What is sinusitis (sinus infection) in children?

Sinusitis is an infection of the sinuses that often occurs after a cold or due to allergies. There are three types:

  • Acute: Symptoms last less than 12 weeks and improve with treatment.
  • Chronic: Symptoms persist for more than 12 weeks.
  • Recurrent: Three or more episodes of acute sinusitis in one year.

Sinuses are air-filled spaces near the nose and are lined with mucous membranes. The four types of sinuses include:

  • Ethmoid sinus: Located near the bridge of the nose; present at birth.
  • Maxillary sinus: Located in the cheeks; present at birth.
  • Frontal sinus: Located in the forehead; appears around age 7.
  • Sphenoid sinus: Located deep behind the nose; develops during teenage years.

What are the symptoms and signs of sinusitis in children?

  • Stuffy nose
  • Thick, colored nasal discharge
  • Postnasal drip (mucus down the back of the throat)
  • Headache
  • Cough
  • Pain or tenderness around sinuses
  • Fever
  • Loss of smell

These symptoms can mimic other conditions, so it’s important to consult a healthcare provider.

What causes sinusitis in children?

Blocked sinuses filled with mucus provide a perfect environment for bacteria to grow. Common bacteria include:

  • Streptococcus pneumoniae
  • Haemophilus influenzae
  • Moraxella catarrhalis

Which children are at risk for sinusitis?

  • Upper respiratory infections or colds
  • Allergies causing swelling and mucus build-up
  • Irregularities of the nose
  • Tooth infections
  • Nasal injuries
  • Foreign objects in the nose
  • Cleft palate
  • GERD (Gastroesophageal reflux disease)
  • Immunodeficiency or cystic fibrosis

How is sinusitis diagnosed in children?

  • History and physical exam: Review of symptoms and nasal inspection.
  • Sinus X-rays: May help confirm diagnosis.
  • CT scan: Offers detailed images of the sinuses.
  • Sinus cultures: A swab is tested for bacterial growth.

How is sinusitis treated in children?

Acute Sinusitis

Mild cases may improve on their own. If not, treatment may include:

  • Antibiotics: Prescribed if bacterial infection is present.
  • Allergy medications: Antihistamines and decongestants for allergic sinusitis.

Over-the-counter nasal sprays should only be used with medical advice.

Chronic Sinusitis

  • ENT referral for specialized care
  • Longer courses of antibiotics if bacterial infection persists
  • Inhaled steroid sprays to reduce inflammation
  • Nasal decongestants, saline sprays, or mucus-thinning medications
  • Allergy shots (immunotherapy) for persistent nasal allergies
  • Surgery, though rarely done in children, may be required in severe cases

Additional Care

  • Fluids: Drink water or juice frequently to thin mucus
  • Saline wash: Helps keep sinuses moist
  • Warm compress: Soothes facial pain

How can I prevent sinusitis in my child?

  • Use saline sprays and washes to keep nasal passages moist
  • Use humidifiers in dry conditions
  • Avoid exposure to tobacco smoke
  • Identify and avoid allergy triggers
  • Don’t force water into sinuses
  • Limit time in chlorinated swimming pools
  • Maintain proper hand hygiene
  • Stay updated on immunizations
  • Avoid close contact with sick individuals

When should you see a doctor for sinusitis?

Most symptoms can be managed at home. See a doctor if symptoms:

  • Last more than 7–10 days
  • Worsen after initial improvement
  • Do not respond to allergy medication

When should I visit the ER?

Seek emergency care if your child has:

  • Fever that appears after 7–10 days of cold symptoms
  • Persistent cold beyond 10 days
  • Sudden worsening of symptoms after initial improvement

What questions should I ask the doctor?

  • How should I treat a sinus infection at home?
  • How do I properly use prescribed medications?
  • When should I schedule a follow-up visit?

Why Tender Palm Super-Speciality Hospital for Sinusitis Treatment in children in Lucknow, India?

Tender Palm Super-Speciality Hospital has the most trusted team of Pediatric ENT specialists and surgeons with advanced diagnostic equipment and child-friendly care for Pediatric Sinusitis treatment in Lucknow, India. Our Pediatric ENT department follows international safety standards and has years of experience in successfully managing children's ear, nose and throat diseases.

To seek an expert consultation for Sinusitis Treatment in children in Lucknow, India:

Call us at +91-9076972161
Email at care@tenderpalm.com

Request an Appointment
Mon - Sat 9:00 AM to 6:00 PM IST

Our Experts

Dr. Rajeev Gupta
Dr. Rajeev Gupta
Consultant - ENT

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