Sinusitis in children: symptoms and treatment, the opinion of Dr. Komarovsky

Tips Dr. Komarovsky for the treatment of sinusitis in children

It is believed that the most common inflammation among children is sinusitis. Inflammation of the paranasal sinuses found in almost every third child. This disease progression is due to many reasons that you need to find out in the beginning of inflammation. Determining factors of the disease and the mechanism of its development will contribute to proper treatment and a speedy recovery.

If the symptoms and treatment of sinusitis in children incorrectly identified, baby is suffering from nasal congestion, copious snot and headaches. The development of the inflammatory process in the maxillary sinuses accompanied by a feeling of pressure in frontal region, causing severe crying and moodiness of the baby. To alleviate the suffering of the child, it is important to know how to cure sinusitis.

Symptoms of sinusitis in children

One of the most common forms of inflammation of sinusitis is sinusitis. In the process of inflammation the baby can feel the respiratory dysfunctions, and a host of other unpleasant symptoms. At this time disturbed the natural ventilation, which leads to accumulation of mucus. Such a process becomes a favorable factor for the development of viruses and bacteria.

At such current disease, any delayed treatment can lead to serious complications, when sinusitis becomes chronic stage.

In addition, inflammation of the paranasal sinuses may cause hearing impairment or visual impairment, meningitis or abscess.

To avoid complications, it is important to determine all the symptoms of inflammation.

In children symptoms of sinusitis do not differ much from adults, so parents, it is important to know the basic symptoms.

Sinusitis the baby is shown as follows:

  • child complains of elevated body temperature;
  • appears moodiness and crying for no reason;
  • severe discomfort and General lethargy;
  • loss of appetite;
  • sleep disturbance;
  • pain in the cheeks and nose;
  • pain in the head, increasing when tilting or rotating;
  • laying the ears;
  • twang;
  • a strong change of tone of voice;
  • nasal congestion;
  • abundant mucus;
  • the lack of nasal breathing;
  • change the color of snot allocated to black or brown;
  • purulent accumulations.

To identify the formation of sinusitis in children from two years easy, because they can explain about the bad state of health. But in the formation of sinus infections in infants should be closely monitored for health of the child. In the case of formation of strong crying and moodiness, refusal of breast milk and other symptoms, consult a doctor.

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Dr. Komarovsky on sinusitis in children

Treatment of sinusitis in children begins with the diagnosis of the nature of the disease.

It is necessary to seek the advice of a doctor.

Renowned doctor doctor Komarovsky advises not to ignore signs of illness and to contact the medical centre at the first signs of inflammation. In this case, you will save time and ease the suffering of the baby.

In the diagnostic process, your doctor will examine the child patient x-ray. After that, he will conduct palpation will reveal the degree of inflammation. At this time, it is important to fully trust the doctor. Dr. Komorowski has repeatedly reiterated about the need for treatment to specialized doctors. You should not try to diagnose yourself, as not always knowledge of their parents is correct.

In addition, self-diagnosis can lead to serious consequences and dangerous processes in the organism of the child.

Treatment of inflammation in the region of the paranasal sinuses in children takes into account all the individual characteristics. Besides, it is necessary to find out the stage of the disease and possible complications. At the same time it is necessary to identify the General condition of the child.

Nasal lavage

The standard treatment involves the following procedures:

  1. For a start it is necessary to restore nasal breathing through the procedure of washing. To do this, Komarovsky advises to make use of salt solutions.
  2. Clean the nose using drugs «saline» or «Akvamaris». They will reduce the swelling and restore the natural moisture of the mucous membrane. In addition, these drugs improve the flow of mucus from the nasal cavity and maxillary sinus.
  3. Nasal lavage involves the use of specialized solutions. But in the case of a purulent form of sinusitis, this procedure is prohibited conduct. Rinse the nose with antiseptic solutions only when the catarrhal form.
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This procedure can be carried out in hospital and at home. If you prefer the second option, follow the mechanism for performing the purification of the nose. Komarovsky advises to carry out this procedure in the following way:

  1. To start saline for irrigation should be warmed to body temperature.
  2. After that, pour the solution into a container with a fairly narrow neck.
  3. The child should stand right in front of the sink.
  4. Enter one nostril toddler small medium. Ensure that the baby’s head was tilted in the opposite direction.
  5. If the procedure is done correctly, the liquid will flow out the other nostril.

This procedure must be performed up to four times a day. Komorowski recalled that if the baby is not one year, nasal lavage is prohibited.

Nose drops

The next step will be burying his nose in the children’s vasoconstrictive drops.

It is best to apply well-known drugs which will not harm the baby.

Most often doctors prescribe «Nazol-bebi», «At» or «Glycine».

To use such drugs, according to Komarovsky, only three days.

After this time, the active ingredients of medicines are addictive, which is highly undesirable for a child. In addition, the drug can cause the formation of the pathological process, so consult your doctor.


If festering for disease becomes uncontrolled processes that the doctor may prescribe antibiotics. Dr. Komarovsky agree with modern opinion and advises to take Antibacterials as needed.

Antibiotics will help to resolve inflammation and pus. But before their application it is necessary to determine the sensitivity of the baby to the active components of the drug. In case of allergic reactions the medicine should be replaced by counterparts or to use the drug more broad spectrum.

Most kids prescribed drugs from the penicillin or cephalosporin. Second in popularity to become the macrolides.


In addition to antibiotics, the baby can assign antihistamines. Dr. Komarovsky advises to use «Core» or «loratadine». These drugs are the best relieve swelling and normalize the patient’s breathing.


In the case of more severe inflammatory process Komarovsky advises not to adopt the tactics of waiting and produce medical diagnostic puncture.

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This is necessary in case of formation of a large number of purulent secretions, strong violations of the outflow and the appearance of swelling.

Puncture, according to Komorowski, it is necessary to produce in the absence of a diagnosis for unknown reasons.

At this time, doctors with a special needle puncture of the maxillary sinus. All content of this region is washed with a special antiseptic saline. If necessary, the child can put the drainage. With it treatments lavage of the nasal cavity.


On the way to recovery important step will be the use of physiotherapy. According to Komarovsky, they will improve the flow of mucus from the sinuses and improves blood circulation inside the affected areas.

To achieve these goals, the doctor may appoint UHF-therapy, magnetic and laser therapy, and ultrasound. Keep in mind that the described methods are not suitable for all children, therefore, require consultation with a doctor.


Sinusitis requires a very serious attitude, as the consequences of such illness is very tragic. So follow the tips Dr. Komarovsky and start treatment immediately after the formation of nasal congestion and mucus. The only way you will be able to quickly go on the amendment.

Dr. Komarovsky advises not to produce a standalone treatment, and always consult with your doctor. Remember that any uncontrolled use of medicines can be dangerous for the baby’s health.