^ It is more likely na barado pa rin ang nose ni baby kasi as you said, singhot pa rin ng singhot. Nachecheck up ba ang loob ng nose niya?
Madalas kasi, when a patient comes to us (whether child or adult), sasabihin sa amin, 'wala po akong sipon', but when we check inside the nose, we see nasal congestion/baradong nose. So, yes, wala ngang runny nose, pero barado naman ang nose so, may sipon pa rin.
I suggest you bring your child to an allergologist/immunologist to clarify if your child's rhinitis is indeed allergic rhinitis. And if, indeed, it is allergic rhinitis, para ma-identify ang triggers niya and maturuan ka ng avoidance measures.
^but doc is it correct that sometimes it can start as allergic in nature but progresses to bacterial? I noticed with my son before, he always starts with sniffles for several days then later on it progresses to bacterial. As in his nasal discharge changes from clear to yellowish. Then eventually it goes down to the lungs and becomes pneumonia. What can I do to avoid the progression?
Yes, it is possible for allergic diseases to lead to bacterial complications such as otitis media (ear infections), sinusitis and pneumonia.
The key there would be to identify what triggers it and avoid it so that the symptoms will disappear or not progress.
Or if, hindi talaga maiwasan ang trigger, when symptoms appear and if by history, mabilis ang progression ng symptoms, bring the child for consult and treat the disease properly.
If it occurs quite often, then, there may be a need to start maintenance medications. Kadalasan kasi, the reason why complications occur is because hindi properly treated ang allergic disease. For allergic rhinitis, ito yung mga nag- anti - histamines lang as needed when dapat naka - maintenance meds na pala.
For infants less than 2 years of age, you also have to consider that it might not be allergic at all, but rather, a viral infection that was not properly acted on by the immune system that led to the development of a bacterial infection.
Marami kasing viral infections at that age na katulad ng allergic diseases ang symptoms na naglelead to development of bacterial infections like pneumonia.
Example: Respiratory syncytial virus or RSV infections start out as colds/sniffles then may progress to wheezing. Ito yung madalas napapagkamalan na Infantile Asthma kasi katunog ng asthma and same character as asthma ang symptoms. RSV bronchiolitis may lead to pneumonia.
Maraming ring RSV cases during the allergy prone months (rainy/wet and cold seasons). Common infection ito for infants 3 months to 2 years of age.
An infant who suffers from recurrent or prolonged/chronic RSV infections have been shown to have an increased risk of developing asthma later on kaya may study na nagbibigay ng Montelukast for 6 months to infants with bronchiolitis in the hopes of preventing allergic disorders.
