Provided is a nasal congestion reliever which is highly effective, gives an excellent use feeling, and can be used without anxiety. The nasal congestion reliever includes a refrigerant and an exothermic composition which comprises an oxidation accelerator having an iodine adsorption of 500 mg/g or less, an oxidizable metal powder, and water, at least the exothermic composition being held in an air-permeable bag.