Lingering green snot in a 2-year-old child. How to treat a lingering runny nose in a child

Causes

A runny nose, or rhinitis, is an inflammation of the nasal mucosa and the discharge of mucous, mucopurulent, sometimes even bloody secretions from the nasal passages. The amount of mucus in the nose increases not only as a result of infection with viruses or bacteria, but also in case of allergies (hypersensitivity to an allergenic substance or a number of such substances).

If the disease proceeds without complications, then the runny nose is stopped within a week - one and a half; free breathing through the nose is resumed, and mucus production returns to normal volume.

For the disappearance of an allergic rhinitis, sometimes it is enough to rinse the nose and stop contact with the provocateur.

Prolonged rhinitis occurs:

with constant contact with an allergen;
as a result;
with a reduced immune status;
in case of violation of the rules for the use of decongestants;
in the presence of adenoid vegetations.

Given the list of reasons, lingering snot in a child may occur when they are combined. For example, in the case of frequent ARVI, the likelihood of developing sinusitis (inflammation of the paranasal sinuses) increases, and the tendency to recurrent viral infections due to the inability of the immune system to adequately respond to the invasion of the pathogen.

Therefore, a persistent runny nose, especially in combination with weakness and fever, is a reasonable reason to see a specialist doctor.

Medicinal rhinitis

The development of medication rhinitis, or medicinal rhinitis - This is a widespread complication of the use of vasoconstrictor drugs (decongestants). It is based on a phenomenon called tachyphylaxis, or addiction.

It means a decrease in the sensitivity of the receptors to the active substance, which forces the patient to increase the dose to achieve the effect.

Symptoms of medication rhinitis:

persistent swelling of the nasal mucosa;
allocation of a transparent secret;
decreased sense of smell;
feeling of dryness and burning of the nasal mucosa;
increased bleeding of the nasal mucosa.

Also noted headache, dizziness, aggravated by nasal congestion, hearing impairment with severe edema, constant difficulty in nasal breathing, which is stopped by repeated use of decongestant.

Vasoconstrictor drugs cause addiction. Patients do not part with them, because otherwise they cannot breathe through their nose.

Therefore, it is extremely important to know about the likelihood of a medicinal rhinitis with prolonged (more than 5-7 days) use of drops and sprays.

Adenoid vegetation

Adenoids, or overgrowth of the pharyngeal tonsil, is one of the causes in children. A decrease in general and local immunity is considered the fundamental factor in the development of this pathology.

Influence on immune reactivity is exerted by: unfavorable course of the prenatal period, endocrine disorders, frequent acute respiratory viral infections, lack of vitamins in the diet, unsatisfactory social conditions.

Clinical signs of adenoids are usually divided into general and local. The common ones include asthenovegetative syndrome (constant fatigue, tearfulness, irritability, drowsiness), decreased memory, attention, absent-mindedness, impaired appetite, and decreased academic performance in school-aged children. Some patients experience laryngospasm, a tendency to develop tics, and a decrease in visual acuity.

Local signs include:

Nasal congestion when standing and lying down.
Decreased sense of smell.
Irritation of the skin of the vestibule of the nose, upper lip, secreted by mucopurulent secretions.
A nasty voice.
Frequent otitis media, sinusitis, hearing loss.
Elongation of the upper jaw, violation of the formation of the dentition (protrusion of the upper incisors forward).

The face of patients with adenoids is pale, the nasolabial folds are smoothed, the mouth is constantly open, the lower jaw drops. During the period of exacerbation of the condition, the body temperature rises, a headache appears, and severe weakness.

Treatment

With a runny nose of any etiology, it is important to prevent the secretion from drying out in the nose - for this, the temperature in the room is set at about 19 ° C, the humidity is in the range of 40-60%. For control, you need to check the indicators with a thermometer and a hygrometer, since excess moisture contributes to the growth of mold fungi.

Children should be dressed taking into account the microclimate in the house and their daily activities - warm enough, but at the same time avoiding overheating.

If not high temperature and severe weakness, walking in the air strengthens the immune system and improves nasal breathing. Need also rinsing the nose saline, saline nasal drops (Aquamaris, Humer) - this method is applied several times during the day.

How to treat lingering snot in a child with rhinitis medicamentosa? Therapy for rhinitis provoked by decongestants is based on the refusal to use these drugs; further treatment is carried out using topical (endonasal) glucocorticosteroids (mometasone furoate, Nasonex).

In the treatment of adenoids, antibacterial drugs, irrigation therapy (irrigation of the nasal cavity with saline solutions), physiotherapy, and topical forms of glucocorticosteroids are used.

A lingering runny nose in a child is the discharge of mucous contents from the nose, which does not go away for more than 2 weeks. Why is there a problem? Its culprits are frequent colds and allergic reactions of the child's body. Especially parents are afraid of rhinitis in children under 3 years old, because not all drugs are suitable for its treatment.

Acute rhinitis is one that disappears in 7 to 10 days. From the 11th day, the pathology becomes protracted and requires medical intervention.

Doctors call the factors predisposing to this adverse phenomenon:

decreased general immunity;
hypothermia of the body;
frequent colds and SARS;
predisposition to allergies;
the formation of adenoids;
infection of the body;
anatomical defects of the nasal viscera.

Chronic runny nose symptoms

Recognize lingering runny nose in a child, parents can for a number of signs.

It is not possible to cope with discharge from the nose for more than 10 - 14 days.
Nasal congestion. When allergic rhinitis it is characterized by a cyclical increase. When infectious lesion the problem is constantly present.
General deterioration of the baby's condition. He becomes inactive, eats poorly and sleeps. At 2 years old, a child may complain of poor health, fatigue, headache.
Discharge of thick mucus or purulent discharge. On defeat respiratory tract infection, they are white or white-green. Allergic pathology is characterized by a transparent thick mass.
Decreased sense of smell. With a prolonged runny nose, the baby does not smell and does not react to onions and garlic.
In infants, a lingering runny nose is considered a physiological phenomenon. Up to 2 - 3 months of life, liquid contents can flow from the nose of the crumbs. So the body adapts to new conditions of existence. Initially dry nose after a while "turns on" the mechanism of hydration, but due to inept regulation of mucus is produced in excess.
Itching in the nose, crusted mucous membranes. The anomaly develops from an overdose of vasoconstrictors and constant irritation of the nasal mucosa.

Long-term rhinitis also has alarming symptoms. An immediate appeal to a pediatrician or otolaryngologist requires an increased amount of mucous secretions, which makes it difficult to breathe and eat, as well as deviations in body temperature from the norm, coughing and wheezing in the trachea. The specialist will accurately answer the question of why chronic rhinitis has developed, and will prescribe adequate therapy.

How to get rid of an allergic rhinitis

If the baby is bothered by prolonged allergic rhinitis, parents should try to limit or exclude contact of the crumbs with irritants. You can wash the harmful substance from the child's nasal cavity with saline, a weak salt solution or pharmacy Aquamaris. If there are pots with flowering vegetation in the nursery, they are removed. Feather pillows and blankets are being replaced with hypoallergenic bedding. Communication with pets is prohibited.

It is better to refuse irrigation of the child's room with aromatic agents or air fresheners. Mom should wash clothes using hypoallergenic products. They approach the purchase of baby body care products selectively.

If it is known for sure that food irritants have become the cause of the long outflow of mucus, the treatment of a lingering rhinitis is reinforced by a change in the child's diet. The following are subject to mandatory exclusion from the menu:

juices;
crisps;
nuts;
crackers;
canned food;
citrus;
chicken meat;
carbonated drinks;
sweets with dyes.

From not passing for a long time allergic rhinitis the baby is relieved by antihistamines intended for oral administration - Zirtek, Fenistil, Klarotadin. For irrigation of an irritated nasal cavity, Vibrocil and Nasonex are provided. These drugs are fortified with antihistamines, anti-inflammatory and corticosteroid substances.

Methods for treating an infectious rhinitis

If a child does not have a runny nose due to bacterial damage to the respiratory organs, a set of therapeutic measures consists of local treatment and the appointment of fortifying and immunomodulating agents. What does it mean to treat locally? The procedures affect only the problem area, in our case, this is the baby's nose.

To free the nasal cavity from the abundant contents, children are washed with a small rubber bulb or a special suction. The nose is dripped with Aquamaris or rinsed with saline. Simple home physiotherapy looks like warming up your nose with a boiled egg or a warm bag of salt.

Vasoconstrictor drops should not be included in the treatment of a lingering rhinitis, since they dry out the delicate mucous membrane and cause the body to become addicted to the drug. In some cases, these drugs worsen the condition of the little patient.

General treatment includes taking vitamins and immunomodulators and visiting a physiotherapy room. Antibacterial drugs the doctor prescribes, if the runny nose does not go away for two weeks, and purulent yellow-green contents are separated from the child's nose. Local antibiotic remedies are in the form of ointments, sprays, and liquid preparations. They selectively affect certain groups of microorganisms. An example of such drugs is Isofra, the active substance of which is rifampicin. It can be used to treat children from the age of two.

Levomekol ointment for prolonged rhinitis is used by inserting cotton turundas with the drug into the nasal passages. Its components chloramphenicol and methyluracil have a healing and immunostimulating effect. The hydrophilic base of Levomekoli is responsible for the removal of purulent contents. The ointment is suitable for the treatment of one-year-old babies.

From 2.5 years old, children can be treated with Polydex. Spray with neomycin and polymyxin kills pathogenic flora, constricts blood vessels and relieves inflammation from the nasal mucosa. Its essential component is phenylephrine.

How to eliminate a lingering runny nose with a cough

When a cough joins with prolonged rhinitis, the doctor may recommend inhalation. With a dry cough, steam procedures will remove inflammation from the mucous membranes, and with a productive or wet cough, they will accelerate the release of sputum. To prepare the healing liquid, take dry crushed mint leaves, St. John's wort and calendula flowers (1 tablespoon each). Phyto collection is poured with a glass of hot water and the child is allowed to breathe.

Mustard plasters will help to treat chronic rhinitis with cough. The plates should be dipped in warm water and placed on the back and chest of the sick child, without touching the heart area. It is advisable to wrap the body with a terry towel or woolen scarf. If the manipulation is carried out at night, it is enough for the child to put on warm pajamas and cover with a good blanket.

Local inflammation of the nasal mucosa in otolaryngology is called rhinitis (runny nose), which can be of a viral, bacterial or allergic nature. Basically runny nose in children manifests itself as a result of exposure to pathogenic pathogens on the nasal mucosa, which causes its edema, impaired nasal breathing. The appearance of a runny nose significantly disrupts the general well-being. It is difficult for the child to breathe, sleep is disturbed, there is no appetite, and the sense of smell is lost. With proper and timely treatment, a runny nose goes away within 3-7 days, but when, parents need to take immediate measures for treatment, since such a symptom can have very adverse consequences, provoke the development of otitis media, diseases of the upper and lower respiratory tract. A lingering runny nose can be talked about when it is present. longer, than 2 weeks. The vast majority of symptoms protracted runny nose frighten parents, because they are a sure sign not only of reduced immunity, but also a "bell" about a possible latent infection in the body, proliferation of lymphoid tissue or chronic diseases ENT organs.

Before how to treat a lingering runny nose in a child, it is important to note that rhinitis is a protective reaction of the nasopharynx to various irritants (viruses, bacteria, allergens), the penetration of which causes increased mucus production, edema and other characteristic symptoms. Many doctors in the field of pediatrics and otolaryngology claim that long runny nose develops as a result of a sluggish infection that suppresses the immune system. Treat prolonged runny nose in children it is necessary after determining the cause, that is, the factor that provoked this symptom... Determination of the main etiological factor will help to achieve good therapeutic action, reduce the risk of complications.

Reasons a lingering rhinitis in a child quite a lot, but the etiology is most often based on the following factors:

Viral or bacterial infection.
Excessive dry air in the house.
The body's reaction to allergens.
Hypothermia of the body.
Reduced immunity.
Untreated rhinitis.
Side effects of vasoconstrictor drugs.
Deformation of the cartilaginous or bony structures of the nose.
The presence of concomitant respiratory diseases.

In children of the first year of life, a lingering rhinitis can be physiological or manifest itself against the background of the eruption of the first teeth. In children of early school age, a runny nose can have a chronic course, manifest as rhinopharyngitis or sinusitis.

What is a lingering rhinitis

Successfully cure a long runny nose is possible only after identifying and eliminating the main factor that provoked the inflammatory process in the nasal mucosa. There are several types rhinitis, each of which has its own characteristics:

Vasomotor rhinitis... It develops as a result of increased sensitivity of the nasal mucosa to various irritants: tobacco smoke, some food products, chemical substances, hitting a third-party object in the nasal passages.
Hypertrophic or atrophic... It develops with the growth of the epithelium of the nasal cavity or the thinning of the nasal mucosa.
Rhinitis medicamentosa... Abuse of vasoconstrictor drugs for more than 7 days is addictive and reverse.
Allergic rhinitis... Ingestion of an allergen in the nasal mucosa: dust, animal hair, some food products, pollen.
... Manifests as symptoms colds, ARVI, ARI.
Bacterial rhinitis... It develops with the penetration of pathogenic bacteria into the nasal mucosa: staphylococci, streptococci, pneumococci and others.

Despite the fact that all types of rhinitis have a similar clinical picture, treatment has its own characteristics and must necessarily consist of the use of systemic drugs that will act on the very cause of a lingering rhinitis.

Signs

Symptoms a lingering rhinitis in a child cannot remain unnoticed, since they are not only outwardly expressed, but also reflected in the general well-being of the child. In the vast majority of children, rhinitis is not the only symptom that the child complains about. With a prolonged runny nose, a child may experience the following symptoms:

Swelling of the nasal mucosa.
Nasal congestion worse at night.
Headache.
Increased body temperature.
Frequent and profuse sneezing.
Lachrymation.
Dry and moist cough.
Increased sleepiness, fatigue.
Scanty discharge from the nasal mucosa.
Smell disorder.
Pain, sore throat.

The appearance, although a couple of the above symptoms, together with a prolonged runny nose, should be a reason for contacting an otolaryngologist, who, after the collected history, examination of the nasal passages, examination results, will be able to determine the cause, make the correct diagnosis, followed by the appointment of therapeutic therapy.

What is a dangerous lingering rhinitis?

Prolonged runny nose in a child not only worsens the general well-being of the child, but can also act as a trigger for the development of more serious diseases, including:

Sinusitis.
Otitis.
Sinusitis.
Bronchitis.
Pneumonia.
Bronchial asthma (with allergic rhinitis).
Polyps in the nose.

Most of the above diseases can occur in an acute or chronic form, worsen the well-being of the child.

How and how to treat a lingering rhinitis

Basically, parents, at the first symptoms of a runny nose, try to cope with its symptom on their own, but when home treatment does not help, rhinitis does not disappear for a long time, then they turn to doctors. Treatment directly depends on the cause, including both the use of topical preparations and means for internal use. A good result can also be obtained from inhalation procedures, washing the mucous membrane with saline or isotonic solutions.

One of the most commonly prescribed drugs for a lingering rhinitis is Sinupret, which is available in two forms: tablets and drops for oral administration. The drug has a vegetable basis, can be prescribed to children from 2 years of age. Sinupret has a pronounced anti-inflammatory, secretolytic effect, relieves swelling, facilitates the passage of mucus from the nasal passages, and reduces inflammation.

The second drug used for lingering rhinitis are interferon preparations, which help to stimulate immunity, suppress the aggressiveness of viruses and bacteria. Such drugs are produced in different forms, nasal drops, drops for internal administration: Nazoferon. Edas-131 drops or Euphorbium Compositum nasal spray have proven themselves well in case of prolonged rhinitis.

Vasodilator drops are good enough to cope with a lingering rhinitis, but they can both help and harm. In order for such drugs to bring a good therapeutic result, they can be used no more than 5-7 days.

If lingering rhinitis appears against the background of an allergic reaction, you need to eliminate contact with the allergen, take drugs with antihistamine action: Erius, Tavegil, Loratadin, Edem and others.

Any drug for prolonged rhinitis in a child should be prescribed by a doctor individually, taking into account the age, reason, and characteristics of the child's body.

Inhalation

Inhalation procedures for prolonged runny nose will help relieve swelling of the nasal mucosa, eliminate inflammation. As medicinal raw materials, you can take both pharmaceutical preparations (Dekasan,), and funds traditional medicine (chamomile, calendula, plantain, essential oils). Inhalations with medicinal herbs can be carried out over a saucepan with hot steam. If a drug solution is used, you will need an inhaler - a nebulizer. If the body temperature rises above 37.2, inhalations are contraindicated. Decoction procedures medicinal herbs not recommended for children under 3 years of age.

Flushing

One of the most effective for any rhinitis is the washing of the mucous membrane with isotonic or saline solutions: Humer, Marimer, Aquamaris. Saline solutions help to clear the mucous membrane of accumulated mucus, viruses, bacteria, allergens and other pathogens. Children of any age can wash the mucous membrane.

Massage

An auxiliary technique to the main treatment can be acupressure. You can do it several times a day. It is enough to lightly massage in the area of \u200b\u200bthe wings of the nose, you can use essential oils or warming medicinal ointments for children.

To exclude possible complications is determined by the doctor individually for each small patient. In cases where the reason is hidden in the defects of the ENT organs, the doctor may prescribe surgical treatment.

Drug overview

Therapy for rhinitis in children consists of prescribing topical medications. Such drugs are distinguished by their therapeutic effect and should be prescribed for a certain type of rhinitis: vasoconstrictor, antiviral, antibacterial and antihistamines. In the practice of doctors, the following nasal drops are most often used:

Aqua Maris - a preparation based on the water of the Adriatic Sea. It contains a number of microelements that allow you to cleanse the nasal mucosa from pathogenic bacteria and allergens. The drug can be used for therapeutic or prophylactic purposes from the first days of life. Aqua Maris can be combined with other medicines.

Aqualor baby- sterile isotonic sea water. The use of drops allows you to care for the nasal mucosa, improves nasal breathing, and can be used from the first days of life. It is recommended to rinse the nose at least 4 times a day.

Otrivin– vasoconstrictor for the treatment of rhinitis of various origins. The basis of the drug is xylometazoline hydrochloride, which quickly relieves swelling, restores normal breathing. For children with prolonged rhinitis, it is recommended to instill 1 - 2 drops of the drug 2 times a day. Duration of admission is 5 - 7 days.

Nazol Baby - a drug based on phenylephrine hydrochloride, which has a decongestant,
vasoconstrictor action. Treatment with drops should not roar for 3 days.

Nazivin 0.01%- nasal drops based on oxymetazoline. The drug has a decongestant, anti-inflammatory effect. Nazivin is available in different dosages that are intended for children about of a certain age.

Bioparks- a topical antibiotic that is used to treat bacterial rhinitis... The active component of the drug is fusafungin, which has antibacterial, antimicrobial effects. It is prescribed for children from 2 years old.

Miramistin - a powerful antiseptic with a broad spectrum of action. It has a pronounced antibacterial effect, therefore it is prescribed only for rhinitis bacterial origin... Allowed for children from 1 age, but in practice they are often used for babies.

Derinat- a unique drug for treatment inflammatory process in the nasal mucosa. It has an immunomodulatory, protective, anti-inflammatory effect, is widely used in the treatment of lingering rhinitis in children.

These are not all drugs that can be used in the treatment of a lingering rhinitis. The main thing is that before using any medicine, you need to consult a doctor, study the instructions.

Very often, a lingering runny nose in a child is the result of previously poor-quality treatment, so parents do not need to self-medicate, but trust specialists. Many experts believe that a prolonged runny nose is present in children with reduced immunity, so adults need to take care of the state of the immune system, create all conditions for comfortable and healthy growth and development.

Long runny nose the child usually has acute symptoms. Moreover, they can appear suddenly, which negatively affect the well-being of the child. Together with the absence of nasal breathing, nasal congestion, fever, chills, pain in the head and temples appear, and body temperature rises. The deterioration of the baby's well-being affects sleep, appetite is disturbed, moodiness and constant crying appear. A long runny nose torments the baby and drains his body greatly, so it is important to start treatment as soon as possible.

Prolonged rhinitis can recur several times during the year, since the baby's natural immunity has not yet been fully formed. For this reason, it is important to know how and how to treat a lingering rhinitis in a child. Any treatment for the upper respiratory tract begins with identifying the cause. Therefore, in addition to the course of treatment, it is necessary to identify the factors that provoked the onset of the disease.

A lingering runny nose in a baby delivers a lot of unpleasant symptoms. Treatment of such an ailment begins with establishing the root cause. Basically, the reason lies in the penetration of viruses or microbes from the respiratory group into the body.

Penetrating into the body, rhinoviruses, adenoviruses, respiratory syncytial viruses in a matter of days provoke the development of a strong inflammatory process.

In some cases, rhinitis can last up to ten days.

Medicines are prescribed only after determining the type of the virus and establishing all provoking factors, since in some cases the same runny nose can torment a small patient with infectious inflammation or due to an allergic reaction.

It is possible to understand the nature of inflammation only in consultation with the attending physician.

With the development of the disease and the absence of the necessary treatment, the patient has a strong outflow of mucous contents from the nasal cavity. At the same time, the kid feels serious discomfort.

Keep in mind that lingering rhinitis lasts on average seven to ten days... If the inflammation lasts longer, then the treatment should be directed at the urgent disposal of the body from viruses. Otherwise, the transition of the disease to the chronic stage is possible.

Chronic rhinitis

A prolonged runny nose in a baby may not be a characteristic rhinitis, but an inflammation. This reason is considered the most common and requires some treatment.

Most often, a chronic rhinitis occurs due to improper treatment of rhinitis or long-term use of drugs that were incorrectly selected.

A prolonged runny nose can occur due to various processes within the body, when chronic inflammation becomes only part of a general illness.

Consequence of a common cold

Another reason prolonged runny nose there may be consequences after colds rhinitis. At this time, the baby complains of abundant mucous discharge from the nasal cavity, as well as nasal congestion.

Usually, this type of ailment occurs in the winter, when the baby's immune system is especially weakened.

Microbes and viruses

Another reason for rhinitis is viruses and bacteria. Penetrating into the body, they provoke the formation of a prolonged rhinitis.

Together with rhinitis, the baby develops nasal congestion, elevated temperature body, chills, fever and other symptoms.

You can determine the characteristic signs yourself, but you can only diagnose the type of inflammation at an appointment with an ENT doctor.

Bacterial rhinitis requires urgent treatment, so do not delay seeing your doctor. When diagnosed in a baby, they will probably identify several forms of inflammation that have appeared as a result of the multiplication of staphylococcal infection.

Other reasons

The listed reasons become the main factors in the formation of prolonged rhinitis. But, in addition to them, we can also highlight a few reasons:

a weakened immune system;
private respiratory inflammation;
not cured cold rhinitis;
lack of the necessary treatment for rhinitis;
frequent hypothermia;
inflammatory processes in the upper respiratory tract;
congenital or acquired curvature of the nasal septum;
anatomical features in the structure of the body;
an increase in mucous tissue;
various allergic reactions to dust, dirt, pets, flowers, food;
the presence of pathological processes in the body.

Usually such signs accompanied by the following symptoms, if identified, you should urgently consult a doctor:

incessant mucous discharge;
lack of nasal breathing at any time of the day;
violation of the functions of smell;
the formation of thick secretions;
changing the color of the discharge to black or brown;
itching and burning sensation;
constant feeling of tiredness;
sleep disturbance and loss of appetite.

Finding any of the listed signs in your child, you need to take measures to provide assistance. But the treatment folk methods or the use of any medication without a preliminary certificate from a doctor is unacceptable. Thus, you can provoke the development of a pathological process and worsen the child's well-being.

Treatment of prolonged rhinitis

Treatment of a lingering rhinitis begins with the establishment of the cause and clinical picture of inflammation..

If the disease proceeds with swelling of the mucous membrane, changes in body temperature, thick and dark discharge from the nasal cavity, as well as purulent masses, urgent drug treatment is necessary.

If the inflammation is left unattended, the formation of a chronic type of inflammation, adenoiditis or is possible.

Sometimes the inflammation is accompanied by mucous membranes and transparent secretions, which speaks of allergic rhinitis.

Only a doctor can establish the correct diagnosis, so do not start treatment without a confirmed diagnosis.

First aid

Treatment for long-term rhinitis begins with maintaining certain living conditions. These include:

Establishing the required percentage of humidity in the living room.
Maintaining the air temperature not higher than 20 degrees Celsius.
Elimination of contact with any provoking objects. These include dust, pets, household chemicals, cosmetics, cigarette smoke.
Regular ventilation of the room is necessary.
Disposal of dust accumulation objects in the room. These include heavy curtains, rugs, and large stuffed toys.
Maintaining proper nutrition.

In addition, it is necessary to carry out wet cleaning twice a day and monitor the general well-being of the patient.

Drug treatment

To get rid of a prolonged runny nose, you must undergo a course of drug treatment:

It is important to rinse the nasal passages daily with specialized solutions - Physiomer.
It is necessary to take local antiseptics and antibacterial nasal drops for a lingering rhinitis - Bioparox, Polidex, Isofra.
Inhalation.
Reception of mucolytics - Fluimucil Antibiotic IT.
Treatment is impossible without the use of vasoconstrictor drops in the nasal passages. It is best to instill Xylometazoline and Phenylephrine.

If the inflammation is acute, the doctor may prescribe antibiotic therapy. In this case, the course of treatment will include drugs such as Amoxicillin, Clarithromycin.

Complex treatment is impossible without taking anti-inflammatory medicines — Tantum Verde, Sinupret, Pinosol, Hydrocortisone.

The final stage will be physiotherapy.

Conclusion

It is impossible to get rid of nasal congestion and prolonged rhinitis without a comprehensive examination. Therefore, do not risk your own health, but trust the choice of doctors.