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Infection, a cold, allergy attack, will increase blood flow and cause you to be swollen and congested, and even positioning. So if your head is in an elevated position, there’s less chance of having congestion than if you were flat. This is why we tell patients if they have a sinus infection or an allergy attack, try to sleep with your head up on a few pillows. This way, there’s less swelling, less congestion in your nose.