September 29, 2026

Sinus Infections and Chronic Sinusitis in Children | Glatz Group

If your child has congestion that will not clear, thick nasal drainage, a cough that keeps hanging on, or repeated sinus symptoms, it may be more than just another cold.

Sinus infections can happen in children, and some children develop ongoing or recurring sinus inflammation that may need a closer look.

What Are the Signs of a Sinus Infection in a Child?

Possible symptoms include:

  • Nasal congestion
  • Thick or discolored nasal drainage
  • A cough that does not seem to improve
  • Post nasal drainage
  • Bad breath
  • Headache or facial pressure
  • Ear pressure or discomfort
  • Sore throat
  • Fever
  • Irritability

In children, sinus symptoms can overlap with colds, allergies, enlarged adenoids, and other nasal problems, so the length and pattern of symptoms matter.

Cold or Sinus Infection?

Most colds gradually improve.

A sinus infection becomes more likely when cold symptoms continue for more than about 10 days without improvement, become significantly worse after starting to improve, or are accompanied by more severe symptoms.

A child's doctor can help determine whether symptoms are more consistent with a viral illness, bacterial sinusitis, allergies, or another condition.

Why Does My Child Keep Getting Sinus Problems?

Recurring sinus symptoms can have several possible causes.

Frequent Respiratory Infections

Children are exposed to many respiratory viruses, especially in school and daycare settings. Repeated illnesses can make it seem like congestion never fully clears.

Allergies

Allergies can cause chronic swelling inside the nose and contribute to congestion, drainage, and difficulty breathing through the nose.

Learn more about allergies in children.

Enlarged Adenoids

Enlarged adenoids can contribute to chronic nasal obstruction, mouth breathing, drainage, and recurring nasal symptoms.

Learn more about enlarged tonsils and adenoids in children.

Chronic Nasal Inflammation

Some children develop ongoing inflammation inside the nose and sinuses that is not simply the result of one infection.

What Is Chronic Sinusitis in Children?

Chronic sinusitis means sinus and nasal symptoms continue for a prolonged period rather than clearing after a typical cold or short term infection.

Symptoms may include:

  • Ongoing nasal congestion
  • Persistent drainage
  • Chronic cough
  • Post nasal drip
  • Difficulty breathing through the nose
  • Recurring facial pressure or discomfort
  • Reduced sense of smell

Chronic sinus problems can have several contributing factors, so treatment depends on what is driving the inflammation.

Can Sinus Problems Affect Sleep?

Yes. A child who cannot breathe comfortably through the nose may begin breathing through their mouth, snoring, or sleeping restlessly.

If your child has persistent congestion along with snoring or mouth breathing, learn more about snoring and sleep problems in children.

When Should My Child See an ENT?

An ENT evaluation may be helpful when:

  • Congestion lasts for weeks
  • Sinus symptoms keep returning
  • Your child has repeated sinus infections
  • Nasal breathing is difficult even when your child is not sick
  • Symptoms continue despite appropriate treatment
  • Allergies or enlarged adenoids may be contributing
  • Sinus symptoms are affecting sleep or daily activities

How Are Sinus Problems Evaluated in Children?

The evaluation usually begins with a review of your child's symptoms, how long they have been present, and how often they return.

The ENT may examine the nose, throat, and airway and look for signs of inflammation, drainage, enlarged adenoids, or other nasal obstruction.

Depending on the situation, additional evaluation may include:

  • Allergy testing
  • Nasal endoscopy
  • Imaging in selected cases
  • Further evaluation for recurring or unusual infections

How Are Sinus Infections in Children Treated?

Treatment depends on the cause.

Viral infections do not require antibiotics. Bacterial sinus infections may be treated with antibiotics when appropriate.

Other treatment may include:

  • Saline nasal sprays or rinses
  • Hydration
  • Humidification
  • Treatment of allergies when present
  • Medications to reduce nasal inflammation when recommended

What About Chronic Sinusitis?

Chronic sinusitis often requires a more individualized approach because ongoing inflammation may involve allergies, adenoid problems, structural issues, or other causes.

If symptoms continue despite medical treatment, an ENT can determine whether additional evaluation or other treatment options should be considered.

Sinus Care for Children in McAllen, TX

If your child has ongoing congestion, repeated sinus infections, chronic drainage, or difficulty breathing through the nose, Glatz Group can evaluate whether sinus inflammation or another ENT condition may be contributing.

Learn more about our ENT care for children in McAllen, chronic nasal congestion in children, and allergies in children.

Does your child keep dealing with congestion or sinus infections?

Book an Appointment

Book

AN APPOINTMENT

Ready to feel better? Schedule your visit with Glatz Group today.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Glatz Guarantee

Dr. Glatz is committed to patient care and positive results. He will remain committed to solving your sinus issues. Specific guarantees depend on your insurance carrier.

Our Services

Opening Hours

Monday - Thursday: 8:30 am to 5:30 pm
Friday: 8:30 am to 1:00 pm
Saturday - Sunday: CLOSED

Contact Us

Phone Number

(956) 331-8928

Email Us

enquiry@glatzyoudid.com

Copyright © 2024 Glatz Group. All Right Reserved | Powered by Cobalt Digital
arrow-downmenu-circle linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram