Paediatric Runny Nose in Winter

June 5th, 2018 by admin in Nose Clinic, Paediatric Otolaryngology Comments Off on Paediatric Runny Nose in Winter

Paediatric Runny Nose in WinterEntering winter, you will notice that many of your children have a perennial runny nose.

The most common causes of this are viral upper respiratory tract infection. Even if the mucous becomes quite thick and yellow, it is unlikely to be a significant bacterial infection.

Remember that diagnosis of sinusitis in children is uncommon, and is the most common causes of inappropriate use of antibiotics.

What should you do?
• Encourage your child to blow his or her nose frequently, long and slow, rather than big trumpets.
• Wash the nose out with any commercially availably saltwater spray.

In terms of proprietary medication, low-dose water-based surface acting steroids are not good in the acute situation. They need five to ten days to stabilize the lining of the nose, and then slowly shrink it down.

Antihistamines are good drying agents. They can be taken orally (in which form they tend to be more effective in children), or by way of a spray. When the nose is running, penetration by way of a spray is poor.

Newer antihistamines are non-sedating, but some of the older antihistamines have a mild sedative effect. It is a good medication to give children in the evenings because it not only dries their nose, but also helps them sleep.

We have a vast experience in the diagnosis and management of a variety of nose and sinus conditions in children, and if after discussing the problem with your local doctor, you have any concerns, please contact Havas ENT Clinics and we would be delighted to help you.