How to treat rhinitis in children

If a child’s common cold is not treated promptly—or if the child is exposed to allergens or other triggering factors—the condition may progress to rhinitis. Rhinitis commonly causes unpleasant symptoms such as nasal discharge and headache, and tends to recur; therefore, timely treatment is essential. So, how is rhinitis treated in children?

How Is Rhinitis Treated in Children?

Rhinitis in children can be managed using saline nasal irrigation, antihistamines, or intranasal corticosteroids. However, rhinitis associated with chronic sinusitis, adenoid hypertrophy, allergic constitution, or laryngopharyngeal reflux (LPR) is often more difficult to treat. Accurate identification of the underlying cause is crucial, followed by targeted, symptom-specific therapy to improve cure rates. For example, proton-pump inhibitors or other acid-suppressing agents may be prescribed for LPR, while surgical intervention may be necessary for significant adenoid hypertrophy.

During acute rhinitis episodes, topical treatments such as oxymetazoline hydrochloride nasal spray may be used. Additionally, oral decongestants like ephedrine or traditional Chinese medicine preparations (e.g., Dibijing) may be considered. Children with rhinitis may require comprehensive treatment including antibiotics and systemic corticosteroids. For severe headache, ibuprofen may be administered.

Parents should closely monitor weather changes and dress their children appropriately to prevent colds. Children with rhinitis should avoid crowded public places and areas with abundant pollen—such as parks or gardens—to minimize exposure to potential triggers. We hope this information is helpful.