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Child, watery eyes since birth. Suggestions? - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User:hello dr
Doctor:How are you doing?
User:i m fine
Doctor:How can I help you?
User:maam i have daughter aged 3 years
User:her eyes remain watery all time
Doctor:Since when?
User:every time there is water droplets in her eyes
Doctor:Every body has a normal tear film in their eyes
Doctor:It is abnormal only if it looks like tears dripping from the eyes
Doctor:Is that the case in her?
User:since by birth
Doctor:Can you see the water under her eyes or near the nose end of the eyes?
User:yes maam its like tears dripping from eyes
Doctor: XXXXXXX your daughter probably has a blockage of the lacrimal duct which was left undiagnosed
User:yes maam
Doctor:The first thing is that you need to massage her eyes
Doctor:Start from the nose end of the eyes and go downwards on the side of the nose
Doctor:I'll send you a link which has an image of how it needs to be done
Doctor:One minute
User:maam waitin
Doctor:See this link
Doctor:The duct in blue needs to be massaged
Doctor:from the inner corner of the eye downwards
Doctor:Do you follow?
Doctor:Next thing right now is that we need to give her antibiotic drops
Doctor:They are prescription drugs XXXXXXX
Doctor:and you will need to see an opthalmologist for that
Doctor:This massage needs to be done for 4 -6 weeks
Doctor:If there is no relief, then we do a small procedure called probing where we put a really small needle into this sac
Doctor:This procedure does not hurt
Doctor:This may be followed by injecting saline into this
Doctor:Something that we call syringing
Doctor:so first thing for you is
Doctor:start the massage and see an ophthalmologist
Doctor:I also want her vision to be checked
Doctor:Have you ever felt that there is a problem with her vision
Doctor:Still, just as a precaution
Doctor:This condition is completely treatable XXXXXXX
Doctor:You dont need to worry
Doctor:Do you follow?
User:i took her to grewal hospitak @ chd last year
User:they said after three years we will chk her vision
Doctor:There are other tests in children XXXXXXX
Doctor:which can be used to know whether there is a problem in the vision or not
Doctor:But a vision problem will not cause watering of the eyes since birth
Doctor:So I only want to be doubly sure that I'm not missing anything
Doctor:and when I can do it without any discomfort to your child
User:maam can u tell me antibiotic drops i can buy as i have some chemist friends here
Doctor:I should do it
Doctor:Its prescription XXXXXXX
Doctor:I am sorry
User:no prb
Doctor:This forum does not allow me to examine your daughter
Doctor:So I cant give a prescription
User:thats ok maam
Doctor:Is there anything else I can help you with?
User:yes maam
User:she snore heavy
Doctor:Tell me
Doctor:Does she have a nasal block?
User:very clear
Doctor:How can you be so sure?
Doctor:Was she examined by an ENT surgeon?
Doctor:Commonly in children enlarged adenoids can cause nasal obstruction
Doctor:and snoring
Doctor:does she sleep with her mouth open?
User:i felt u were asking abhout any cough in nasal
User:shee kept her moth shut while sleeping
Doctor:How long has she had this problem?
User:1-2 months
Doctor:You can try putting saline nasal drops in her nose
Doctor:Brand name is NOSAIR
Doctor:1 drop in each nostril before sleeping
Doctor:If it helps, its allergic
Doctor:Otherwise you would need a physician to examine her nose
Doctor:then only we can rule out a nasal obstruction
User:maam i have nine yrs old son also
User:he got continuous chest congestion by babnana ; milk or cold things
Doctor:You know XXXXXXX it is actually a myth that cold things can cause a cold or congestion
Doctor:Does he make a sound while breathing out when he gets congestion?
User:little bit
Doctor:Does he also have a lot of cough?
Doctor:Especially in the night?
Doctor:During episodes of congestion that is
User:there is lot of cough in his vomits
Doctor:Can you tell me all the symptoms that he has during an episode of "congestion"
User:naak band
User:vomits of lot of cough
Doctor:Does he always have these symptoms or is it on and off?
Doctor:Does he have difficulty in breathing as well?
User:heavy breathing
User:during cough
Doctor:There are 2 possibilities XXXXXXX
Doctor:One is an allergy to something ( which we dont know what yet)
Doctor:second is asthma
User:it cud b first
User:as he doesnt have this much of breathing prb
Doctor:You can give him tablet cetrizine 5 mg once a day and see if the symptoms get better
Doctor:Maximum you can give it to him twice a day
User:that is antiallergic tab
Doctor:Additionally, steam inhalation twice a day and warm saline gargles
Doctor:Thats right
Doctor:when you take your daughter to a doctor, XXXXXXX
Doctor:Take your son also
Doctor:Tell him that just listen to his chest and rule out asthma
Doctor:There are certain sounds in the chest that can be heard when there is asthma
Doctor:This can be only ruled by a physical examination
User:thats fine
User:thanku maam
User:for ur valuable advice
Doctor:Is there anything else I can help you with?
User:no thanku maam
User:gud nite
User:tale care maam
Doctor:Thanks for consulting me
Doctor:You too
Doctor:good night
Doctor:Bye for now
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