Patient's question:
A three-year-old child has been having clear nasal discharge for more than half a month. Occasionally, they burp, and the nasal discharge is not much. Sometimes, it doesn't flow for a long time. It also doesn't interfere with taking naps or eating dinner. This morning, they started having yellow nasal discharge, which is more than before and very thick. What could be the reason? Is medication necessary?Doctor's answer:
In this case, it may be acute sinusitis. It is recommended to first visit an otolaryngology department for a follow-up examination. If necessary, a nasal endoscopy or sinus CT scan can be performed to confirm the diagnosis. If it is confirmed to be acute sinusitis, the treatment should focus on anti-infection and promoting the discharge of secretions: 1. If there is no allergy, amoxicillin-clavulanate potassium, a penicillin-class drug, or second-generation cephalosporins such as cefuroxime or cefaclor can be considered. 2. Mucolytics such as guaifenesin or ambroxol can be used for promotion of secretion discharge.