Nasal Congestion

Nasal congestion  is quite narrow compared to adults in the newborn and children. Therefore, any problem that occurs here can lead to serious problems. The most common cause of nasal congestion in baby’s and children is seasonal respiratory infections. These infections cause nasal secretions (mucus) and, therefore, nasal congestion.

Central Hospital Child Health and disease specialist

Nasal breathing is vital especially for babies who do not have an oral breathing instinct in the first months. In terms of the continuity of breastfeeding, the baby’s mouth while the baby’s breathing must provide the nose. Nasal congestion greatly prevents the baby from sucking.

The nose also has the functions of humidifying, heating, cleaning, regulating the pressure and flow rate, smell and ventilation of the middle ear. On the side where the nose is stuffed, the lung breathing capacity is also low.

The most common cause of nasal congestion in baby’s and children is seasonal respiratory infections. These infections cause nasal secretions (mucus) and, therefore, nasal congestion.

Results of nasal congestion in the baby

1- Your baby can not be fed enough, restless and unhappy.

2- There may be gas pains due to excessive air intake during feeding.

3- More severe upper respiratory tract infections such as otitis media or sinusitis are predisposed to lower respiratory tract infections due to decreased lung capacity.

4- In case of chronic nasal obstruction, there may be deterioration in mouth and tooth structure in long term.

5- The baby cannot sleep comfortably, he wakes up frequently, and if this condition becomes chronic, growth and development may be affected.

6- As a result, parents’ sleep and quality of life are impaired.

Causes of nasal congestion in the baby

1 – Birth Causes:The most common cause is the koanal atresia, which is closed with the membrane or bone tissue between the back of the nose and the nasal tissue, and may be single or double sided. Deformations, deviations, and accumulation of blood (hematoma) can cause obstruction in the nasal wall during birth or later. Nasal polyps, a number of cysts and tumors are rare causes of nasal obstruction. 

2 – Causes of Nasal Congestion Later:

  • Upper respiratory tract infections such as seasonal flu, influenza, and sinusitis,
  • Allergic diseases,
  • Flesh meat,
  • Anatomical disorders of the nose (such as nasal flesh),
  • Dry air,
  • Blood accumulation on the nose (hematoma),
  • Foreign body escaping from nose,
  • Although rare, tumors and cysts cause nasal obstruction in infants.

How to remove nasal congestion in the baby

Isotonic serums, saline-containing drops and sprays or higher saline sprays can be used for nasal obstruction.

Recently, products such as xylitol as nasal moisturizer and hyaluronic acid have been introduced in older children.

The baby’s nose should be cleaned especially before eating and sleeping. Only these used spray or drops can have drying effects on the mucous membranes in the long term use.

Nasal aspirators may be used if the nasal passages continue and the nasal mucus cannot be removed. These are two types of pump-shaped aspirators and breathing nasal aspirators. In the second, one end of the aspirator is placed in the nose of the baby, the other end is in the mouth of the cleaner, and the baby’s nasal secretions are drawn, which is more effective than the pump. Care should be taken not to damage the nostrils of the baby by both methods, as the nasal mucosa of the babies is very sensitive and there may be minor bleeding after difficult cleaning.

Use serum physiologically: First, take the serum physiologically in 100 ml packets from the pharmacy and draw with the help of an injector. Then gently spray 2-3 millilitre serum physiology into each nostril. The baby sneezes some of them back, gently wipe them off.

Make your own serum physiology. What we call serum physiologic is obtained by adding 9 grams of salt into a liter of water, as I mentioned in this article. Salt water is a home remedy that has been known for centuries to be beneficial for nasal congestion. Add a teaspoon of salt into the boiling water-a glass of boiled water with a more practical recipe. This is one of the cheapest and most sure ways to relieve nasal congestion. Both saltwater and serum physiology repeat before each feeding and sleep. When opening the nasal congestion in small babies, let’s take care to gently squeeze saline, seawater or salt water into the baby’s nose. Otherwise, the nasal mucosa will be irritated because the baby’s nose is very vulnerable to injury.

 

Take a bath: All mucus and secretions blocking your baby’s upper respiratory tract will flow in the bathroom with the help of hot water.

Moisten the room: In a very low humidity environment, the nose tissue and harmful microorganisms and substances in the filtration function of Silia called small hairy functions are forced to perform. It is not suitable for the continuous use of cold or hot steam machines to give moisture to the environment. It causes the formation of harmful organisms such as bacteria, mold and flow in the environment which is above normal humidity. In addition, it is important to note that the room temperature does not exceed 24 degrees in winter, as the humidity rate at higher temperatures may decrease further and may increase the drying rate.

Raise the head of the bed: I draw your attention slightly raise, I say, I do not say that your baby roll down. This makes it easier for secretions to flow and your baby sleeps comfortably.

Breast milk: Frequently breastfeed during the day, often liquid if it receives additional food.

Use nasal aspirator: If there is a severe discharge, it will be useful to drain secretions from the nose after washing with saline.

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