Patient's question:
The baby is now 15 months old. On November 15th, I just returned to Beijing from Dalian. Before that, the windows at home in Beijing had been replaced, and two handmade cabinets made by the parents were added to the room. After I came back, I also laid a rug on the floor, but later everything was removed. On the morning of the 17th, the baby started sneezing and having a runny nose. The nasal discharge was clear with a bit of thickness, and it came out in long strands when wiped. On the morning of the 18th, the baby had a fever of around 38°C, which subsided in the afternoon. We gave the baby fluids and used physical cooling methods. For about ten days after that, the baby continued to have a runny nose, with long strands coming out when wiped. Sometimes it was slightly yellowish but still clear and thick. During this time, at Luhui Hospital, the otolaryngology department diagnosed it as a cold, but we didn’t go to the children’s hospital for a second opinion. The baby stopped having a runny nose starting on the 28th, and later, during a trip to a place outside the city, there were no issues. On the night of the 8th, when I took the train back to Beijing, I felt like there was something in my nose again. Starting on the 10th, the baby began to have a runny nose again, with occasional sneezes. The nasal discharge was clear and thick. It has continued until now. Sometimes the baby breathes through their mouth, and it feels like their nose isn’t breathing properly. Even when there is nasal discharge, the baby doesn’t wake up. Sometimes I use a nasal aspirator to help clear it, but it feels like it only solves the surface issue.Doctor's answer:
Here is the English translation of the provided text:---
Hello parents! Childhood rhinitis is a common condition and often occurs alongside colds. The main symptoms include nasal congestion, runny nose, initially clear mucus, which may later become thick or purulent mucus. The most significant impact on infants and young children is difficulty feeding and inability to sleep. Moving to a new environment may trigger allergic issues.
Childhood allergic rhinitis primarily presents with nasal congestion, runny nose (often clear mucus), sneezing, and itchy nose. It is often seasonal-related. If possible, allergy testing can identify the specific allergens, allowing for proactive prevention and avoiding exposure.
Treatment mainly focuses on relieving nasal congestion and promoting mucus drainage. For nasal congestion, oxymetazoline nasal drops can be used (diluted by half for children under 3 years old). Thick mucus can be treated with oral mucolytics like Olramar. Additionally, traditional Chinese medicine may be prescribed. Saline nasal sprays can be used appropriately, and Aichang oral medication may be taken for 3–5 days.
In some cases, it may resolve on its own, but it can recur.
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