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Suggest Remedies For Runny Nose, Cold And Headache

Posted on Sat, 2 Jul 2016

Question: My niece who is 4 year old has complain of running nose, cold, blocked nose. She get these frequently. Some times she complains of headache in forehead for some time. Her doctor prescribed for eye test which came normal and Xray PNS. Please find the reports

Can you please suggest next course of diagnosis and treatment

Answered by Dr. Sumanth Amperayani (36 minutes later)

Brief Answer:
Looks like allergic rhinitis - I have a few questions for you

Detailed Answer:
Hi... by what you quote... feel that the child is having only recurrent common cold or allergic rhinitis. I have a few questions for you - please answer them so that I can guide you further.

Questions:
1. How many days per month does she have runny nose or nose block ?
2. How many nights per month does her sleep get disturbed due to above symptoms?
3. Does she feel breathless when she runs around or plays with other kids?
4. Are the symptoms when there are seasonal changes?
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
6. Is the cold always associated with fever?
7. Do any of the symptoms make her to be absent from school?

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (9 minutes later)

Thanks Doctor for your response. Here are the answers.

Questions:
1. How many days per month does she have runny nose or nose block ?
Ans - Running nose - 3-4 days, nose blocked - 10-12 days
2. How many nights per month does her sleep get disturbed due to above symptoms?
Ans 2-4 days
3. Does she feel breathless when she runs around or plays with other kids?
Ans - No problem at all, she is very active
4. Are the symptoms when there are seasonal changes?
Ans - Yes, Example - when temp is in 40s and due to sudden rain it drops to 30s, she gets cold.
5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?
Ans - No Asthma, but yes Nasal problem do have in our family. Sneezing, snoring
6. Is the cold always associated with fever?
Ans - Most of the time no. In current year, she had fever 2-3 time only
7. Do any of the symptoms make her to be absent from school?
Ans - Not necessarily . She had to absent from school just to manage the running nose as she is just 4 year old and use of no hanky makes her dress and gace dirty

Can mild headache be the cause of allergic rhintis? XPNS Xray is useful or not ?

Answered by Dr. Sumanth Amperayani (2 hours later)

Brief Answer:
Suggestions on allergic rhinitis

Detailed Answer:
Hi.... Greetings from XXXXXXX I will answer your two queries first and then go ahead with my other suggestions regarding allergic rhinitis.

1. Allergic rhinitis cannot cause headache at such an young age.

2. Usually all the PNS or paranasal sinuses are formed by only 7 years of age completely. So taking an xray PNS at this age is not useful.

Coming to my other suggestions on allergic rhinitis -

By what you quote e I feel that your niece is having moderate to severe persistent allergic rhinitis. Nowadays the best course of action and medication is to give intranasal steroid like fluticasone or mometasone as a regular therapy for 4-8 weeks.

I suggest you consult a paediatric allergist or your pediatrician regarding this because this is a prescription medicine and the technique also has to be taught for the people who are administering the medication.

Regards - Dr. Sumanth

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumanth Amperayani (15 minutes later)

Thank you so much. It helps

Lastly, what could be the reason of headache which gets away in 30 minutes maximum. Again no other related complains

Thanks again

Answered by Dr. Sumanth Amperayani (9 minutes later)

Brief Answer:
Mild fever for viral illness can cause headache

Detailed Answer:
Hi.... coming to your query directly even mild viral illness or mild fever can cause headache in the age group.

Unless the kid is having continuous vomiting or loss of consciousness or weakness of any of the body part you need not worry about headache in this age group.

I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link.

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Please find the link below -

www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar