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Forum Name: Pediatric Topics

Question: 3 year old - chronic sinusitis?


 kimmad - Thu Oct 18, 2007 10:24 am

I have a 3 year old son who has always been diagnosed with "seasonal allergies", causing "allergic shiners", copious nasal discharge etc. We just received results of skin testing, and he tested negative for all allergens except dog. We do not own a pet, and he is not exposed on a regular basis to any dogs. Yet, there are times he actually looks like someone punched him in the eyes, and his nose is always stuffy with colored discharge. He always has a cough (post nasal drip?), does not sleep well and is extremely irritable. He is on allergy medicine, but it does not seem to be doing anything to help.

About 6 months ago, at 2 1/2 years, he had surgery to remove enlarged tonsils and adenoids, and tubes were placed in his ears due to excessive fluid.

He is currently experiencing many of the same symptoms he had before the surgery, and I know that sometimes adenoids can grow again. Could this be causing the issues with his sinuses? Is there anything else that could be going on? Should he have further testing on the allergies?

Thanks for your help.
 Dr. Chan Lowe - Thu Oct 18, 2007 9:54 pm

User avatar Hi Kimmad,

Allergy testing is good but is not 100% sensitive. Your description of his problems certainly sound like he is having allergic symptoms. You've almost described a text-book case. I would recommend you talk with your pediatrician about increasing the treatment for his allergies.

3 year olds don't have a fully developed sinus system yet so it makes chronic sinusitis less likely; however, there are some sinus systems that are advanced enough to become infected. It may be worth a course of antibiotics to treat this and see if he improves. Treatment for chronic sinusitis is usually 3 weeks of antibiotics.

Adenoids can grow back so this also may be causing some problems.

Given all this, I think that it is definitely worth trying to increase your son's allergy control.

Best wishes.

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