Nose and Nasal Problems
Nose and Nasal Problems

Common ENT nasal and allergy issues children may suffer.

Allergic Rhinitis (Hay Fever)

In some children substances in the air can trigger an allergic reaction in the nose and eyes.  This is sometimes referred to as hay fever, but a variety of allergens can trigger allergies. 

This leads to swelling of the lining of the nose (turbinates) that can affect breathing.

  • Nasal blockage
  • Runny nose (rhinorrhea)
  • Sneezing
  • Itchy eyes, throat, nose.
  • Snoring/worse breathing at night leading to tiredness in the daytime.
  • Asthma is also more common in children with hay fever.

  • Pollen from trees and grass
  • House dustmite
  • Moulds
  • Animal dander (e.g. cats/dogs)

  • Assessment of your child’s nose including endoscopy to check for enlarged adenoids.
  • Investigations include checking for what allergens your child is affected by (this can be done via skin prick testing or a blood test).
  • Sea water sprays.
  • Oral Antihistamines.
  • Nasal steroid sprays.
  • Treatment of any concurrent asthma.
  • Immunotherapy (usually tablets or injections) over a 3-5 year period that aims to desensitise your child to allergens.
  • Surgery to remove large adenoids and reduce swelling in the lining of the nose.

  • Surgery may be required when medical treatment does not improve the symptoms or if children have large adenoids.
  • Surgery includes turbinate reduction surgery / adenoidectomy.
  • See tonsillectomy/adenoidectomy section

  • Turbinoplasty entails a short general anaesthetic and an instrument is used to gently reduce the size of the turbinates. If the adenoids are enlarged these are removed at the same time.
  • Risks include: nose bleeds, infection, crusting in the nose and a recurrence of symptoms in the future.
  • Your child will need to use saline sprays for a few weeks afterwards.
allergy and sinus problems
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