Patient's question:
My child is two and a half months old. Their eyes are always tearing. There is also yellow discharge. My child is two and a half months old. Their eyes have been tearing. Only one eye is tearing. There is also yellow discharge, and their eyes can't open. Now their eyes are a bit swollen. I feel that if it's a bit cooler in the room, it would be better. Heat seems to make it worse. The hospital said it's inflammation and prescribed eye drops. They don't seem to be very effective. What disease does my child actually have? How should it be treated?Doctor's answer:
From your description, it is highly likely that the child may be suffering from dacryocystitis. If the child only has excessive, pale yellowish-white discharge in one eye, or if only one eye frequently appears "tearful," then the possibility of lacrimal duct obstruction or dacryocystitis is greater. It is recommended to first perform a lacrimal sac massage on the child. The method is as follows: use the thumb to gently press from the inner canthus along the nose bridge upwards towards the alar groove, five times a day, with five presses each time. I vaguely remember that it is essential to trim the fingernails neatly. If there is no improvement after the lacrimal sac massage, it is recommended to proceed with a lacrimal duct probing, preferably when the child is three months old. This is because the child's lacrimal puncta will have developed sufficiently at this age, making it easier to clean and probe, and the child will also be less resistant. If the child is older and more resistant, the probing will be more difficult.