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Snoring nose

Question
Hello
I am the mother of a 2- months-old child, very worried; He has a persistent and severe pneumopathy at 1 month (following a rhinitis). His neonatal test is negative. He is followed by a pneumopaediatrician who had prescribed him a entoline and singulair and pulmicort treatment in the long court. Then as my son had no recurrence despite a therapeutic window, he stopped the treatments. Everything was OK until December. My son has a nasopharyngitis and since my son has a nose that snores every morning and sometimes in the evening at bedtime (he spends a good night) and he coughs to clear his throat after the baby bottles in the morning. I therefore consulted an ENT who found that his nasal mucosa was a little inflammed but no worries level ears or vegetations according to his pediatrician. The auscultation of the bronchi is dry and perfect but I find that since December without interruption it's nevertheless a too long time! I specify that his nose flows through the throat and that the secretions are translucent. He has no fever. I read on the web that chronic rhinosinusitis could be the symptom of cystic fibrosis: is this possible? How is the symptoms of an ENT disorder present in CF patients ?
Thank you for all your answers
Best regards
Answer
Hello,

Rhinitis and rhinosinusitis are common in all children and the best treatment is high volume nose washing with pipettes (at least 3 per nasal pit at 20 months) or age-appropriate washing systems such as the junior rhinohorn used seated head bent over the side.

In cystic fibrosis, there is an infectious chronic rhinosinusitis. The nasal mucus is dehydrated and infected. The mucus is purulent and thick which is not the case for your child.

In a chronic rhinitis of the child, nasal corticosteroids (nasonex -not its generics- or rhinomaxil) spray can decrease the inflammation of the nasal cavities. The dose is one spray per nasal pit every day.

I hope I answered your questions

cordially

Dr Virginie Escabasse (CHIC Créteil, INSERM Unit 955, Team 5)
17.03.2017