Hello,
Thank you for asking at HCM.
I went through your daughter's history and understand your concern.
I would like to know more about her like - Has she had any CT scan of
sinuses done so far? Has her nose been ever examined by an ENT surgeon from inside? If yes, what is her status of sinuses and adenoids? Does she snore while asleep?
For allergies - What are the best and worst seasons for her? Has she ever had
wheezing or breathing difficulty? Does she regurgitates or have
heartburn, especially after hot/spicy foods? Does she have any other medical conditions?
From your history, I would like to make following suggestions to you:
1. Were I treating her, I would prescribe her an intranasal corticosteroid spray like
mometasone or
fluticasone propionate for at least 2-4 weeks depending on response.
2. I would also suggest her allergy testing which will identify the substances that cause troubles to her and also to know how to avoid them.
3. A detailed consultation and evaluation by an ENT surgeon is necessary to make suggestions regarding further management.
If she has structural defects like deviated
nasal septum, she may require surgery. If she has disorders like adenoids,
chronic rhinosinusitis, appropriate medicines can be suggested, and if they fail, surgery may be advised.
4. Please avoid exposure to dusts, smokes and air pollution to her as much as possible.
Hope above suggestions will be helpful to you.
Should you have any other query, please feel free to ask at HCM.
Wish your daughter the best of the health.
Thank you & Regards.