Pediatric Annals, 2016;45(11):e384–e387
Abstract
Every pediatrician has likely experienced frustration with cases of chronic nasal symptoms that either do not seem to get better or do show improvement but then worsen again. Often, this leads to the diagnosis of allergic rhinitis or sinusitis and subsequent prescription of medication(s) that may or may not be warranted. This article discusses the various causes of rhinitis, both allergic and nonallergic. Recommendations for treatment place special focus on nasal irrigation and the role that a child's diet can have on chronic nasal symptoms, with the hope of reducing excessive and sometimes unnecessary medication use. [Pediatr Ann. 2016;45(11):e384–e387.]
- 1., eds. Middleton's Allergy: Principles and Practice. 7th ed. London, UK: Mosby; 2009. Google Scholar
- 2.Seidman MD, Gurgel RK, Lin SY, Clinical practice guideline: allergic rhinitis. Otolaryngol Head Neck Surg. 2015; 152(1 Suppl):S1–43.
10.1177/0194599814561600 Crossref MedlineGoogle Scholar - 3.Bernstein IL, Li JT, Bernstein DI, American Academy of Allergy, Asthma, and ImmunologyAmerican College of Allergy, Asthma, and Immunology. Allergy diagnostic testing: an updated practice parameter. Ann Allergy Asthma Immunol. 2008; 100(3 Suppl 3):S1–S148. MedlineGoogle Scholar
- 4.Wei JL. A Healthier Wei: Reclaiming Health for Misdiagnosed and Overmedicated Children. Orlando, FL: A Healthier Wei, LLC; 2012. Google Scholar
- 5.Wei JL, Sykes KJ, Johnson P, He J, Mayo M. Safety and efficacy of once daily nasal irrigation for the treatment of pediatric chronic rhinosinusitis. Laryngoscope. 2011; 121(9):1989–2000. Crossref MedlineGoogle Scholar
- 6.Pham V, Sykes KJ, Wei JL. Long-term outcome of once daily nasal irrigation for the treatment of pediatric chronic rhinosinusitis. Laryngoscope. 2014; 124(4):1000–1007.
10.1002/lary.24224 Crossref MedlineGoogle Scholar - 7.American Academy of Pediatrics. Committee on Nutrition. The use and misuse of fruit juice in pediatrics. http://pediatrics.aappublications.org/content/107/5/1210. Accessed October 21, 2016. Google Scholar
- 8.Price D, Kemp L, Sims E, Observational study comparing intranasal mometasone furoate with oral antihistamines for rhinitis and asthma. Prim Care Respir J. 2010; 19(3):266–273.
10.4104/pcrj.2010.00040 Crossref MedlineGoogle Scholar
