What causes and how to manage nasal congestion in a child?

Question

Hi doctor,

My baby is 3 years and 4 months old weighing 11.3 kg and height is 96.2 cm. She had a mild cough two weeks ago, and now it looks like nasal congestion. The next day she had a wheezing sound, and the doctor prescribed Salbutamol and Prednisolone syrup. After three days, the wheezing and cough were gone, but she is still having chest congestion. Then we gave the Bronchoped syrup, and it looks like the mucus is trying to come out. She had a wheezing problem six months ago, and we did nebulization for that. Till now her congestion is not cured, and I am worried. Is there any possibility of congestion due to a fall or a hit in the chest because she is going to school?

Answer 1

Hi,

Welcome to icliniq.com.

I thoroughly read your query and understand your concern.

As per the information provided, it seems your daughter has recurrent wheezing, and that is why she has been prescribed Prednisolone. As mentioned, she is no more wheezing, and there is no cough. Since she has been given Prednisolone for three days, so now I suggest you stop it. There is no relation between chest trauma and these kinds of wheezes. You have not mentioned anything about a fever, and I assume she does not have a fever. In this case, I suggest you give these simple medications for cold:

Syrup Chlorhistol (Chlorpheniramine maleate) 2.5 mL every eight hours for three days.
Otrivin pediatric nasal drops (Xylometazoline hydrochloride) one drop in each nostril three times a day for three days.
Follow a regular diet.

Regarding recurrent wheeze, please share more details like when it started, and how many times in a year has it recurred. Is it associated with any specific things or articles? Is there any skin problem, or any family history of asthma?

Follow up with all details, and I will suggest you accordingly as it may need some specific medication.

I am happy if I have helped you.

Take care.