Allergy and sinus conditions are common in children, whose sinuses continue to develop well into the teen years. Allergy and sinus symptoms are similar, making a proper diagnosis a bit challenging. An ENT specialist can recommend diagnostic testing to help pinpoint the cause of what is ailing your child.
Allergy Causes
When allergies are to blame, the immune system responds to a perceived threat by flooding the bloodstream with chemicals called histamines, which attack the offending substance but cause inflammation and swelling of the airways in the process. Common allergy triggers include pollen, mold, animal dander, dust mites, chemicals, medications, and certain foods.
Pediatric sinusitis is usually the result of cold viruses, and may be aggravated by allergies. It can be either acute (short-term) or chronic (lasting longer than 12 weeks and recurring frequently). Distinguishing whether your child’s symptoms are the result of allergies or a sinus condition is the key to successful treatment.
Allergy Symptoms
Symptoms of allergy and sinus conditions include runny nose, sneezing, stuffiness, coughing, sore throat, wheezing, headaches, snoring, and itchy eyes (these may also be watery) and nose.
In addition to a physical examination, your child’s doctor will carefully inspect the ears, nose, and throat for signs of infection. Skin and blood tests will likely be administered to determine whether an allergen trigger is responsible.
Pediatric Sinusitis
Children’s sinuses aren’t fully developed until they are teenagers, making them more prone to sinus infections than adults. These may be difficult to diagnose since the symptoms of sinusitis are identical to those found in other conditions such as colds and allergies.
Sinusitis Causes
Sinusitis occurs when the tissues lining the sinuses become swollen and inflamed, interfering with the drainage of mucus. It is usually caused by a cold or allergies, but can also occur as the result of structural abnormalities like nasal polyps or a deviated septum, injuries to the face, or immune system disorders.
Sinusitis Symptoms
Symptoms of sinusitis in children mimic those of the common cold and include irritability, runny nose, congestion, sore throat, cough, postnasal drip, facial pressure and swelling, headache, fever, fatigue, loss of smell and taste, and a thick yellow-green nasal discharge. When sinusitis is the culprit, symptoms usually persist longer than a week to ten days, the typical duration of a cold.
Children who are exposed to tobacco smoke, suffer from allergies, attend daycare or preschool, and experience acid reflux are more prone to developing sinusitis.
Sinusitis Treatment
Your child’s doctor or an ENT specialist will examine the ears, nose, and throat, and may order a CT scan to look for physical obstructions of the sinuses, to confirm a diagnoses of sinusitis.
Treatment depends on whether the condition is acute (short-term) or chronic (lasting 12 weeks or longer). Acute cases can be treated with antibiotics and nasal decongestant or saline sprays or drops. Symptoms should improve after a few days of treatment, but the full course of antibiotics (if prescribed) must be taken in order to prevent the sinus infection from returning. Chronic sinusitis is more serious, and requires a long-term medical or surgical solution. An appointment with an otolaryngologist should be made in order to determine the best option for treatment.
Call Lakelands ENT at (864) 227-6741 for more information or to schedule an appointment.
Call Lakelands ENT at (864) 227-0444 for more information or to schedule an appointment.
