Dr. MJ Bazos MD,
Patient Handout
Runny Nose in
Children
What causes a runny nose during a
cold?
A runny nose usually starts when a cold is
starting to get better. When the cold virus first infects the nose and sinuses,
the nose starts making lots of clear mucus. This mucus helps wash the virus out
of the nose and sinuses. After 2 or 3 days, as the body fights back, the mucus
changes to a white or yellow color. As the bacteria that usually live in the
nose grow back, they change the mucus to a greenish color. This is normal. It
doesn't mean your child has an infection that needs to be treated with medicines
like antibiotics.
Does a runny nose need to be
treated?
No. Runny nose, cough, fever, headache and
muscle aches may bother your child during a cold, but medicine won't make them
go away faster. Using a cool mist vaporizer or giving your child an
over-the-counter decongestant medicine may help. Check with your doctor to see
which medicines are okay to use.
Why not take antibiotics?
Taking antibiotics that your body doesn't really
need can be harmful. After each antibiotic, your child is more likely to have
resistant germs in his or her nose. If your child gets infected again, it's more
likely to be with these resistant germs. Resistant germs aren't killed by the
usual antibiotics. If your child gets infected with a resistant germ, it might
be necessary to use more expensive and powerful antibiotics or even antibiotics
that have to be given in the hospital. Since a runny nose generally gets better
by itself, it's best to wait and take antibiotics only when
necessary.