What to Do When Your Baby Has Sinusitis and Persistent Symptoms?

What should I do?

My son is currently just four months old and has caught a cold for the first time.
His symptoms include a runny nose and cough, and the doctor diagnosed him with sinusitis.
He was prescribed antibiotics, and after completing a three-day course, his cough improved, but his nose is still congested.
The doctor mentioned that the antibiotics should be taken for seven to ten days, so he prescribed another four days of medication.
However, the nasal symptoms have not improved, and he has also developed diarrhea, causing him to lose weight.
I would like to ask if my baby has sinusitis.
Is it harmful for him to keep taking medication? Should I consider seeing another doctor? I really have no idea what to do; it's concerning that he has sinusitis at such a young age, and the medication doesn't seem to be effective.
What should I do?

You Mama in Worry, 30~39 year old female. Ask Date: 2009/07/31

Dr. Xiao Kaiwen reply Pediatrics

The diagnostic criteria for acute sinusitis generally include the presence of purulent nasal discharge (or post-nasal drip, which may sometimes present as productive cough) lasting more than one week.
If sinusitis is "confirmed," a course of antibiotics for seven to ten days is necessary.
If you have concerns, seeking a second opinion is also advisable.
It is true that some antibiotics, such as Augmentin, can have diarrhea as a side effect, which you may want to discuss with your physician.

Reply Date: 2009/07/31

More Info

When your baby is diagnosed with sinusitis, especially at such a young age, it can be concerning for any parent. Sinusitis, or inflammation of the sinuses, can occur in infants and young children, often following a viral upper respiratory infection. The symptoms you describe—runny nose, cough, and nasal congestion—are common indicators of sinusitis.
In your case, it seems that your child has been prescribed antibiotics, which are typically used to treat bacterial sinusitis. However, it’s important to note that not all sinus infections are bacterial; many are viral and do not require antibiotics. If your child has completed a course of antibiotics and is still experiencing symptoms, it may suggest that the infection is viral or that there is another underlying issue.

Here are some steps you can take:
1. Follow Up with Your Pediatrician: Since your child has not shown improvement after the antibiotic treatment, it’s crucial to follow up with your pediatrician. They may want to reassess your child’s condition. It’s possible that a different treatment approach may be necessary, or they may want to investigate further to rule out other conditions.

2. Consider a Specialist: If your pediatrician feels it’s necessary, they may refer you to a pediatric ENT (ear, nose, and throat) specialist. An ENT can provide a more detailed examination and may offer additional treatment options, such as nasal saline irrigation or other medications.

3. Monitor Symptoms: Keep a close eye on your child’s symptoms. If they worsen or if new symptoms arise (such as high fever, difficulty breathing, or severe lethargy), seek medical attention immediately.
4. Hydration and Nutrition: Ensure your baby stays hydrated, especially if they are experiencing diarrhea. Dehydration can be a concern in young children, so offering fluids is essential. If your baby is not eating well, consult your pediatrician for advice on maintaining proper nutrition.

5. Home Care: In addition to medical treatment, there are some home care strategies you can employ. Using a humidifier in your child’s room can help keep the air moist, which may ease nasal congestion. Saline nasal drops can also be beneficial in helping to clear nasal passages.

6. Avoid Over-Medication: While it’s important to follow your doctor’s recommendations, be cautious about giving your baby over-the-counter medications without consulting a healthcare professional. Some medications may not be suitable for infants.

7. Patience and Monitoring: Sometimes, sinusitis can take time to resolve, especially in young children. Continue to monitor your child’s symptoms and maintain communication with your healthcare provider.

In conclusion, while it can be distressing to see your baby suffer from sinusitis, it’s essential to work closely with your pediatrician and possibly seek a specialist's opinion if symptoms persist. Your child's health and comfort are paramount, and with appropriate care, most cases of sinusitis can be effectively managed.

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