Patient: 4 months antibiotics for children ephedrine herbal hospital homemade nasal drops 7-year-old child, in February after a sense Chang has been nasal congestion, mucous snot, nasal flow phenomenon, and one side of the bleeding. The doctor said that it was sinusitis and allergic rhinitis. I took a lot of anti-inflammatory drugs. I had injections. Every time I use new medicine, I can always get better for a few days, but after a week, I will have yellow snot again, like a new sensation, and often one side is good and the other side is not. I have seen several good local hospitals, and I have been taking medicine for several months, but my child’s nose is still not clear and has yellow snot, and now he often says he is dizzy. Please help me, Dr. Lin, as an anxious mother. Quanzhou First Hospital, Department of Otolaryngology Lin Weinian: Do you have snoring at night? If so, you should focus on adenoid hypertrophy. There should also be problems with allergic rhinitis, and I wonder if sneezing and nasal itching are obvious? Patient: Thanks to Dr. Lin’s reply, my child snored a lot some time ago, but after the medication, he only snored when he was lying on his back, but when he was lying on his side, he only had heavy breath sounds, but sometimes he would sleep with his mouth open, and he had difficulty breathing just after turning over. The corresponding anterior lower airway is relatively narrow, and adenoid hypertrophy is considered, but the specialist said that the airway should be sufficient, and adenoid hypertrophy is not very heavy. He has an itchy nose, but basically he doesn’t sneeze without topical medication, and he has used loratadine, which makes his nose feel less runny, but he has had diarrhea after eating it. My child used to cough when exposed to pollen, but this time she also coughs first after being exposed to pollen and has symptoms of sensitization, and then she has a fever. The cough stopped after the injection and medication, but the nose never healed. I found the film from the beginning of the month and uploaded it. Please take a look at it. In the past few months, my child has used meloxicillin, dalexin, eaten cephalexin, cefixime, amoxicillin, amoxicillin clavulanic acid tablets, loratadine, nasal inflammation, also drank a week of Chinese medicine, topical ephedrine 0.5 percent, and also went to the children’s hospital with two topical drugs of unknown composition. Now I have alternating nasal congestion on both sides, and usually one side will blow out a little more yellow snot once a day (very sticky, sometimes a little greenish). Quanzhou First Hospital, Department of Otolaryngology Lin Weinian: From the film, adenoid hypertrophy (moderate to high degree) but there is obstruction of 2/3 of the posterior nostril, tonsils are also large, but this section seems to be effective after treatment (snoring reduced), feel that the drug antibiotics use too much variety, suggest the use of cefixime (you have used), loratadine + paracetamol 2mgtid (must add paracetamol), supplemented with Genoton 0. 12, bid. Intranasal spray can be used once a day with endosulfan. Nasal replacement therapy (nasal aspiration) should be done at the hospital if there is a lot of nasal purulent snot. Diagnosis: adenoid hypertrophy, chronic tonsillitis? , allergic rhinosinusitis. Surgery should be considered if the above treatment does not improve in 2 weeks. Good criteria: significant improvement of nasal ventilation, disappearance of nasal mucus or turning to a small amount of clear mucus, further reduction of snoring (it takes quite some time for adenoids to decrease by medication and they do not always decrease). After reaching the above criteria, we will contact you again and use different medications. Patient: Hello Dr. Lin, thank you very much for your help. I have been taking the medicine as described above for 3 days, and today my child has no more pus, but only dry nasal scabs, but the breathing sound has not improved significantly, and my child’s throat discomfort is more obvious than before (he said it is too dry), I would like to ask if I should continue to take antibiotics. The first hospital in Quanzhou City otorhinolaryngology Lin Weinian: antibiotics for two more days, the local nasal cavity can be some gentamycin eye ointment, breathing sound is not significantly improved should be adenoid hypertrophy, can continue to eat a period of paracetamol + pidomod. Patient: Hello Dr. Lin, is it possible to stop taking Genoton and Loratadine, now the child has a little swelling in one turbinate, and the nasal voice is still heavy, Nesuna has only been sprayed for two days, do you need to spray again for a while. Quanzhou First Hospital, Department of Otolaryngology Lin Weinian: Ginoton and loratadine should be eaten for 2 weeks, mainly to help the nasal function to recover without any side effects, endosuna spray for a period of time. Patient: Hello, Dr. Lin, I’d like to say thank you with great gratitude today, I’ve used the medicine according to your instruction, and now my child has a very obvious improvement, and I’ve only sprayed Nesuna in the past few days because I was out, and it didn’t repeat. The child is still breathing louder at night and snoring once or twice after turning over, so I would like to ask Dr. Lin to take a look at whether he needs to continue taking oral medication (he has been using it for almost two weeks) and whether he needs to spray Nesuna again for a while. Do I need treatment? The first hospital in Quanzhou City, Department of Otolaryngology Lin Weinian: Nighttime breathing is still louder because of adenoid hypertrophy, oral medication can be eliminated, but endosuction can be sprayed once a day for another two weeks. But there may be repeated, should pay attention not to catch a cold.