Patient: Description of condition (onset, main symptoms, hospital visited, etc.): The child is six weeks old, always has a runny nose, sometimes coughs at night after sleeping, vomits when there is a cough, and coughs hard when he is accidentally cold, and now feels as if there is a lot of phlegm in his lungs. The CT was taken and it was determined to be paranasal sinusitis and adenoid hypertrophy. I have taken a few boxes of Rhinitis Relief Oral Liquid to get some relief, but now the weather is cold and my nose keeps running. What is the best medicine to take in this case, is conservative treatment possible, and can adenoid hypertrophy be cured without surgery? Cai Xiaolan, Department of Otolaryngology, Qilu Hospital, Shandong University
Cai Xiaolan, Department of Otolaryngology, Qilu Hospital, Shandong University.
Runny nose, it is recommended to try nasal spray treatment with topical hormones (e.g. Nesuna, Cochlear, Renolcort).
With sputum, treatment with mucus thinner (e.g. standard myrtle oil, etc.) is possible.
With cough during sleep, pediatric consultation is recommended to exclude cough allergic asthma and medication if necessary.
Long-term adenoid hypertrophy, where medication is not effective (sleep open-mouth breathing, breath-holding, etc.), surgical treatment is recommended.
Most sinusitis in children can be cured with regular medication if there are no combined nasal polyps.