease, leading to fragmented sleep and shallow breathing. Sleep becomes less restorative, and REM cycles, essential for cognitive and emotional processing, are disrupted. REM (Rapid Eye Movement) sleep is one of the deepest stages of the sleep cycle, where dreaming occurs and the brain consolidates memory, regulates mood, and supports learning.
Many people use, Apple watches, Garmin trackers or similar fitness trackers to track their runs, steps, and Discovery Vitality points. But these devices can also offer powerful insights into your health, if you pay closer attention. Your sleep tracker can tell you how long you spend in REM, how often you're waking during the night, and even how your breathing changes when you're congested.
Take a moment to review your health metrics and compare them to recommended values for your age group. If your sleep patterns are irregular or your REM is consistently low, it may be time to explore whether sinus issues are affecting your rest more than you realised.
Over time, poor sleep impacts memory, concentration, and decision-making. It also fuels irritability and emotional fatigue, especially if sinus symptoms persist for weeks. Many patients report feeling foggy-headed, unable to focus, and emotionally reactive, all of which are compounded by the chronic discomfort associated with inflamed sinuses.
BioDigital Human. (2024). Sinus Anatomy – Interactive Model.

The Mental Health Link
When you're not sleeping well and you're constantly battling sinus discomfort, your mood can suffer. Irritability, low motivation, and even anxiety are common side effects of prolonged poor sleep and chronic inflammation.
Sinus-related sleep disruption not only affects emotional regulation, but also alters the brain's ability to manage stress. Chronic inflammation is known to interfere with neurotransmitter function, including serotonin, contributing to mood instability and even depression. Over time, this creates a feedback loop: the more discomfort you feel, the less you sleep; the less you sleep, the more sensitive you become to inflammation and stress.
In fact, studies have linked allergic rhinitis and chronic sinusitis with increased rates of depression and sleep disorders. It’s not just about the nose, it’s about the nervous system and the overall burden on mental health.
What Can Be Done?
At Myclinic, we approach sinus care holistically:
Assess – Is it allergy, flu, or chronic rhinitis?
Treat – Use antihistamines, nasal sprays, or decongestants properly.
Educate – Patients learn how to reduce environmental triggers like dust, pollen and smoke.
Review – If symptoms persist, we assess for chronic care or refer to ENT specialists.
What Can You Do at Home?
Preventing or reducing sinus flare-ups starts with daily habits:
Keep windows closed during high dust days, especially in August.
Dust and clean surfaces regularly, including fans and curtains.
Rinse nasal passages with saline spray or solution (avoid harsh chemicals).
Take a warm shower before bed to clear nasal passages.
Wash bedding often, especially pillowcases.
Avoid cigarette smoke and strong perfumes that can worsen irritation.
Stay hydrated, thin mucus drains more easily.
These small steps can help reduce triggers and support better sleep and breathing.
Don’t Ignore Your Sinuses
If you’re constantly waking up tired, irritable, or foggy-headed, your sinuses may be part of the problem. Treating sinus issues early not only improves sleep and breathing, it restores quality of life.
Walk in for sinus relief that works. 📍 No appointment needed
🌐https://www.myclinichealthcare.co.za/soweto
References
BioDigital Human. (2024). Sinus Anatomy – Interactive Model. https://human.biodigital.com/view?id=production/maleAdult/sinus_anatomy&lang=en&ref=nativeIOS
Chen, F., Liu, L., Wang, Y., Hu, K., Ma, B., & Chi, J. (2022). Prevalence of depression and anxiety in patients with chronic rhinosinusitis: A systematic review and meta-analysis. Otolaryngology–Head and Neck Surgery, 0(0). https://doi.org/10.1177/01945998221082538
Harvard Medical School. (2021). Sleep and health. https://www.health.harvard.edu/diseases-and-conditions/sinusitis
Liu, J., Zhang, X., Zhao, Y., & Wang, Y. (2020). The association between allergic rhinitis and sleep: A systematic review and meta-analysis of observational studies. PLOS ONE, 15(2), e0228533. https://doi.org/10.1371/journal.pone.0228533
Mayo Clinic. (2023). Acute Sinusitis. https://www.mayoclinic.org/diseases-conditions/acute-sinusitis/symptoms-causes/syc-20351671
NHS. (2022). Sinusitis. https://www.nhs.uk/conditions/sinusitis-sinus-infection/
Sinus & Allergy Wellness Center. (n.d.). Natural remedies for sinus infection relief: What works and what doesn’t. Retrieved August 1, 2025, from https://www.sinusandallergywellnesscenter.com/blog/natural-remedies-for-sinus-infection-relief-what-works-and-what-doesnt
Disclaimer: This article is intended for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions you may have regarding a medical condition.
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