A ct scan confirmed sinusitis on my 6 yr old. what is the best treatment other than antibiotics and corticosteroids? he/she is on cifex, aerius, avamys, xylalin & sinarest.

The Best Combination: This is an important discussion between you and your child's doctor. He/she may make treatment decisions based upon your child's overall health, if your child has underlying conditions. Ask specific questions with your child's doctor so you have a full understanding of the rationale of the treatment plan.

Peds Sinusitis: Sounds like a pretty unhappy child, sorry about that. Lots of meds, too. We usually try to manage pediatric sinusitis with medications, like antibiotics and steroids. Can also use saline irrigation or spray in the nose. Further, a landmark study has shown that many children suffer from reflux and by treating, they often can get their sinusitis better. Consider reflux treatment and add saline.

Your child should...: Should be on mucolytic agents and pseudophedrine! in addition irrigation by an ENT should be considered! direct antibiotic and anti fungal therapy directly into sinuses can help.

Check allergies: Chronic nasal obstruction from allergic rhinitis is by far the most likely cause for his chronic sinusitis . Should be checked out for allergies. I assume that cystic fibrosis has been ruled out. An immune study may also be considered if sinus ct showed no anatomical drainage obstruction but the sinusitis continues .Surgery would be the last resort.

Sounds appropriate.: It sound like your child is being treated appropriately. Antiobiotics and corticosteroids are the mainstay of treatment in the acute setting. Mucolytics can also help.