2021-06-10 18:08


10 Things to Know About Children's ENT Disorders


From allergies to flu, when does your child's ear, nose or throat condition become a cause for concern? Our expert explains.

Pediatric ear, nose and throat (ENT) disorders are some of the primary reasons for children's visits to the doctor. ENT issues are more prevalent in children because their bodies and immune systems are still developing. Many structures in the ENT region are not fully developed and may be more prone to dysfunction. Children's ENT ailments can range from colds and flu to allergies and earaches, but some ENT conditions do require more urgent attention. Today we answer 10 questions that parents often ask.


What are some of the most common childhood ENT issues you've encountered?

Kids come in with all sorts of ENT complaints. I have seen interesting cases of allergies, sinus issues, and night-time sleep disorders, such as snoring and disrupted breathing during sleep, in children from as young as 4 years old.


Allergies are known to be on the rise. What are the main allergies you see, and how do you treat them?

The most common allergens are house dust mites. They can cause nose, eye, airway and skin symptoms. We offer a spectrum of treatments from nasal sprays or oral medication to desensitization therapy, a form of treatment that helps the body's immune system fight allergies. It involves sublingual desensitization medicine and desensitization injection. 


Is there anything that I can do to prevent my child from allergen?

I strongly recommend parents to start from the basics of life. When caring for your child, avoid excessive cleanliness (although it is difficult to measure). There is growing research suggesting that exposing children to germs may help them develop stronger defenses against illnesses like allergies later on in life. Don't smoke around your child. Breastfeeding will also enhance children' immune system, and a healthy, balanced nutrition is also important. 


How can I help manage the allergic symptoms if they are already present?

If allergic symptoms are already present, it would be good to minimize the childs exposure to dust, fluffy toys, rugs, carpets, curtains, etc. Also, change bed linen regularly. Make sure your air conditioning filters are frequently cleaned. It might also be useful to determine if pets are causing the allergy C dander from cats and dogs can sometimes trigger allergic symptoms.


How should I treat a child with a common cold?

Keep an eye on the child's temperature.As a rule of thumb, you need to get the child to a doctor if their temperature remains at 39.5C and above. Keep the child hydrated, and let them take some rest. If the child can swallow comfortably, you can give them some vitamin C gummies.


When is it time to take a child to the doctor?

Your child should definitely see the doctor if they have:

  • Difficulty swallowing fluids

  • A temperature that stays at 39.5C and above

  • Seizures or fits

  • A rash

  • A cough sounding like dog barking

  • A cough lasting more than a fortnight

  • A stiff neck or bad headaches, which could be a sign of something more serious


When should ENT emergency medical treatment be sought for the child?

Parents should consider taking their child to the ENT emergency room if the child is experiencing symptoms like breathing obstruction, difficulties with swallowing food or liquid, barking cough, nose bleeding, severe pain in ears, nose or throat or trauma of ears, nose or throat.

Foreign bodies stuck in noses, ears and throats also require immediate medical attention. Its not a good idea to remove the blockage yourself as it may cause foreign bodies stuck more deeply.


What should I prepare for my child on the way to the hospital?

When you go to the Emergency department, it is useful to come prepared with the child's identification papers like passport or birth certificate, and of course, your own. If you have an insurance card, document or policy number for e-filing at the Emergency department, that could also help simplify the paperwork.

Distractions can be useful in helping your child cope with a difficult situation. Bring their favorite toys along or prepare an emergency bag filled with items that could comfort your child. Besides, simple hugs and cuddles can also have a soothing effect.


I read that antibiotics can disrupt our gut health by killing both the good and bad bacteria. What is your approach to the use of antibiotics?

The use of antibiotics depends on the kind of infection. Because most childhood cold and flu are viral infections, they are best treated by our own immune systems. But if there is evidence of bacterial infection (high white blood cell, yellowish runny nose, yellow sputum, ear discharge, etc.) and if the symptoms elevate in 3 days or last more than 1 week, antibiotics are suggested. In short term, to prevent harm to our digestive system, probiotics can be used during the antibiotic treatment.


Child has snoring means good sleep?

Snoring sometimes means upper airway obstruction. Short-term of mouth breathing/snoring after catching a cold is normal. Long term of snoring could cause adenoid face, growth retardation, impaired concentration in class. If children have snoring more than 1 month, they need to see a doctor in time to exclude tonsil and adenoid hypertrophy.

Article reviewed by Dr. Yongjiang Fan, ENT Specialist at ParkwayHealth

For more information or to make an appointment, please call 400-819-6622 or Click Here for online appointment with Dr. Yongjiang Fan, ENT Specialist at ParkwayHealth.

Copyright: Health Plus an online health and wellness web resource developed by Parkway Singapore 



1. Breastfeeding Benefits Your Babys Immune System. (n.d.). Retrieved November 29, 2018 from https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Breastfeeding-Benefits-Your-Babys-Immune-System.aspx

2. Kids ENT Health Month. (n.d.). Retrieved November 29, 2018 from https://www.entnet.org/KidsENT

3. Zamosky, L. (n.d.). Is Dirt Good for Kids? Retrieved November 29, 2018 from https://www.webmd.com/parenting/features/kids-and-dirt-germs#1

ParkwayHealth China

ParkwayHealth is a member of Parkway Pantai Group. ParkwayPantai is Asias Leading Healthcare Provider, part of IHH Healthcare, one of the largest healthcare providers in the world by market capitalization. Its operates 80 hospitals with more than 15,000 beds in 10 countries.

ParkwayHealth first arrived in China in 2004. In 2006, ParkwayHealth opened its first medical center in Shanghai, bringing world-renowned quality healthcare to China. Through the acquisition of World Link Group in 2007, ParkwayHealth becomes Shanghai's largest foreign-owned medical network. 

ParkwayHealth China is a leading international healthcare provider. With a team of nearly 100 internationally trained physicians, we now operate 10 medical facilities conveniently located in Shanghai, Suzhou, Chengdu and Hong Kong offering more than 40 specialties. We work closely with the best local hospitals with which we share our knowledge and expertise to ensure the best services possible to our patients. We have established direct billing services with over 50 insurance companies. We provide both outpatient and inpatient care for adults and children. Our services include: Family Medicine, Adult Medicine, Pediatrics, Gynecology, Dentistry, Cardiology, ENT, Gastroenterology, Ophthalmology, Dermatology, General Surgery, Orthopedics & Sports Medicine, Urology, Beauty & Skin Care, Psychiatry, Traditional Chinese Medicine & Acupuncture, Osteopathy, etc.


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