How to treat rhinitis in children caused by the common cold

Jun 01, 2022 Source: Cainiu Health
Dr. Guo Xiheng
Introduction
Currently, there is no optimal treatment for chronic rhinitis in children; however, the general treatment principles aim to maintain anti-inflammatory and decongestant effects, ensure adequate ventilation and drainage, and preserve normal nasal mucosal physiological function—while also addressing the underlying cause of rhinitis. In children, nasal polyps may obstruct the sinus ostia, preventing communication between the sinuses and the external environment, thereby frequently leading to sinus infection. Definitive treatment of rhinitis typically requires a comprehensive approach based on the individual’s clinical condition: first alleviating symptoms, then proceeding with thorough, targeted therapy until gradual resolution is achieved.

When a child develops rhinitis, parents naturally become anxious. It is important to understand that untreated or inadequately treated common colds in children can progress to rhinitis. So, how should rhinitis caused by the common cold in children be treated?

How to Treat Rhinitis Caused by the Common Cold in Children

Currently, there is no universally optimal treatment for chronic rhinitis in children. However, the general treatment principles aim to maintain anti-inflammatory effects, reduce swelling, ensure adequate ventilation and drainage, and preserve normal nasal mucosal function—while also addressing the underlying cause of the rhinitis. In children, rhinitis often results from nasal polyps obstructing the sinus ostia, thereby impairing communication between the sinuses and the external environment and predisposing to sinus infection. Definitive treatment of rhinitis typically begins with symptom relief, followed by targeted, stepwise interventions until gradual resolution is achieved. In addition to antibiotic therapy, topical decongestants—such as intranasal corticosteroids or sympathomimetic agents like ephedrine—may be administered to open the sinus ostia. For chronic rhinitis, first-line management usually involves pharmacotherapy; alternatively, procedures such as negative-pressure aspiration or maxillary sinus puncture may be considered. Nasal drops containing ephedrine or other decongestants may also be used, always under the guidance of a physician.

Some parents blindly trust folk remedies for rhinitis and take their children to unqualified practitioners—a practice strongly discouraged. Rhinitis encompasses multiple subtypes, and even if a particular treatment proves effective for some individuals, it may not be appropriate—or safe—for every child. Parents must therefore remain vigilant and prioritize evidence-based, scientifically sound treatment approaches to better safeguard their child’s health.

Parents should also remember that even after successful treatment of rhinitis, ongoing collaboration with healthcare providers is essential to help prevent recurrence. We hope this information has been helpful. Wishing you a joyful life and good health!


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