Can a Baby Get a Sinus Infection? What Parents Should Know

Babies can develop sinus infections. Sinuses are air-filled cavities in the bones of the face around the nose. In infants, only the ethmoid sinuses, located between the eyes, and the maxillary sinuses, behind the cheeks, are present at birth. A sinus infection, or sinusitis, occurs when these sinus linings become inflamed or infected. This inflammation can lead to blockages, trapping mucus and creating an environment for germs to grow.

Recognizing Symptoms in Infants

Parents can recognize a potential sinus infection by observing specific signs. A persistent nasal discharge, often thick and yellow or green, is a common indicator. This discharge may also lead to post-nasal drip, causing a cough that often worsens at night.

Babies with sinus infections may also have a low-grade fever, or sometimes a higher one. Irritability, reduced energy, and feeding difficulties are common. Disrupted sleep patterns can also occur due to nasal congestion and coughing. Swelling around the eyes is another symptom, particularly in the morning.

Differentiating from a Common Cold

Distinguishing a sinus infection from a common cold can be challenging due to overlapping symptoms. A typical cold usually resolves within 7 to 10 days, with symptoms gradually improving. In contrast, sinus infection symptoms tend to last longer, often persisting for more than 10 to 14 days without improvement.

The progression of symptoms also differs. While a cold’s symptoms generally peak and then subside, a sinus infection might show initial improvement followed by worsening. Nasal discharge also offers clues; with a cold, discharge may start clear and become cloudy, but with a sinus infection, thick, colored discharge often persists.

Causes and When to Seek Medical Attention

Sinus infections in babies commonly originate from viral infections, such as the common cold. A lingering viral cold can lead to inflammation and blockage of nasal passages and sinuses. This blockage creates conditions favorable for bacteria to multiply, resulting in a secondary bacterial sinus infection.

Allergies, by causing nasal tissue swelling and increased mucus, can also contribute to sinus blockages and infections. Less common causes include anatomical issues, such as enlarged adenoids, or exposure to environmental irritants like secondhand smoke.

Parents should seek medical attention if their baby’s symptoms persist for more than 10 to 14 days or worsen after initial improvement. A doctor’s visit is also advised if the baby develops a high fever, especially after cold symptoms began to improve. Other concerning signs include severe pain, swelling around the eyes or face, or any indications of dehydration.

Treatment and Prevention Strategies

Treatment for a baby’s sinus infection often involves supportive home care and prescribed medications. If a bacterial infection is confirmed, a doctor might prescribe antibiotics. For allergies contributing to symptoms, antihistamines or nasal steroids may be considered to reduce inflammation.

Home care measures focus on easing discomfort and promoting drainage. Saline nasal drops or sprays can help thin mucus, making it easier to clear with a bulb syringe or nasal aspirator. A cool-mist humidifier in the baby’s room can add moisture to the air, soothing congested nasal passages. Ensuring the baby stays well-hydrated with breast milk, formula, or water helps to thin mucus. Warm compresses applied to the face can also offer some relief from discomfort.

Preventing sinus infections involves reducing exposure to common triggers. Practicing good hygiene, such as frequent handwashing, helps minimize virus spread. Avoiding exposure to sick individuals and environmental irritants, like tobacco smoke, can also lower risk. Managing existing allergies effectively can also play a role in preventing recurrent sinus issues.