Childhood Diseases

Question
Posted by: BMJ | 2011-03-17

Q.

Nose

Dear Doc

My almost 8 year old son has a cold? - He only has a very congested nose - not any other cold symptoms. No fever of cough or sore throat. His nose is not runny, it is very blocked and his ears are discharing (he has his 5th set of grommets as he has a problem with the eustachian tubes blocking up quickly). He battles to breath because his nose is so blocked and he speaks like someone pinching their nose.

I have a neti pot (a little teapost thing that you add a salt/bicarb solution to that rinses the sinusses without going down the throat) and we have used it morning and evening. The gunk coming out smells very foul and is very thick. His nose is so blocked that the water just drips out a drop or two at a time. I have also been spraying his nose with just seawater spray (I forget the name). Last night he was so desperate because he felt like he was suffocating when lying down that I used some peadiatric nasal spray. It obviously helped tremendously and this morning when we rinsed his nose the solution ran through much easier and we were able to rinse out much of the mucous. But the smell was just so awful.

My question is this. In an absense of a fever, do you think he might have sinusitus and need an antibiotic? I know you dont like illiadin, but the poor child is so congested, can we use it for 3 days to get over the worst). The last time we saw our ENT in Jan he gave me a script for Celestemine (
20mg) and said to use it when needed. Is this a when needed case now and for how many days?

Thank you for your advise.

Expert's Reply

A.

Paediatrician

This is really a good question and you have supplied all the necessary information.It does seem that your son has a sinus infection, but in addition he may possibly have enlarged adenoids as well. His very blocked nose and repeated ear infections could well be due to enlarged adenoids. You can certainly use Iliadin for a few days,5 at the most.Celestamine is a very strong cortisone and I would be happier if your son used a short acting cortisone such as Prelone Syrup 10ml daily for 5 days.If you do not have Prelone use the Celestamine only once daily for 5 days. If he does not have a fever he probably does not need an antibiotic. Use a Sterimar nasal spray twice daily to clear his nose of mucus.It seems like the time has come to get a second ENT opinion on your son's problem as he is already 8 years old and is still struggling with illness of his nose and ears.

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1
user comments

C.

Posted by: Regular | 2011-03-17

Illiadin is great if you dont use it longer than 4/ 5 days. Celestamine is strong and not to be given to children as it it a cotisone STEROID - it is the new drug being abused by doctors like anti-biotics were in the 80''s. Then they convince themselves that they did a good thing by not prescribing anti-biotics. Well NEWS FLASH at least the 80''s kids still carried on growing from the ABiotics even though their teeth fell out. Now their teeth stay in but they dont grow as it STUMPS growth!!

Reply to Regular

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