When you come in to the The Breathe Clear Institute, we will ask you about your symptoms and perform a thorough exam. For the majority of patients, this involves the placement of a small endoscope about the size of a strand of spaghetti into your nose. This portion of the exam is called sinonasal endoscopy and it helps us determine whether there are polyps, a deviated septum, or other structural issues contributing to your congestion. An allergy test is often part of the workup as well. Once the cause or causes have been identified, the treatment can then be customized for you. Medications, in-office treatments, and in some cases minimally invasive procedures in the operating room can provide the relief you need.