How to care for pediatric rhinitis?

  Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Hello, Dr. Cheng! I saw your specialist on the afternoon of the 12th, my baby was 11 months old, and I asked you about it at that time. The baby’s nose was stuffy and runny for 11 days, and he first went to the internal medicine department for a cold, and then to your quintuplegia department. At that time, he was still having a cold and you said his nostrils were all blocked. I prescribed Benadryl Hydrochloride Oral Solution, Dizone-Sulfamethoxine Nasal Drops, Cefprozil Dry, and Saline Nasal Wash. The night before yesterday, the medication began, the same night the nasal congestion is much better, last night at the beginning is also okay, hot on the air conditioning, open a while again blocked serious, immediately turned off. This morning, after using the medicine, it looks better again 1, the nasal drops only a little, I am afraid that not enough, how long should I use this? 2.Is Benadryl Hydrochloride Oral Solution for cold and flu? How long should I use this? 3, cephalosporin remember you seem to have said to eat a week of. 4.I heard people say that rhinitis can’t be cured, can the baby be completely cured of this condition? I don’t think it will always be a bit stuffy in the future. Thank you, expert!  Expert: It is recommended to use nasal drops for 5 days and oral medication for a full week. Rhinitis is more trouble, and the child’s physique, air environment are related, especially the use of air conditioning, a cold and a hot, the nasal mucosa stimulation.  Patient: The nasal congestion is much better today. If I have a stuffy and runny nose next time, should I go to the quintuplegia department first or should I see the internal medicine department first? Is it bad to use this nasal drops too many times? I usually like to breathe through my mouth sometimes, is this adenoiditis?  Specialist: If you only have a stuffy nose and runny nose, but have a cough and fever, you should go to the internal medicine department. The nasal drops have ephedrine ingredients, and it is internationally recommended to use them for no more than 5 days. Adults do not have adenoids, which may be related to rhinitis.  Patient: Alas, following your method of taking medication and nasal drops, I was basically cured on the fourth day, but I ended up catching a cold and infecting my baby again. On Saturday, I went to the special internal medicine clinic, and I ran out of the cefprozil you prescribed, and the doctor said I should take something called acetylglucosamine (I think that’s the name) for 3 days. The doctor also prescribed Guaifenesin syrup, but no other medicine was prescribed. Now the baby has a slight nasal congestion, a lot of runny nose, a cough, and apparently phlegm. Do I still need to give her nose drops in this case?  Expert: The biggest headache of rhinitis in children is repeated infections, so parents must be careful. The baby has a cold, so the medication will have to be used again. Antibiotic use should be taken seriously because cough with phlegm is caused by upper respiratory tract infection, so internal medicine treatment is the main focus and nasal drops for rhinitis should be used again for 5 days.  Patient: Thank you doctor! I am insisting on giving her the antibiotics, the nasal congestion seems to be mild and I stopped using the nasal drops after 5 days. It seems that I still have to give it to her at night. Patient: According to what you said, the baby has been well for a while. But the night before last, maybe because she wet the bed and the air conditioner was on, her nose got a little stuffy again, not very bad, but I could hear that her breathing was affected at night. In that case, can I still use nose drops for her? This is the third time I’ve given them to her in this period, should it matter? Thank you!  Expert: It is recommended not to use them. If you have nasal congestion, it is safer to use a hormonal nasal spray such as Cochlear.  Patient: Do I have to go to you to prescribe or can I buy this Cozulan spray in the pharmacy, will this drug lead to dependence after using more?  Expert: I don’t know if the drug can be bought, but if not, come to the hospital and prescribe it. Generally speaking, there is no dependency, but if the child has recurrent rhinitis, it is safe to use it for a relatively long time.  Patient: Thank you, doctor! My daughter is usually on guard when she sees a doctor and cries when she touches him, but the other day when you put the device in her nostrils, she not only didn’t cry, but also stared at you curiously. It seems that people are right when they say that children can sense the good and bad of a person, you are really a good doctor, patient and caring. I’m going to the hospital tomorrow weekend to prescribe a bottle of drops, now is a little nasal congestion, last night before going to bed suddenly coughing for a while, as if there is phlegm, today also did not see cough. If the drops do not improve for a while, then go to the hospital to see.