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We will devote this section on Common Treatment and Management in Pediatrics.

Many children has frequent sinusitis. It is one of the difficult chronic condition to treat in Pediatrics. The usual treatmnet are: decongestants, antihistamines, antibiotics, topical nasal steroids, and environmental control. However, in spite of these measures, still many children suffer from the miseries of sinusitis. Some specialist advice the use of Nasal Salt Solution rinses. (Get your clincian’s approval before you use this technique.)

Nose Clean-out with a home made salt solution

How to make the salt solution in 3 easy steps:

1. Get one quart of distilled water or boil one quart of tap water and cool it.

2. Add two to three teaspoons of pickling salt or “sea salt.” (Avoid regular table salt because it might have some additives.)

3. Add one teaspoon of baking soda to eliminate mos of the stinging nature of the salt.

How to Rinse the Nose

1. Draw up the above solution with an infant bulb syringe and irrigate through the nose over a sink. You are doing it right if some of the salt solution comes out of the mouth.

2. Another way is by using Waterpik to irrigate the nose. Again if some of the solution is coming out of the mouth, you are doing a great job.

3. After the nasal solution rinsing, blow your nose and use the topical nasal steroids (if prescribed by your clinician.)

Benefits of Saline Irrigation of the Nose

1. It cleans mucus and crust from the nose.

2. It decongests the nose. The high salt concentration in the solution draws the fluid out of the nasal membranes. The result is shrinkage of the membranes which improve airflow. It also open up the nasal passages so mucus will not accumulate in the sinuses.

3. The salt water solution rinse improves  the beating of the cilia (little hairs) that cover the nasal and sinus lining so they can better clear the mucus and bacteria.
[Reference: “Why won’t this child’s nose stop running?” Contemporary Pediatrics, December 2002, p 63]

Leo Leonidas, MD, FAAP, Assistant Clinical Professor in Pediatrics, Tufts University School of Medicine, Boston; Attending Pediatrician, Eastern Maine Medical Center, Bangor, Maine

Please send my your suggestions and comments to improve this site:

lleonidas@pcpediatrics.org

I wrote and desinged this website for parents of our practice. Before you use ideas from this website, please discuss it first with your clinician if you are not with our practice.

copyright Leo Leonidas 2002

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