Sinusitis

Sinusitis is a blocked nose with thick mucous that lasts for more than 7 days and is usually accompanied by a fever. This occurs because the drainage tubes from the sinuses are blocked by the congested nose. If the nose is blocked then the sinuses will be blocked and the normal mucous that is produced in our nose and sinuses does not drain properly. The fluid collects in the sinuses and leads to congestion, pain in the face, a blocked nose, fever and infection.

Effect on feeding: Aside from not being able to breathe while feeding, your baby will also have a loss of appetite due to the fever and generally feeling unwell.

What to do: The treatment is to clear the congestion by flushing the nose with sterile saline solutions and then to use nasal drops or sprays that contain cortisone. Antibiotics are necessary if there is fever and pain.

When to call the doctor: If your child is still sick after 48 hours on treatment of if his eyes and the eyelids start to become puffy and red it is necessary to see the doctor again.

Hay fever

Hay fever is correctly known as Allergic Rhinitis, which is an allergic condition that causes:

  • Itchy nose and eyes
  • Watery runny nose
  • Sneezing
  • Blocked nose

The sneezy, runny itchy nose happens quickly when we are exposed to something to which we are allergic, like grass or cats or dogs. The nasal blockage and thick discharge happens a few hours later. It is important to note that there is no fever and no feeling of being acutely ill.

If this condition is not diagnosed and treated properly it leads to chronic blockage of the nose and causes:

  • Poor sleeping
  • Loss of appetite and poor feeding
  • Snoring
  • Frequent ear infections or Sinusitis
  • Feelings of tiredness and lethargy

This chronic nasal blockage and sinus congestion causes specific features on the face.

  • Dark rings under the eyes
  • Mouth breathing
  • Lines on the lower eyelid
  • Upwards rubbing of the nose (nasal salute)
  • A line across the top of the nose (nasal crease)
  • High arched palate

What to do:

Allergic rhinitis is generally very easily treated by:

  • Identifying the allergy either from the history of knowing that the symptoms are worst when around cats or dogs or grass or by performing specific allergy tests.
  • Treating the condition with safe nose drops or nasal sprays that contain cortisone. These medications are safe and do not contain the harmful cortisones (steroids) you read about. These medications are regarded as controlling medications and should be used for long periods of time.
  • Using antihistamines to treat the acute symptoms. The antihistamines must be the new generation antihistamines that do not cause drowsiness. Please check this with your doctor or pharmacist.

When to call the doctor: There are a number a different combinations of medication to treat this so if the medication is not working, call your doctor.