Why might a nasoendoscopy be recommended?

A GP or ENT specialist may recommend a nasoendoscopy to help investigate:

  • persistent throat discomfort or a sensation of a lump in the throat
  • ongoing hoarseness or voice changes
  • chronic nasal blockage or congestion
  • post-nasal drip or persistent throat clearing
  • difficulty swallowing
  • unexplained cough
  • suspected inflammation, infection, or structural changes

In many cases, a nasoendoscopy is performed to identify benign causes and provide reassurance.

A nasoendoscopy involves passing a thin, flexible camera through the nose to view the upper airway.

  • The procedure is usually performed in an outpatient clinic
  • A local anaesthetic spray may be used in the nose
  • The test itself typically lasts a few minutes
  • You remain awake throughout

The procedure is usually well tolerated, though brief discomfort or watering of the eyes can occur.

How do I prepare for a nasoendoscopy?

Preparation is minimal.

In most cases:

  • no fasting is required
  • you can take your usual medications
  • the test can be performed during a routine clinic visit

Your clinician will advise if any specific preparation is needed.

Is a nasoendoscopy safe?

Nasoendoscopy is a widely used and very safe investigation.

Possible side effects include:

  • mild nasal discomfort
  • sneezing or watering eyes
  • a small amount of nosebleed, which usually settles quickly

Serious complications are very rare.

What happens after the test?

After a nasoendoscopy:

  • findings are often explained immediately
  • further tests or treatment depend on what is seen
  • many patients are reassured and require no further investigation

Further Reading and Hub Links

Visit our Medical Investigations hub or browse more health topics in the AccessGP Knowledge Base.

If you have concerns about an upcoming nasoendoscopy or wish to discuss symptoms, a GP can help advise on next steps.

Last reviewed by Dr Zamiel Hussain, GMC registered GP
Updated: 4 January 2026