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KidsCare Online

Ear Congestion

More Chewing and Swallowing: . Swallow water or other fluid while the nose is pinched closed. (Reason: creates a vacuum in the nose that helps the Eustachian tube to open up.) Have your child chew gum if over age 6
Decongestant Nasal Spray:
- If chewing doesn't help after 1 or 2 hours, use a long-acting decongestant nasal spray.
- Ask your pharmacist to recommend a brand.
- Don't use for more than 5 days. (Reason: rebound swelling)
- An oral decongestant (pseudoephedrine) may belp if the nasal spray is not available. See Dosage table.
Antihistamines:
- If your child has hay fever or other allergies, give an antihistamine.
- See antihistamine dosage chart - chlorpheniramine.
- Ask your pharmacist to recommend a pediatric brand containing either of these ingredients.
Expected Course: The symptoms usually clear within 2 days (48 hours) with treatment. It's safe for your child to swim.
Prevention for Airplane/Mountain Travel:
- Swallow during descent using a pacifier or fluids.
- Children over age 6 can chew on gum during descent.
- Yawning also can open the middle ear.
IF your child becomes worse: Review Should I Call? recommendations.