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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Post Nasal Drip In A Child?

Hi my 6 year old has had a stuffy runny nose for about a year, he does not respond to nasal steroids, and Astelin and antihistamines. he snores loudly at night and demostrates symptoms of OSA. He does not respond to oral decongestants but responds to Afrin. he is normal weight. His tonsils are small but his adenoids are hypertrophied based on two Xrays however because they do not block the nasal cavity the ENT physician is advising to keep the adenoids and consider terbinate surgery. The blocked nose has significantly affected his quality of life and we are desperate to find a solution. I am concerned about the surgeon only wanting to do a terbinate surgery. he was scoped for 2 seconds before my son yanked the scope out, and the surgeon said that he did not think adenoids are problematic. However I am doubtful he actually took a good look because it looked like he did not complete an insertion. My son also has developed an underbite and he salivates profusely. He is chronically breathing through his nose and his speach is hyponasal.
posted on Sun, 9 Aug 2015
Twitter Thu, 14 May 2020 Answered on
Twitter Tue, 19 May 2020 Last reviewed on
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General Surgeon 's  Response
Hello,

As per my clinical experience, the persistent post nasal drip in a child may be related to:
- Allergic upper respiratory tract infection
- History of atopy or allergic disorders
- Hypersensitivity to atmospheric pollen, dust particles
- Enlarged tonsils, adenoids
- Low immunity
- T or B cell dysfunction
- Recurrent exposure to infected personnel at day care or others
- Secondary smoke exposure
However, a detailed history, physical findings and supportive evaluation with an EKG and chest x-ray are mandatory.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Persistent Post Nasal Drip In A Child?

Hello, As per my clinical experience, the persistent post nasal drip in a child may be related to: - Allergic upper respiratory tract infection - History of atopy or allergic disorders - Hypersensitivity to atmospheric pollen, dust particles - Enlarged tonsils, adenoids - Low immunity - T or B cell dysfunction - Recurrent exposure to infected personnel at day care or others - Secondary smoke exposure However, a detailed history, physical findings and supportive evaluation with an EKG and chest x-ray are mandatory. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon