
Even without a cold, holding a finger beneath the nostrils while breathing gently often reveals stronger airflow on one side. Later, the difference may reverse. This alternating pattern is called the nasal cycle, and by itself it does not mean that the nose is malfunctioning.
The inferior turbinates on both sides contain abundant vascular tissue. As the autonomic nervous system regulates those vessels, tissue on one side becomes slightly more engorged and narrows the passage, while the other side contracts relatively and carries more air. The balance then gradually changes. This is not an on-off switch that completely closes one nostril; it is a slow shift in the relative resistance of the two passages. Its timing and prominence vary with the person, time and environment, so there is no single clock that applies to everyone.
Posture also changes what we notice. When lying on one side, the lower side often becomes more congested, making the upper nostril feel clearer. The change is not instant after turning because vessels and tissue need time to readjust. Exercise, temperature, irritants and nasal disorders can also alter airflow, so one observation cannot establish a cause.
The central point is that unequal airflow between the nostrils is often dynamic regulation rather than abnormality. Persistent marked blockage on the same side, however, especially with recurrent bleeding, pain or a lasting change in smell, should not simply be labelled a nasal cycle and may warrant professional assessment. This article describes general physiology, not an individual diagnosis.
https://pubmed.ncbi.nlm.nih.gov/11039867/
https://pubmed.ncbi.nlm.nih.gov/30193745/
Discover more from Geoffrey Chen
Subscribe to get the latest posts sent to your email.