Our expert says:
The role of an ENT is to manage sinusitis, rhinitis and earproblems related to this, but NOT to treat the asthma. It is a fact that uncontrolled nasal symptoms will badly affect the asthma. A child of 7 only has limited developement of the sinusses, as the frontal sinus for instance only developes after this age.
Post nasal drip can never be completely cleared, as a certain amount is necessary for normal functioning of the airways.
It is important in your child's case that there is a close relationship between his ENT and Paed, as he would benefit from a combined approach. Your ENT will advise if surgical intervention is required, as this may alleviate symptoms, but not cure his allergies.
Swimming is generally regarded as a good form of exercise for an asthmatic, so the deterioration in symptoms may be related to chemicals in the water? A salt chlorinator would be much better than chlorine, as chemicals may be to blame for his problems. Saltwater douches is regarded as beneficial for sinus disease, so one would at least expect his symptoms to remain stable. Discuss this with your paediatrician, as a balance is necessary regarding
your sons symptoms and his levels of activity.
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