Children have smaller sinuses, so it is not uncommon for them to get sinus infections. The infection may be acute or chronic (more than 10 days). It can be brought on by allergies, environmental irritants, viruses, bacteria or structural issues. Treatment can include nasal rinses, medicines or surgery.

Nasal Rinse

Rinsing the nasal passages can help provide relief for frequent sinus issues according to the American Academy of Allergy Asthma & Immunology. There are over-the-counter pediatric rinses available with pre-mixed saline solutions. You can find a recipe and directions provided by the Academy of Allergy Asthma & Immunology at aaaai.org/patients/publicedmat/sinusitis/rinse_recipe.pdf.

Immune System

According to Dr. Greene, xylitol, which is found in certain fruits like plums, can help boost a child's immune system. Also, he recommends feeding your child good bacteria like active yogurt cultures to prevent future sinus infections because for children, prevention is key. The Children's Ear, Nose & Throat of Houston's website recommends that children drink plenty of fluids to keep mucus thin.

Medications

Antibiotics will only help a sinus infection caused by bacteria. According to the Oregon Department of Human Services, they might help if your child has had a sinus infection for 10 days or more, one-sided pain or pressure, postnasal drip, coughing or eye swelling. Decongestants and pain relievers may be an option depending upon the child's age.

Adenoid Removal

Children can have inflamed adenoids (located at back of nose) that lead to recurring sinus infections according to the National Institutes of Health. Symptoms are mouth breathing, sleep apnea, nasal congestion, chronic sinus or respiratory infections and dry lips. An adenoidectomy may be a last resort to eliminate sinus issues.

Other Considerations

Medical attention is necessary to properly diagnose an infection in a child. An x-ray of the sinuses may be needed to confirm chronic sinusitis. Also allergies and respiratory illnesses can produce symptoms that are similar to a sinus infection, according to Children's Ear, Nose, & Throat of Houston.

Source:

National Institutes of Health: Enlarged Adenoids

The American Academy of Allergy Asthma & Immunology: Saline Sinus Rinse Recipe

The Oregon Department of Human Services: Sinus Infection Treatment Guide

More Information:

National Institute of Allergy and Infectious Diseases: Sinus Infection

Dr. Greene.com: Optimizing Immunity

Children's Ear, Nose & Throat of Houston: Sinus Diseases