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Nasal Discharge and Obstruction

  

Nasal discharge is a very common problem, especially amongst children.


Assessment

Consider the following causes:

  • rhinitis, sinusitis, polyps
  • deviated nasal septum
  • granulomatous conditions
  • sino-nasal malignancy
Management

Treat rhinitis with a topical steroid spray. If confident that polyps are present, consider steroid drops or even short course oral prednisolone.

If there is unilateral obstruction and/or blood stained discharge, please send an urgent referral to ENT.

Consider routine referral to ENT if medical treatment fails.

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