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Nasal congestion, nasonex, singulair, breathing from mouth, allergic reaction ?

helo sir, my 2 year old daughter have constant blocked nose from about 2 months now, i feel she constantly have some mucous which is the cause of nasal congestion . I am giving her Nasonex from 3 weeks, in vain. Her Paed told me that she has allergy to something and she doesnot seem to have any other problem. Today he prescribed Singulair too. She is otherwise healthy without any other symptoms but she always keep on breathing from mouth which make me feel miserable. Please help
Asked On : Sun, 19 Feb 2012
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Pediatrician, Infectious Diseases 's  Response
Hello Fatema ,
Welcome to Healthcare Magic forum.
Your history does seem to resemble that of allergic rhinitis which is common in children especially if there is any family history of allergy or asthma or there is frequent exposure to dust, pets or birds, pollution etc.
I assume your pediatrician has ruled out any infection and completed a course of antibiotics to treat if any.
Singulair is an appropriate prescription if the cause is confirmed to be allergy.The mouth breathing is definitely due to nasal blockage and congestion which commonly occurs due to infection or allergy or an ENT problem like tonsils adenoids hypertrophy or deviated nasal septum.

A complete Ear nose throat examination, chest auscultation and blood tests like complete blood counts and blood smear and erythrocyte sedimentation rate(esr) can mostly differentiate between them and give an exact diagnosis .
So it is advisable to discuss it with your doctor if they can be done and then treatment with singulair can be given if allergy is confirmed.

Meanwhile steam inhalations and warm salt water gargles thrice daily may provide relief if acceptable to her .
Also please avoid the possible allergens like dust, pets and smoke.
Wish her a speedy recovery.
Answered: Sun, 19 Feb 2012
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