How is pediatric sinusitis treated?

Patient's question:

My daughter has been suffering from sinusitis and undergoing intravenous drip + microwave treatment for a continuous week. She has been taking anti-inflammatory drugs (penicillin and cephalosporin anti-inflammatory drugs) for a week each, but there has been no improvement so far. The doctor has asked us to continue taking them. I am concerned that long-term use of anti-inflammatory drugs will inevitably cause harm to the child's internal organs. What should I do now?

Doctor's answer:

Hello:
To prevent sinusitis in children, the following points should be mainly noted:
  1. Children should eat nutritious and easily digestible food, and pay attention to supplementing various vitamins and trace elements. Picky eating should be avoided.
  2. Adjust clothing according to weather changes, strengthen physical exercise to enhance physical fitness, and ensure good indoor air circulation during sleep.
  3. Prevent various colds and acute infectious diseases. During epidemic periods, reduce going out or visiting public places.
  4. If tonsillar or adenoid hypertrophy occurs, appropriate treatment is needed.
For the treatment of acute sinusitis, anti-inflammatory drugs are required; for high fever, antipyretic drugs should be used; rest is important; decongestants such as ephedrine can be used in the nasal cavity, which not only improves nasal ventilation but also facilitates sinus drainage and promotes inflammation resolution; steam inhalation in the nasal cavity is highly beneficial. The treatment of chronic sinusitis can also use anti-inflammatory drugs and nasal drops, and sometimes other special therapies are needed, such as negative pressure therapy in the nasal cavity or sinus puncture.

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