M.P. asks from Greenville, SC on September 24, 2008
Is This Allergies?
My 4-year-old has always had "issues" that seem to be allergy-related, but never anything that seemed to fit the classic definition of allergies. Since the spring, though, she's been chronically congested. And I don't mean the runny slimy type of congestion, I mean like rocks in her nose. I started her on Claritin- I noticed a difference at first, but then it stopped being effective. At her check-up in August, I asked the doctor if she had allergies and he said yes, it was definitely allergies that was causing the congestion.
He gave us a prescription for an antibiotic (for a boo boo that had gotten infected) and encouraged us to keep using the Claritin. Here's the thing, though- when she began taking the antibiotic, her congestion went away. Completely. After the antibiotic, she was good for a while, but slowly the congestion came back and now we are back to having tiny boulders in her nose again. It's really awful.
When I think of allergies, I think of runny noses, snotty sneezes, watery eyes, etc. My daughter doesn't have any of this. She doesn't have any chest congestion, and she never ever sneezes. In the mean time, I can hardly keep her nose cleared, and now it's getting bloody. Poor thing! We use the saline drops to loosen up the congestion, but with her bloody nose, the salt on the wounds just hurts her. We've tried the humidifier, but she won't stay in one room for very long (even at night).
Does this sound like allergies? If not, what else could it be? If so, what else can I do?
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V.E. answers from Atlanta on September 25, 2008
Have her allergy tested or do a process of elimination. Take any carpet or draperies from her room along with stuffed animals and vaccum daily. Is her bedden hypoallergenic? What about food - Milk and wheat are two very common foods to be allergic to. It can be a very long process. V.
J.E. answers from Macon on September 25, 2008
I have had allergies since I was a child and they never involved a bloody nose. I think I would have to get a second opinion. Congestion was and still is part of my problem, but you also have the runny nose sometimes.
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D.P. answers from Atlanta on September 25, 2008
The saline drops are such low salt -- it's the level of salt that's in tears -- or in boogers -- or in blood... I'm surprised the salt is causing her pain. If anything, the saline should be comfortable on her raw nasal passages. Truly. Saline should be soothing. -- In fact, my advice would be to rinse her nose out with Ocean spray -- she may be too young, though, to get the timing down -- not have it going down the back of her throat...
I might seek a pediatric ENT. Would hesitate to keep my child on antibiotics all the time. Also, the humidifiers may be causing more problems than they solve -- more stuff grows in those things -- and then blows into the air (ugh) than we like to think about.
Use pre-made saline drops in case you're putting too much salt in your own formula? I think if I were you, my next step would be to get a referral to a pediatric ENT.
Good luck!
M.D. answers from Myrtle Beach on September 25, 2008
My son had the exact same problem. Every time he'd clear up with antibiotics but after a few weeks the infection would set in again. We finally went to an allergist and he started immunotherapy injections for mold and tree pollen allergies. He is now pretty much allergy free (he's 12) and has been for a few years. It's good to know what's causing the allergies which the testing will tell you. It wasn't as bad as it seems either, I don't even think he cried at all. Chances are your daughter has a year round allergy like dust or mold.
A.G. answers from Spartanburg on September 25, 2008
All of the previous responses had some very helpful suggestions. I do think in addition to many of those, you should seriously consider seeing a pediatric ENT. If she has always had these problems, then it could very well be structural. A simple thing like a membrane that has grown over a place that is supposed to be open (as happened with my son) or a duct that is too small, or the foreign object stuck up a passage is a strong possibility. You owe it to her to rule out structural or congenital factors.
Also, fungal infections are much more common than we know, which an antibiotic will clear up for a time, and then it will come back worse. Masking this with an antihistamine will only work for a time. And detoxifying and lifestyle changes can help, but you may need those in combination with some stronger medicine to get it under control.
Antifungals and antibiotics have their place, but a doctor should take a sample of the infection and culture it to identify the SPECIFIC antibiotic that will work. Generalized medications are lazy medicine. I have found ENTs to be more apt to recommend gentler treatments and not rely so heavily on drugs as do MDs.
S.G. answers from Savannah on September 25, 2008
A.B. answers from Savannah on October 01, 2008
vapor rub and steamy hot baths before bed work for me. As for the saline hurting her nose, the nose and mouth heal really fast. So once the scabs are gone try again. Or use warm water.
V.E. answers from Atlanta on September 25, 2008
Have her allergy tested or do a process of elimination. Take any carpet or draperies from her room along with stuffed animals and vaccum daily. Is her bedden hypoallergenic? What about food - Milk and wheat are two very common foods to be allergic to. It can be a very long process. V.
L.C. answers from Albany on September 25, 2008
M.,
Sounds more like sinus infections/issues than allergies. I would ask for a referral to a ENT.
I had surgery for a deviated septum and enlarged turbinate. (I'm not suggesting in ANY way your daughter needs this, but please keep reading).
After surgery, the doctor said I could use the saline spray, just add 15 drops of sesame oil to it. It works wonders! And the best part is, I can use it as often as I want, whenever I want, because by adding the sesame oil to it, it becomes a moisturizer. It has signifigantly reduced the amount of bloody noses I get (which was just on one side).
The top of the saline bottle does come off with a little bit of effort. A teaspoon is about 15 drops. You just have to make sure to shake the bottle before each spray.
M.J. answers from Charleston on September 24, 2008
Hello!
It sounds like her Immune system really needs a boost. I would start by seeing a Chiropractor asap! This will quickly boost her and when combined with cleaning her diet, eliminating harmful chemicals in the home (as Mimi mentioned), and adding some probiotics she will be better in no time. Chiropractic helps SOOOOO much with allergies! Please consider this so your little girl can get some relief. Best of luck:)
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