What causes frequent sneezing,nasal drainage and nausea in a child?
Patient: 10 yr old daughter s symptoms are sneezing that clears her sinus cavities several times a day even though she has no congestion, drainage, burping, feeling of food sitting in throat or esophagus, nausea, hardness in stomach. Cat scan of sinuses showed very slight inflammation; upper endoscopy w/ biopsies & ph probe were all clear; scratch test for food & environment all clear. Allergy meds, Nexium, Prilosec failed to resolve symptoms. What might cause these symptoms? Doctor: Hi,  By what you say I feel that your child might be having moderate to severe persistent allergic rhinitis along with an upper airway resistance syndrome.  Previously the only treatment for upper airway resistance syndrome used to be surgery or adenotonsillectomy.  But now advanced the modalities of treatment have come up, like intranasal steroids which can be given up to a period of 4 to 8 weeks and after which many kids are recovering without the need for surgery. This treatment will take care of the moderate to severe persistent allergic rhinitis also.  But this technique of administration of intranasal steroids is very important and should be talking to you by your pediatrician properly.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology