Children's Chronic Rhinitis

Sorry to hear about your daughter meadow_wind. I suffered from it at about the same age too, so I know what it's like.

For what it's worth I just listened to a podcast on the benefits of xylitol - mostly it covered xylitol (gum) and the reduction of cavities in children. It kills the bacteria that cause cavities (incidentally sorbitol feeds them, which is found in most toothpastes). It also talked about using xylitol nasal sprays to balance the bacteria there too - it reduces inflammation and also helps prevent many viruses.
I'm going to try it shortly.
Here's the podcast:

And a paper with a meta analysis of the effects:

Xylitol nasal preparations in sinonasal disease: a literature review and meta-analysis

[..]
Xylitol has been shown to exhibit antimicrobial properties with several studies demonstrating that this is owed to its inherent ability to enhance the innate immune system by altering the salt concentration of the airway surface liquid thereby increasing the effect of endogenous antimicrobials such as lysozymes, lactoferrin and beta defensins (2,3). It also acts as an anti-biofilm agent through inhibition of key enzymes (4-6).

From a rhinologic perspective, xylitol has shown promise in the treatment of sinonasal disease with animal studies demonstrating its efficacy in reducing chronic rhinosinusitis (CRS) biofilms (7) and enhancing bacterial killing in nasal and sinus mucosa (8). Specifically, it has effects on several pathogens commonly implicated in sinonasal disease, directly affecting the growth of Streptococcus pneumoniae and Haemophilus influenzae whilst being able to dissolve the biofilm structure of Pseudomonas aeruginosa. As a result, xylitol has now been found as an additive to saline solution in commercially available nasal sprays and sinus rinses (9).
 
It also talked about using xylitol nasal sprays to balance the bacteria there too - it reduces inflammation and also helps prevent many viruses.
I was thinking about exactly this while doing some errands...

As I said earlier, every time she does nasal rinses, her problems get worse. The coloïdal silver nose spray... it kills bacteria and viruses, but I was wondering if it might also irritate and/or kill all the good stuff in the mucous membranes that are there to protect us?

The saline solution, as long as it's sterile, it should not be a problem, unless overdone which would cause inflammation. But in her case, not only it doesn't seem to help, it always ends up going to the ears, causing pressure buildup, and worst-case scenario (like this time), ear infection.

I'm so confused right now as to what to do, what not to do, how to properly do it, how often, etc. Some days I just want to give up and let the sickness do whatever it wants, and it will finish when it shall finish.

Edit: I'm looking up xylitol nasal sprays, and it seems easy enough to find. I'll give it a try
 
Hello,

My 12 yrs old daughter has had chronic rhinitis for 3 years now and I need help because I don't know what to do anymore.
Right now, she's having a bad episode and missed the whole school week last week, her friend's birthday, and her 2 aerial circus classes on the weekend. No one else got sick but her in the household. Her school teacher said 2 other kids in her class have had similar symptoms last week.

Symptoms
On the good days, it's constant blowing of nose with tons of transparent mucus.

On the bad days, when she "catches" something like a cold or the flu (or I don't know what), the mucus doubles or triples, becomes dark yellow, the pressure creates headaches and earaches, ear tubes fill up and she can't hear well, sometimes accompanied with either low or high fever depending on the bug, she's tired and don't feel well.

She always had trouble with her ear tubes since she was a baby, although not enough to get the tube surgery.
The bad days happen at least 5-6 times a year and she ends up missing A LOT of school.


Medical appointments
Over the years, we went quite a few times to see our family doctor because I thought she had an ear infection. But each time I was told no need for antibiotics because it was viral, and it was just mucus pressure, not an ear infection.
Each time I've been told to do sinus rinses with salt water 3-4 times a day, and I was given nasal sprays, either Fluticasone Furoate or Fluticasone Propionate.

We've seen an allergy specialist who confirmed she doesn't have any allergies, except sensitivities to Dust Mites, Horses, and Cats.
She also confirmed: no hypertrophy of the nasal turbinates

Regarding Horses: she went to a horse camp for 1 week, and I thought she had caught a cold because she had a lot of transparent mucus the whole time. Now we know why...

Regarding Dust Mites: all our mattresses and pillows are encased in dust mites allergy protectors. We have HEPA air filters in our bedrooms. I vacuum with HEPA Vaccum. I wash bedding once a week, max once every 2 weeks. I have a full water tank washing machine, I let the bedding soak for 20 min to drown the mites; it saves on the hot water bill.
Possible problem: she has a loft bed and heating in the winter sends lots of dust up there. She also has too many plushies. 2 years ago, I quarantined them all in a garbage bag for the whole winter to see if there would be any improvement. Not sure if it helped or not, maybe a little bit.

Regarding cats: we have one but he's not allowed in her bedroom.

We've got an appointment tomorrow (3 dec) with our family doctor to discuss this. But up to now, he's been pretty useless.
We've got an appointment with an ORL (Otolaryngologist) on 27th January.


Food
I cook most meals from scratch and I try to buy mostly organic when possible.
She avoids sugar and doesn't eat much dairy.
I try to make special smoothies 2-3 times a week: Kale, blueberries, orange juice, vegan Kefir with 2 billion probiotics, avocado, Celtic salts, vegan protein powder, collagen protein powder, something similar to Green+, and Chlorella powder.
We follow most healthy guidelines everyone here already knows so I'll skip on that.


Supplements
I try to remember to give her Vit D and Omegas daily but we often miss.
She has some "kids vitamin gummies". I'm not sure they are of much help, but I thought it was better than nothing.
When sick, I give her Liposomal Vit C 1000 mg once every day or couple days.

Last week, I gave her:
3mg of ivermectin once.
Ibuprofen a couple of times to reduce inflammation
Tylenol sinuses 3-4 times to dry the mucus.
Steam bowl of water with a towel 2-3 times a day
Diffuser with a blend of antiviral/respiratory Essential oils only once
The salt water sinus rinse (homemade with salt and sodium bic), I told her 3-4 times a day but she does it only once a day...
For earaches, I told her to chew gum, stretch and massage her neck, and do the Valsalva maneuver.


Today, I did a quick Forum Search with the keyword "chronic rhinitis"
I found little help other than this page: Chronic Sinusitis: Beyond the Neti Pot
This post: Iodine and Potassium Iodide
and this post and related previous answers: Iodine and Potassium Iodide

I'm still clueless as to what is happening with her. My instinct tells me her immune system is compromised.
She has an iPad always opened under her bed. I've asked her to shut it down or "airplane mode" it at night.

Hello @meadow_wind here is a french grand-mother remedy that purify sinus. Boil a bowl of water, add three soup spoons of cider vinegar and one crushed garlic clove. Cover your daugther with a sheet and let her deeply breathe the vapor during 10 minutes, 3 times a day. I cured chronic sinus infection with this.

Another factor is lack of grounding. Energy accumulating in the head due to overthinking cause most parts of ENT infections. I suffered a lot of ENT troubles cause of being too much "in my head". Walk in nature, play with plants, animals, practice physical activity outside without shoes helps a lot to balance the energy.
 
Cover your daugther with a sheet and let her deeply breathe the vapor during 10 minutes, 3 times a day.
Hi, we did the vapor thing, but it was just plain water. I'll try your ingredients and see if it helps!

The overthinking is an interesting clue to look at. She does seem stressed out lately because of school, and she spends way too much time in front of a screen... I'll talk to her about it.
 
I'll cross reference this here since it may help our sinus issue. Great find!
I only tried it once on her forehead (diluted to a low concentration) and she complained it burned.


Sinuses
Sinus rinses with diluted DMSO can assist with chronic or
acute infections, allergies, dental issues, migraines, and eye
pain. Make a saline solution in a neti pot (following the
instructions with the neti pot). To begin, add about 20 drops
of pure DMSO to the saline solution and see how it feels. If it
burns at all, then reduce the concentration—but if it feels
good, then you can either stick with 20 drops or try to use
more DMSO. If your neti pot holds 100 mL, then 80 mL will
be your saline solution and up to 20 mL will be your DMSO
volume. Do not use more than 20mL of DMSO. Twenty-five
to forty percent DMSO is your range to work with for sinus
rinses. Remember to start with low doses of DMSO to test
your tolerance. Also, the general rule in holistic medicine is
to treat both sides, so even if you have a unilateral ear,
nose, or sinus issue, treat bilaterally. This procedure greatly
helps reduce swollen sinuses and helps to regenerate tissue
that has been damaged by chronic inflammation.
 
Poor girl. She could probably benefit from more supplements. Id say Lipo C, NAC, D, Mg, and a B complex every day. I also think no more dairy, including no butter, is a good idea.

Figuring out the mold toxicity in your house is paramount too. Mold infections can turn into a huge nightmare if one is genetically susceptible. Even if not, it can be horrible.

Thread 'Chronic Inflammatory Response Syndrome (CIRS)'
Chronic Inflammatory Response Syndrome (CIRS)
 
There are 10 strains in total with 3 strains of Bifi in it. I'm not sure it's the best, but I found it was a nice alternative to dairy
Just thought I’d mention this thread here on a subtype of Lactobacillus Rhamnosus (L.Rhamnosus GG or LGG). It’s worth reading it in full (not a long thread with lots of excellent research & articles). LGG & Bifidobacteria work really well together for gut health. Below is Gaby’s post on LGG promoting all other good bacteria in the gut (emphases mine):

Just a note that Lactobacillus rhamnosus gg is a "subtype" of lactobacillus rhamnosus. It's not necessarily the same.

Research suggests that L. rhamnosus gg promotes all good bacteria in your gut. So it is like taking several in that regard. Perhaps you can experiment by adding L. rhamnousus gg on top of what you are taking. Either or, this particular species has had very good results.
 
Well, the Gluten free/Dairy free diet is going to be challenging!

My daughter hates my smoothies, the coconut Kefir, the gluten free granola, bananas, scrambled eggs, and she's been wasting (garbage) half of the meals I've been preparing for her school lunches and dinners this week saying it's disgusting or she didn't have time to finish... 😒

I've been reading about Ginseng regarding boosting immunity. Nobody mentioned it, so I was wondering if it's ok to give it to her.
On another note, the antibiotics seem to be helping.
 
Good to hear, @meadow_wind, that the antibiotics seem to work.
Another thing that you might want to check is your daughters dental status. It could be that there is some chronic oxidative stress in the background coming from there. Does she have any root canals? These often and regular fillings sometimes can cause painless, silent inflammations. This can spread to many areas in the body and be a root cause to many chronic symptoms. Silent inflammation in early stages will not be detected by x-rays. There are two ways to clarify. First, lab diagnostics, doing a blood test checking for RANTES score. If elevated, then you can look for a good integrative dentist, who also has a kinesiologists specialized in dentistry, working for them. The dental kinesiologist will be able to detect exactly which tooth/teeth are causing inflammation. Its worth a try to rule these causes out, if your motherly instincts resonate with it :)
 
Does she have any root canals?
Thanks for this info. Very interesting. She had a partial root canal on a baby tooth. It was fine for 6 months, then turned bad; lots of pain, so they removed the tooth knowing the adult one was close by.
I will look into these blood test to see if it's covered by the public system. Otherwise, it might be out of reach because I want to save for the MRT blood test which cost a kidney lol
 
I will look into these blood test to see if it's covered by the public system.
Yes, I understand. Just to know, its one score. As costs are to be considered (with me always too :), maybe a one time consultation with a kinesiologist, doing Autonomic Response Testing (A.R.T.) will help to reduce costs too. It´s a holistic diagnostic method that focuses to test/look for root causes, when its a chronic situation and one does not know where it comes from. If you know more about the causes, it might help to clarify your next steps too.
 
Also I noticed you´ve mentioned kale; kale is high in oxalates

I should have looked this up earlier than today, but this morning I decided to look up this Kale matter, and I don't understand why the SOTT article related to Sally Norton Kale is mentioned like this: "There are a couple of kales that are not so good."
It should mention which types of kale along with their concentration.

A quick Google search led me to many similar results from seemingly reliable sources stating the opposite as true, with concentration ranging from 2 mg up to 20 mg, which should not be a problem:

1- Kale and bok choy are nutrient-rich greens with just 2 milligrams and 1 milligram of oxalates per cup, respectively.
"10 Of The Best Low Oxalate Greens For Polycystic Kidney Disease"
"Foods High in Oxalates"

2- St. Joseph's Healthcare Hamilton: Kale (chopped) 1 cup = 2 mg
"https://www.stjoes.ca/patients-visi...ent-education-k-o/pd-9447-oxalate-in-food.pdf"

3- Clinical Nutrition Research: Kale, raw = 20mg
"xmlinkhub"

4- Medical College of Wisconsin - Kidney Stone Oxalate Diet: Kale 13.0 mg
"https://www.mcw.edu/-/media/MCW/Departments/Medicine/Nephrology/Kidney-Stone-Oxalate-Diet.pdf"

In comparison, Spinach, raw (1 cup) = 291 mg of Oxalate

According to ChatGPT, levels vary between 9mg and 17 mg per 100 gr:

Here are five common types of kale sold in grocery stores and their average oxalate concentrations:

Curly Kale
Description: The most common type, characterized by its ruffled leaves and dark green color.
Average Oxalate Concentration: Approximately 13 mg per 100 g.

Lacinato Kale (Dinosaur Kale)
Description: Also known as Tuscan kale, it has dark blue-green leaves with a bumpy texture.
Average Oxalate Concentration: Approximately 9 mg per 100 g.

Red Russian Kale
Description: Features flat, fringed leaves with a reddish-purple tinge, more tender than other varieties.
Average Oxalate Concentration: Approximately 14 mg per 100 g.

Redbor Kale
Description: A visually striking variety with deep red to purple, frilly leaves.
Average Oxalate Concentration: Approximately 15 mg per 100 g.

Siberian Kale
Description: Has large, flat, and grayish-green leaves, known for its cold hardiness.
Average Oxalate Concentration: Approximately 17 mg per 100 g.

These values are averages and can vary depending on growing conditions and preparation methods


From this, I would conclude that making 1 or 2 smoothies per week, containing 1 cup of kale each, divided by 4 people (1 portion of smoothie each) should not pose any health or allergy issues unless a person has a specific problem with kidney stone or a strong sensitivity to Oxalate.
 
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