Patient: Description of condition (onset, main symptoms, hospital visited, etc.): My son is now nine years old, he started to have rhinitis in 07 (five years old), he commits 4 – 5 times a year, this time the disease is too long, it started in August 2010 to July 2011. When it is light, he blows his nose 3 – 5 times from 9 am to 4 pm, and when it is heavy, he blows his yellow nose for about 20 minutes, sometimes with blood, and his throat always feels like something is making the sound of ‘hmm, hmm’ to clear the secretions, and his voice will be mute when there are more times. After falling asleep at night, there is no feeling of nose blockage, and the night ventilation is normal. At the end of July this year, I took the same medication as before (rhinitis pellets and Xuejianin tablets) and recovered from the disease, but in mid-September, I started to feel a blocked nose and was prescribed nasal drops at the local children’s hospital. The diagnosis was chronic allergic rhinitis and sinusitis. In September 2010, he underwent a CT examination at a local hospital and was diagnosed with paranasal sinusitis and bilateral inferior turbinate hypertrophy, and in November 2010, he was diagnosed with hypertrophic rhinitis, nasal septum deviation and adenoid hypertrophy through imaging. On the same day a local hospital endoscopically diagnosed adenoid hypertrophy. One doctor at Children’s Hospital diagnosed chronic sinusitis and one diagnosed allergic rhinitis. Do we have allergic rhinitis or sinusitis. If it is sinusitis, should we stop taking allergy medications such as budesonide and montelukast? Will it develop into nasopharyngeal cancer after several years. I’m scared to death. How should we treat it? I believe you, Dr. Wang, give me some pointers first, and I will go to your hospital when I am on vacation! Thank you! Now on October 6, I am taking medicine: nasal inflammation granules and Xuejiansu tablets, which are effective: on October 7, my nose is snotty a dozen times a day, still yellow. Anti-inflammatory drugs, Archie, cephalosporin. We are all chronically allergic, with 3-5 days of medication, the body will be pimples in patches, but must be used when, as a child, often play Archie, last month played cephalosporin, also eat Rohon. You see that the best effect applies to this disease, we are advised to use. The diagnosis is confirmed and the medication is recommended. Thank you, Wang Chengshuo, Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital: Overall feeling: the history of the disease is long and the treatment process is rather tortuous. There may be inappropriate over-treatment in the middle. A human body is complex and may combine multiple diseases at the same time, which requires various examinations to clarify the diagnosis and targeted treatment. Suggestions are as follows: 1, if long-term yellow runny nose, nasal blockage, the most likely to suffer from sinusitis (if you want to confirm the diagnosis can be done sinus CT examination), can consider: Nesuna nasal spray + children’s oral treatment with Genotone capsules. 2, if long-term nasal congestion, runny nose, nasal itching, sneezing, the most likely to suffer from allergic rhinitis, you can confirm the diagnosis by performing allergen skin test with the ENT department of a large local hospital. Once the diagnosis is confirmed, the treatment can be: endosulfan nasal spray + kairetan syrup oral. 3. Sinus CT or fiberoptic nasopharyngoscopy can diagnose adenoid hypertrophy. However, if there is no open-mouth breathing or apnea during sleep, even mild hypertrophy does not require surgery. 4, if the history of more than 3 months, the significance of antibiotics is very limited at this time, can be used sparingly or even not. Misuse of antibiotics is one of the biggest misconceptions about chronic sinusitis in children. 5, the most important thing: as a 5-year-old child, it is not necessary and should not do any so-called surgery of the nasal cavity except in extreme cases. This is because almost the vast majority of children with sinusitis can be cured medically or even on their own. It is unfair to the child to make the decision to operate lightly. The above points are for reference only.