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Fact and Findings that might help your Clinician

If the child has significant eczema or atopic dermatitis, allergy might be most likely cause of chronic runny nose.

If both parents have an allergy, the child has about a 70% - 80% chance of being allergic. If only one parent has allergy, the child has 35% chance.

Pain or headache in the frontal, temples, or top of the head in a child younger than 7 years old is probably not from sinusitis. Children under 7 years old do not have frontal well developed sinuses.

Children with Down’s syndrome have a narrow mid face and poor mucociliary clearance and are more prone to nasal obstruction with drainage.

Your clinician should look for eczema or atopic dermatitis.

Your clinician will look at the back of the throat for mucus. This is a good sign consistent with sinusitis.

Green or yellow nose discharge does not automatically mean bacterial infection. Viral infection could have the same color.

New onset of one sided chronic runny nose with bad breath indicates a possible foreign body in the nose.

New onset of one sided signs of nose obstruction, with symptoms of eye pain and blurring of vision longer than two weeks, may represent a nose or sinus tumor. However, this is rare.

Leo Leonidas, MD, FAAP

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