Hello,
Your symptoms make me think of
chronic rhinosinusitis. As you work in a day care, risk of repeated viral infections is present.
The following medical treatment is usually recommended:
1) Tablet Sinarest or tablet Wikoryl twice daily for maximum of 7-10 days
2) Nasal decongestant sprays like
Oxymetazoline,
Xylometazoline for maximum of 5 days
3) Steam inhalation 2 times a day
4) If any Eosinophilia or allergy history, tablet Monteleukast once daily at night for 6 weeks
5) Regarding antibiotic, you can go for Fluoroquinolone group -
Levofloxacin 500mg once daily, for 10 days.
Even with the above mentioned treatment for 10-14 days if no improvement is seen, you can go for surgical modality.
FESS (Functional Endoscopic
Sinus Surgery) is a very good option with the following salient features:
1) Very good cure rate
2) Very less complications
3) Hospital stay is only 1-2 days
4) Less chance of recurrence
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Pallavi.m