Why do five-year-old children get sinusitis, and how should they be relieved?

Let me answer this question. I answer the question from four aspects.

What is sinusitis?

Why do children get sinusitis easily?

How to alleviate it?

What should I pay attention to in home care?

What is sinusitis first?

Maxillary sinus, ethmoid sinus, frontal sinus and sphenoid sinus are collectively called sinus. Sinusitis is a nonspecific inflammation of nasal mucosa, and it is a common and frequently-occurring disease in rhinology. Children's sinusitis is a common disease.

Why do children get sinusitis easily?

1 You often catch a cold and get sinusitis easily.

Swimming or diving in unclean water.

The presence of foreign bodies will affect the drainage of sinus secretions and also cause sinusitis.

4 children are prone to sinusitis and sinus development is not perfect. The opening of nasal cavity is wide, and bacteria are easy to invade.

5 If the child has dental caries and is not treated in time, it will lead to root inflammation, which can induce maxillary sinus inflammation near the root.

About 65% of children with allergic rhinitis will be complicated with sinusitis.

Among them, cold sinusitis is the most common. Parents often can't tell whether their children have a cold or rhinitis.

There are three characteristics to distinguish a cold from sinusitis.

1. The common cold is mostly nasal discharge, which lasts for a short time and generally starts to improve after two or three days; Sinusitis will last for 7 days or longer, mostly purulent nose that is not easy to blow out and is green or yellow. When it flows back to the pharynx and lower respiratory tract, it will stimulate the throat mucosa, causing itching, cough, expectoration and even nausea.

2. Severe headache. If you feel that your head is heavy or oppressive, and your symptoms get worse after eating some spicy food, it means that this is probably not just a cold.

3. The systemic symptoms of acute sinusitis in children are much more obvious than those in adults. In addition to fever, stuffy nose and runny nose, it is often accompanied by irritability, listlessness and loss of appetite.

How to alleviate it?

1. Children have rhinitis, and it is best to drink boiled water. At this time, inflammation is attacking the child's body. Boiled water can metabolize toxins, play a diuretic role, and discharge more toxins, which is conducive to the rehabilitation of rhinitis; Drinking plenty of water can also soften nasal secretions and avoid blocking children's respiratory tract; You can also give children and freshly squeezed juice. It should be noted that about 20% fruit juice is mixed with 80% boiled water, which can be diluted slightly, as long as it tastes.

2. Wash your nose and suck your nose. Rhinitis is an endemic disease, which is more common in the north than in the south. Many people in the north are "deaf noses", which is actually the sequelae of rhinitis, and they can't smell it. The north is dry and cold, and the nasal mucosa of children is much more fragile than that of adults. At this time, parents can put on masks for their children to go out and wash their noses with light salt water before going to bed at night; There is also nasal fumigation. When a child has rhinitis, there will almost always be a stuffy nose and runny nose. These secretions are big and thick, and they are not easy to blow. Children generally don't blow their noses. They can be atomized by steam. If possible, you can buy an atomizer or smoke with hot water. Be careful not to burn your child. Let the children smoke two or three times a day for 20 minutes each time. After smoking, dry your child's cheeks quickly, and you can go out to get in touch with cold air in an hour, otherwise you will catch a cold easily. If the doctor prescribed medicine for nasal spray for the child, parents are advised to ask the doctor if the medicine can be dripped into the water of the atomizer and sucked into the child's nose with steam. Or ask if you can drop the medicine in hot water and inhale the liquid medicine and steam together, which is equivalent to playing the role of an atomizer.

3 massage

3. 1 Massage Xiang Ying Point and Bitong Point on the face. It can relieve nasal congestion, open nasal orifices and greatly improve rhinitis. Xiang Ying acupoint is located at the lower part of stomach meridian, and receives qi and blood supplied by stomach meridian. Xiang Ying point can disperse lung, relieve exterior syndrome, dispel wind and dredge nose. You can also rub it up and down along both sides of the nose, and massage Xiang Ying point and Nasal Pass point at the same time, which can relieve nasal congestion. 1-3 minutes.

3.2 pinch the back. Let the child lie on the bed, parents should grasp the Du meridian 4-6 times from bottom to top, and then press the lung acupoints emphatically, so that the damp heat and moisture in the lungs can be transported to the bladder meridian and excreted. The lung point is opened near the spinous process of the third thoracic vertebra on the back of children 1.5 inch, and the middle finger is pressed 1 minute each time, which can be repeated three times. Chiropractic, enhance yang, and enhance the body's resistance.

3.3 Rubbing the abdomen, the specific method is to rub it with the palm of your hand, and press it clockwise to rub the child's abdomen for 2-3 minutes. The lung and the large intestine are opposites. Poor defecation will lead to the "internal heat" of the large intestine not being discharged. Over time, it will extend upward to the lung, causing lung fire and making the child's rhinitis relapse.

Note: 1. Acute sinusitis is harmful. If it can be treated early, it will never be delayed.

Sinusitis can be divided into acute and chronic types. Acute sinusitis is easier to cure than chronic sinusitis, and chronic sinusitis has a long course, which will cause greater harm to children's body and mind, so parents must intervene in the early stage of the disease and take their children to see a doctor in time.

2 Be wary of snoring! Signs of chronic sinusitis

Because children's repeated colds are not well treated, acute rhinitis is secondary to chronic sinusitis. Inflammation stimulates children's adenoids for a long time, causing pathological hyperplasia of adenoids, leading to upper respiratory tract obstruction, which will lead to severe nasal congestion, snoring and even apnea for a long time.

Frequent snoring can also make children's sleep and breathing pause repeatedly, causing severe hypoxia in the brain and blood, leading to arrhythmia and even hypoxemia in children.

Therefore, during the onset of sinusitis, try to let the child sleep on the right side. You can also put a small pillow on the child's back when he is sleeping, which helps to keep the child sleeping on his side. This can at least ensure that the child has a normally ventilated nostril, and at the same time, it can avoid the drooping of the tongue and soft palate after sleeping, which will aggravate the obstruction of the upper airway.

1. Children's sinusitis can be divided into three types: acute, chronic and subacute. Acute is less than one month, chronic is more than three months, and subacute is one to three months.

2. Sinusitis is often caused by bacterial infection on the basis of allergic rhinitis, such as Streptococcus pneumoniae, Moraxella catarrhalis and Haemophilus influenzae.

3, symptoms, often runny nose, stuffy nose, headache, dizziness, stuffy nose and so on. , seriously affecting sleep.

4, acute attacks often have pus, jaundice, and even fever, and sometimes vomiting symptoms.

5. Once the child is diagnosed with sinusitis, it is necessary to actively treat it with anti-infection. At the same time, it is also important to spray or rinse the nasal cavity with physiological seawater. If there is an allergic basis, anti-inflammatory, cetirizine and other anti-allergic treatments are also given.

6, prevent colds, enhance physical fitness, and reduce the recurrence of sinusitis.

Dr. Ke is the chief physician of pediatrics and has rich clinical experience. Specializes in children's digestive system diseases, respiratory diseases, chronic cough, acute and chronic sinusitis, allergic rhinitis, Helicobacter pylori infection, chronic gastritis, functional constipation, abnormal liver function, chronic diarrhea, milk protein allergy and other intractable diseases, as well as infant nutrition development and feeding consultation. Pediatric professional consultation, please ask a good doctor to find Director Ke Youjian online. To be friends with health and doctors, welcome to forward your likes, comments and concerns. Sharing is a virtue. If you have any questions, you can leave a message, and Dr. Ke will answer typical questions in a targeted manner during recess. Children's sinusitis is mostly caused by bacterial or viral infection of sinus.

The child has sinusitis, and the biggest cause is upper respiratory tract infection.

The child got pharyngitis or rhinitis, which was not treated in time, and then the pathogenic bacteria entered the sinus with blood circulation, causing inflammatory lesions.

Because it is stimulated by cold air from outside, it will cause sinus edema, which will generally induce sinusitis.

If the child's own sinus opening is relatively narrow, the nasal mucosa is prone to edema, and adenoid hypertrophy will lead to poor drainage and induce sinusitis.

How to relieve children's sinusitis?

In children with sinusitis, antibiotics, such as amoxicillin and clavulanate potassium or second-generation cephalosporins, can be used in the acute stage. It can also be used in combination with nasal spray hormone. When there are many nasal secretions, nasal irrigation can be performed. Oral liquid for promoting excretion.

In addition, we should pay attention to the hygiene of the nose, keep indoor air circulation, avoid inhaling some pollen, and wear a mask when going out to prevent bacteria and viruses from causing some irritation to the nasal mucosa. Pay attention to rest and give nutritious and digestible food. Pay attention to cold and warmth to avoid catching a cold. Strengthen physical exercise and enhance the body's immunity.

Children's sinusitis is a common and frequently-occurring disease in outpatient department. It is very important to take precautions, keep warm at ordinary times and strengthen nutrition.

The causes of children's susceptibility to rhinitis are tender nasal mucosa, rich lymphatic vessels and narrow nasal cavity and nasal passages. Once infection occurs, it is easy to block the nasal cavity and cause nasal congestion. Children's sinus ostium is relatively large, and nasal infection easily invades the sinus through the sinus ostium, causing sinusitis. The baby's physical resistance and adaptability to the outside world are poor, and it is easy to catch a cold and upper respiratory tract infection. In recent years, children with rhinitis in outpatient clinic have found that the incidence of allergic rhinitis in infants is very high. In addition to genetic factors, environmental factors have a very large image of baby allergic rhinitis.

Sinusitis is caused by bacterial infection, so the treatment is mainly anti-infection treatment, not necessarily antibiotic treatment. The purpose of treatment is to improve the symptoms of nasal congestion, restore ventilation, facilitate drainage, diminish inflammation and allergy, and irrigate the nasal cavity. Only by insisting on treatment can it be effective.

Pediatric sinusitis is a common disease in otorhinolaryngology, characterized by stuffy nose, runny nose and headache.

What is sinusitis? Inflammation of one or more sinuses is called sinusitis, and the sinuses involved include: maxillary sinus, ethmoid sinus (which develops earlier, so it is the first to be involved), frontal sinus and sphenoid sinus (which usually develops around 3 years after birth and is involved later).

Sinusitis can be divided into acute sinusitis and chronic sinusitis.

Acute sinusitis is mostly caused by upper respiratory tract infection, and bacterial and viral infections can be complicated.

Chronic sinusitis is more common than acute sinusitis, often involving multiple sinuses at the same time.

How to prevent 1? Strengthen physical exercise, enhance physical fitness and prevent colds (key points).

2. Pay attention to nasal hygiene at ordinary times.

3. Develop a good hygiene habit of washing nose in the morning and evening.

4. Nose massage, etc

I hope I can help you!

The incidence of sinusitis in children is very high, and almost every child has sinusitis once. Under normal circumstances, children under the age of seven or eight have a higher frequency of sinusitis every year.

Then why do children get sinusitis?

First of all, children's immunity is relatively low and they are prone to various diseases.

Second, children have low immunity and are prone to catching a cold. The normal frequency of childhood colds should be four to six times a year, which means once every two months on average. If not handled properly in this process, it is very easy to cause sinusitis.

The third is related to air pollution, urbanization and the application of food additives in China, the poor environment around children and the decline of children's immunity.

How should the child get sinusitis?

1. Anti-inflammatory drugs: glucocorticoid is used in nasal cavity, such as fluticasone propionate, budesonide and mometasone furoate, and the course of disease is not less than 12 weeks.

Second, antibacterial drugs: when chronic sinusitis is accompanied by acute infection, choose appropriate antibacterial drugs for treatment.

Third, nasal irrigation or sea salt nasal washing.

In addition, children are advised to strengthen physical exercise, improve physical fitness, enhance immunity, pay attention to weather changes, increase clothing in time, avoid catching a cold, have a light diet, have balanced nutrition and eat more fresh fruits and vegetables.

Sinusitis is a common problem in children. The symptoms of sinusitis in children are similar to those in adults, and can also be divided into acute and chronic, but the symptoms in pediatric sinusitis are more serious than those in adults.

First, because children's organs are fragile, the virus spreads quickly; Second, because children don't understand the disease and their expressions are vague, parents are easy to ignore it and only find it when it is serious.

Acute sinusitis in children is more acute, with headache as the main symptom in adults and systemic symptoms in children.

Systemic symptoms of acute sinusitis: The symptoms of this disease are mild in adults, including low fever, chills, loss of appetite and general malaise. The child's symptoms are severe, including respiratory symptoms such as high fever, cough and shortness of breath, as well as vomiting and diarrhea.

Systemic symptoms of chronic sinusitis: children may have listlessness, impatience and irritability, loss of appetite, emaciation, dysplasia and low fever. Children may have symptoms of gastrointestinal dysfunction such as cough, nausea, vomiting and diarrhea due to the reflux or swallowing of purulent nasal secretions.

Local symptoms of acute sinusitis: nasal congestion, dysosmia, increased nasal secretions, headache and local pain. Patients with acute sinusitis are often accompanied by severe headache, and coughing, shaking their heads or being shaken are often aggravated.

Local symptoms of chronic sinusitis: intermittent or recurrent nasal congestion, runny nose is mainly sticky or mucus, often hanging on the upper lip. Sometimes, when the runny nose flows back into the pharynx, there is no runny nose. Sometimes there may be nosebleeds, or nasal vestibular eczema symptoms such as flushing, erosion and exudation in nasolabial groove.

Complications or secondary symptoms: due to frequent nasal congestion, children breathe with their mouths open, which will affect the development of cheeks and chest for a long time; Children are underdeveloped, and sinusitis infection is easy to spread. Inflammation invading adjacent organs can lead to osteomyelitis of maxilla, pharyngolaryngitis, chronic otitis media, cervical lymph node enlargement, conjunctivitis, dacryocystitis and so on. Because the larynx is not well protected, secretions are easy to choke into trachea and bronchus, causing lower respiratory tract infection.

When a child says that he has a bad headache or is very sensitive to light, it means that his sinusitis may have caused some serious complications. At this time, parents must take their children to see a doctor as soon as possible.

The best way to relieve sinusitis is to do a good job of prevention, wash your hands frequently at ordinary times and vaccinate on time, which can reduce the chance of upper respiratory tract infection in children, thus reducing the risk of sinusitis in children. Secondly, if the child has allergic rhinitis, try to avoid contact with allergens. In addition, we should pay attention to avoid staying in an environment with poor air quality for a long time and reduce the chance of second-hand smoke. Pay attention to children's light diet, avoid irritating cold food, pay attention to the combination of work and rest to ensure adequate sleep, strengthen physical exercise and enhance resistance.

Often catching a cold is easy to get sinusitis, swimming or diving in unclean water, and the presence of foreign bodies affects the drainage of secretions in sinus. Children are prone to sinusitis, underdeveloped sinuses, large nasal openings and easy invasion of bacteria. If the child has dental caries and is not treated in time, it will lead to root inflammation, which can induce maxillary sinus inflammation near the root. About 65% of allergic rhinitis in children will be complicated with sinusitis, which are the inducement of sinusitis.

Children have rhinitis, and it is best to drink boiled water. At this time, inflammation is attacking the child's body. Boiled water can metabolize toxins, play a diuretic role, and excrete more toxins, which is conducive to the rehabilitation of rhinitis. Before going to bed at night, wash your child's nose with light salt water, and the child will get rhinitis. There will almost be a stuffy nose and runny nose. These secretions are large and thick, and it is not easy to clean them up.

Sinus is some cavities in the bone wall around the nasal cavity, which communicate with the nasal cavity. The mucosa covered by sinuses is the same as that of nasal cavity. Generally, when the nasal mucosa is inflamed due to virus or bacterial infection, the inflammation often involves the sinus mucosa at the same time, forming sinusitis. The main symptoms of sinusitis are repeated runny nose, which can be sticky nose, clear nose, aggravated cough at night, obvious edema of sinus mucosa, decreased sense of smell, headache and facial pain, and breathing with the mouth open when sleeping.

The most common cause of sinusitis is a cold, followed by air pollution and second-hand smoke. Most of them are caused by virus infection and have a certain degree of self-healing. Generally, about 7- 10 days, the course of disease can subside by itself. If the child has a runny nose with a cough at night for more than 10 days and there is no relief, the possibility of bacterial sinusitis should be considered. It is suggested that otolaryngologists can use antibiotics according to the doctor's advice after face-to-face consultation. Amoxicillin-potassium clavulanate is the first choice, and it is usually taken for 7- 10 days.

How to care at home?

1. Parents can wash their noses with normal saline, which helps to prevent the formation of nasal scabs and dilute nasal sinus secretions. You can also use nasal drops, nasal sprays and nasal washing pots, depending on your child's specific situation and cooperation!

2, keep the air moist, if the home is dry, you can use a humidifier, moderately around 55%;

3. Avoid contact with irritating gases such as second-hand smoke, dust and lampblack.

4. Pay attention to washing hands frequently and cleaning toys regularly, so that children don't touch their mouths, noses and eyes, and try not to go to crowded places. When sneezing, it is best to cover your nose and mouth with paper towels to reduce the spread of the virus and do more outdoor activities.

Remember to get the flu vaccine recently to enhance your body's resistance.

Children are prone to sinusitis, mainly because their body resistance is weak, and it is easy to cause upper respiratory tract infection because of catching cold and other factors, which is related to recurrent upper respiratory tract infection, because upper respiratory tract infection is the main inducing factor of sinusitis. Other children have narrow nasal cavity, which is easily blocked by inflammatory factors, leading to poor ventilation and drainage of sinus, which leads to sinusitis.

How does the child get sinusitis to alleviate?

If the child is diagnosed with sinusitis, it is suggested to use fluticasone nasal spray, oral Biyuan Tongqiao Granule and azithromycin under the guidance of a doctor, and promote the recovery of sinusitis according to the doctor's advice. The nasal cavity can be cleaned with normal saline, and it also has a certain cleaning and sterilization effect.

In daily life, children need to pay attention to cold and warmth, appropriately increase or decrease clothing, and avoid repeated upper respiratory tract infections, which will prevent sinusitis to a certain extent. At the same time, we should also pay attention to proper exercise, enhance physical fitness and improve physical resistance. If the resistance is high, it is not easy to get sick. Pay attention to a light diet, strengthen nutritional balance, eat more fresh fruits and vegetables, and not be picky about food. Pay attention to personal hygiene and keep the indoor air fresh.